Clinician Team Lead (APC) - Optum New Mexico

Primary Responsibilities

• Provides diagnosis, treatment, therapy, and management of patients according to current standards of care utilizing best evidence-based practice recommendations.
• Works collaboratively with the patient to provide a Patient-Centered approach to care, adhering to the organization's Patient-Centered mission.
• Drives organization-specific initiatives including Quality (STAR, HEDIS, CAPHS/HOS) and Affordability, and ensures that the processes and procedures are in line with the approved business model.
• Ensures quality indicators are being met and continuously improved by participating in Quality Meetings.
• Outlines objectives for clinic team members to ensure quality indicators are defined and understood in order to be achieved.
• Supervises clinician team members, including coordination of paid time off, CME time and expense approvals, OLCM license review, and clinician/patient complaint management.
• Partners with Operations leadership to ensure the success of the clinic team within the clinics.
• Serves as the liaison between clinicians and the People Team for policy interpretation.
• Participates in various committees as assigned and disseminates information timely to all team members.
• Affords assistance in team member recruiting and retention efforts by identifying clinic needs and developing a succession plan for primary care.
• Promotes patient safety and partners with operational leadership to ensure clinic compliance.
• Utilizes evidence-based care processes to meet affordability goals.
• Develops and promotes organization's culture in clinic team members.
• Optimizes clinician productivity and performance.

Required Qualifications

• Graduate of an accredited Certified Nurse Practitioner Program
• Board Certified/Eligible Advanced Practice Clinician
• Minimum 2 years of experience in outpatient primary care medicine
• 1-2 years of management experience or have exhibited appropriate leadership potential
• Experience in medical utilization management, medical quality assurance, quality improvement techniques, risk management, and compliance
• Knowledge of primary care operations; knowledge of management practices, human relations, consensus building, and collaborative ability
• Must have strong oral and written communication techniques and be professionally respected by peers; leadership ability and demonstrated competence in the primary care setting
• Nurse Practitioner: Current NBR Certification; Licensed RN by the State of NM; Current Nurse Practitioner in the state of NM
• Physician Assistant: Licensed Physician Assistant by the State of NM; Current and unrestricted DEA certificate
• BLS certification required within 30 days of hire
• Must be able to meet all pre-employment requirements
• Must be able to meet all health requirements at hire and periodically thereafter, as required by company policy/state regulations to verify that they/he/she is free from communicable disease and physically able to perform assigned duties

Preferred Qualifications

• Master's Degree in Nursing

Salary Range

The salary range for this role is $110,000 to $166,500 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.