This job is archived
(Archived) Clinical Director
Job Description
Maximus is seeking a Clinical Director to oversee quality functions in Maximus’s Clinical Services Division, which performs a wide array of clinical assessment services for individuals with physical and/or mental disabilities seeking Medicaid-funded services and supports. The incumbent provides management and execution of key quality, technical, and operational processes to support program and technical operations. This role is based in Raleigh, NC; however, due to precautions related to COVID-19, this position may be temporarily remote. Great opportunity to grow your professional network!
*Role pending award of the contract.
Primary Responsibilities:
- Direct clinical operations of the company, ensuring compliance with standards
- Hold formal and informal meetings and discussions with employees to offer clinical support and ensure clinical compliance in all areas of operations
- Ensure clinical standards are incorporated into all project plans
- Inform the Project Director about new and ongoing clinical issues
- Communicate clinical updates throughout the company
- Direct the management of the company Quality Improvement Plan (QIP) with the Quality Improvement Manager, ensuring compliance with standards and meeting customer expectations
- Develop and monitor QIP processes and inform Project Direction about quality performance issues
- Leads investigations of all clinical concerns, including formal complaints and quality of care concerns, through careful analysis of documentation and discussions with associated employees, customers, and/or stakeholders
- Ensure complaint investigation and quality of care concern processes are followed and recommends course(s) of action to Project Director
- Responsible for the delivery of a wide range of complete strategic program and/or business process analytics for the project
- Analyze trends and create solutions to ensure that customer service needs are met, and the program remains in compliance
Additional Responsibilities:
- Collect reportable data and completes any reporting needs for the project
- Direct the management of the quality of the program with the Project Director, ensuring compliance with standards and meeting customer expectations
- Develop and monitors quality processes and informs Program Director about quality performance issues
- Translate reportable data into information, interpret data, and understand the implications of data to the business
- Provide recommendations to management, create and implements strategies to ensure that productivity goals are met while containing costs for the program
- Document program issues and performance measures for management review, and provides information to assist in the feedback and formal education process of employees
- Develop processes to build operational policies, procedures, and/or user guides for the project
- Address exceptional issues related to quality, service and compliance of the project
- Analyze operational processes, including reviewing, creating, and improving policies, procedures, systems, forms, and reports
- Analyze existing forms and methods to promote effective operations through standardization, improvement, simplification, discontinuance or other methods
- Responsible for working with the IT Vendor to develop improved systems to ensure effective program operations
Minimum Requirements:
- Registered Nurse or Licensed Clinical Social Worker or equivalent (LMHC, etc.) licensed in North Carolina
- Five (5) years of experience working in a clinical medical capacity, knowledge of hospital and home health care, including experience collaborating with physicians
- Experience with both medical and behavioral health strongly desired.
- Capability to lead and drive continuous quality improvement
- Ability to work effectively in a “hands-on” management role
- Outstanding work ethic, integrity, and value system
- Excellent clinical process skills
- Ability to perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies
- Ability to analyze large and varied sets of data and draw meaningful conclusions
- Ability to multitask effectively while performing job duties, including ability to prioritize tasks, and ensuring all voice mail and email messages are returned expeditiously
- Excellent organizational skills
- Excellent negotiation and interpersonal skills, including ability to use effective diplomacy in dealing with senior business leaders and other business parties
- Ability to work independently with minimal day-to-day supervision
- Ability to interact professionally and collegially with referral sources (hospital & nursing home staff, physicians, social service workers, etc.), state contract officers, and coworkers
Preferred Skills/Experience:
- Advanced skill with word processing, spreadsheet, presentation, and publishing software (Microsoft Word, Excel, PowerPoint, Publisher, and Visio)
- Professional training and/or certification in a formal quality program (e.g. Six Sigma, Baldrige, CQM)