Clinical Services Manager
Adobe Care and Wellness LLC
Nurse Practitioner Manager
Adobe Population Health is seeking a highly motivated and experienced Nurse Practitioner Manager to oversee and manage our clinical services program. The ideal candidate will be responsible for leading a team of advanced practice providers (APPs) in our population health and Adobe Provider Group (APG) populations managing the following areas:
- Advanced practice provider leadership: Oversee and lead teams of Advanced Practice Providers (APPs) across population health and Adobe Provider Group (APG) service lines, ensuring high-quality, coordinated care delivery.
- Clinical program development: Design and implement evidence-based protocols for chronic, preventive, palliative, and acute care, tailored to the needs of diverse patient populations.
- Data-driven performance improvement: Partner with Quality and Analytics teams to evaluate program outcomes, leveraging data to identify opportunities to enhance care delivery, patient outcomes, and operational efficiency.
- Regulatory compliance and quality oversight: Ensure adherence to Centers for Medicare & Medicaid Services (CMS), as well as federal and state regulatory requirements, while leading continuous quality improvement initiatives.
- Eventa integration and oversight: 25% of position dedicated to clinical oversight and process optimization for Eventa to expand and strengthen service line capabilities for members with complex respiratory therapy needs.
Duties & Responsibilities
- Clinical Leadership and Oversight: Provide clinical direction and support to APPs across clinical services programs.
- Develop and implement clinical protocols, policies, and workflows.
- Serve as a resource for complex, urgent, and emergent clinical situations.
- Team Management and Development: Lead, manage, and mentor a team of APPs.
- Oversee recruitment, onboarding, training, and ongoing professional development.
- Conduct performance evaluations, assess competencies, and implement corrective action plans as needed.
- Quality, Documentation, and Risk Adjustment: Conduct chart reviews to identify documentation gaps and opportunities for improvement.
- Lead initiatives to improve documentation accuracy, coding integrity, and quality gap closure.
- Develop and implement risk adjustment improvement strategies and remediation plans.
- Provide education and training on clinical documentation and best practices.
- Operational Performance and Program Management: Establish strategic goals aligned with organizational priorities.
- Monitor program performance and implement improvement strategies.
- Coordinate with cross-functional teams to ensure appropriate resources, equipment, and operational support.
- Stakeholder Collaboration and Communication: Build and maintain relationships with internal teams, providers, and external stakeholders.
- Collaborate with healthcare providers to ensure coordinated, high-quality care.
- Participate in performance and operational meetings with leadership and partners.
- Contract and Performance Oversight: Support management of program performance in alignment with scope of work (SOW) and regulatory requirements.
- Monitor performance trends and contribute to action plans addressing gaps or underperformance.
- Prepare and present clinical, quality, and operational outcomes to internal stakeholders.
- Compliance and Professional Development: Ensure compliance with all HIPAA regulations and protection of PHI.
- Maintain and enhance clinical knowledge through continuing education and professional development.
- Participate in quality assurance and process improvement initiatives.
Additional Responsibilities:
- Travel up to 25% based on business needs.
- Perform other duties as assigned.
- Responsibilities are subject to change depending on the needs of the organization.
Skills & Qualifications:
- Five (5) plus years of clinical experience
- Two (2) plus years of leadership experience in a healthcare setting
- Strong leadership, coaching, and team development skills
- Knowledge of population health, quality metrics, and value-based care principles
- Ability to analyze data and translate findings into actionable improvements
- Excellent communication, interpersonal, and organizational skills
- Ability to manage multiple priorities in a fast-paced environment
- Proficiency in electronic medical records and healthcare systems
- Proficiency in Microsoft Office Suite
Education, Licenses, & Certifications:
- Master's degree in Nursing
- Current, unrestricted Nurse Practitioner license.
- Active, unencumbered FNP license in Arizona and California (or willing to obtain within 30 days of hire).
- Board certification (e.g., ANCC, AANP).
- Willingness to obtain additional state licensure as needed.
Benefits & Total Rewards:
- Paid Orientation and Training
- Insurance – Medical, Dental, Vision, and Life
- 401k Plan – 3% match
- Employee Assistance Program
- Tuition Reimbursement
- Continued Education Support
- Mileage Reimbursement (if applicable)
- Referral Bonuses
- Paid Holidays (8 days)
- Paid Time Off (20 days)
- Paid Volunteer Hours
Character & Competencies:
- Courage: To have the courage to do the right thing at the right time.
- Ownership: To take ownership of every issue you touch.
- Respect: To respect yourself, co-workers, and for those whom you care.
- Excellence: To be excellent in all that you do.
- Diversity: Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
- Ethics: Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
- Adaptability: Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Customer Service: Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Interpersonal Skills: Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
- Judgment: Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
- Problem-Solving: Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
- Professionalism: Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Teamwork: Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Physical Demands & Work Environment:
- Frequently required to drive for extended periods.
- Regularly required to travel throughout the state and between states.
- Occasionally required to travel with overnight and multiple-day accommodations.
- Occasionally required to stand.
$61k - $70k
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