TEMP - Director II Clinical Operations

Job Summary

CalOptima Health is seeking a highly motivated an experienced TEMP - Director II Clinical Operations - Training to join our team. The Director II (Clinical Operations Training) will lead the operational components to develop, implement and oversee an ongoing comprehensive clinical training curriculum for medical management teams, including Utilization Management, Case Management, Long Term Services and Supports and Medical Directors. The incumbent will be responsible for the development of each department's core competency training as well as content-specific clinical and industry best practice approaches for clinical care teams. Additionally, the incumbent will be responsible for initiating and/or further developing desktop procedures and other artifacts and toolkits for internal and external health network partners' training needs.

Position Information:

Department: Medical Management

Hourly Rate: $69.23 - $114.35

Work Arrangement: Full Office

Duties & Responsibilities:

50% - Leadership Functions

Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.

Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department through training and curriculum.

Manages and oversees the clinical training team members, including assigning and evaluating work, making recommendations on hiring, training and setting goals, conducting performance evaluations and recommending and implementing corrective actions up to and including termination.

Collaborates with leadership and across departments to ensure the successful launch of key CalOptima Health initiatives and to ensure the initiatives function successfully within the CalOptima Health environment.

Partners with CalOptima Health's leadership to leverage opportunities for program enhancement and growth in the context of CalOptima Health's strategic plan.

45% - Program Oversight

Partners with all clinical operations department leadership to set initiative, execution, approach and mobilize resources across all phases of delivery.

Designs, implements and oversees clinical training programmatic approach, including all new employee orientation, refresher training, ad-hoc/custom content and clinical practice material.

Works with internal and health network key stakeholders to ensure the operational launch and long-term strategy for key CalOptima Health clinical program's training and learning initiatives.

Provides oversight and coordinates with other support resources/teams as needed for key deliverables.

5% - Completes other projects and duties as assigned.

Minimum Qualifications:

Bachelor's degree in nursing, education, healthcare administration, public health or related field required.

7 years of experience in clinical operations leadership and/or training directly responsible for content development required.

5 years of experience in clinical programs in a managed care environment required.

5 years of progressive leadership experience, including direct supervision of staff required.

Experience in clinical operations/medical management program design and implementation including desktop procedures, workflows and oversight to ensure ongoing application of content required.

An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.

Preferred Qualifications:

Master's degree in nursing, healthcare administration, public health or related field.

Active Certified Case Manager (CCM) certification.

Experience working at a director level, with a successful track record of training new programs and initiatives.

Experience in successfully writing and managing program policies, procedures and materials.

Required Licensure / Certifications:

N/A

Knowledge & Abilities:

Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.

Work independently and exercise sound judgment.

Communicate clearly and concisely, both orally and in writing.

Work a flexible schedule; available to participate in evening and weekend events.

Organize, be analytical, problem-solve and possess project management skills.

Work in a fast-paced environment and in an efficient manner.

Manage multiple projects and identify opportunities for internal and external collaboration.

Motivate and lead multi-program teams and external committees/coalitions.

Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Physical Requirements (With or Without Accommodations):

Ability to visually read information from computer screens, forms and other printed materials and information.

Ability to speak (enunciate) clearly in conversation and general communication.

Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.

Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.

Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Work Environment:

If located at the 500, 505 Building or a remote work location:

Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.

There are no harmful environmental conditions present for this job.

The noise level in this work environment is usually moderate.

If located at PACE:

Work is typically indoors in a clinical setting serving the frail and elderly.

There may be harmful or hazardous environmental conditions present for this job.

The noise level in this work environment is usually moderate to loud.

If located in the Community:

Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.

Employee will occasionally work outdoors in varied temperatures.

There may be harmful or hazardous environmental conditions present for this job.

The noise level in this work environment is usually moderate to loud.