Director, Clinical Operations – Training (Director II)
Job Description
Department(s): Medical Management
Reports To: Executive Director
FLSA status: Exempt
Salary Grade: R – $144,000 – $237,864
Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Monday, December 25, 2023 at 11:59 PM. Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date.
About CalOptima Health
Are you looking for a career that changes lives? As the single largest health plan in Orange County, CalOptima Health serves one in three residents with health insurance programs for low-income children, adults, seniors and people with disabilities. Our 1,500 employees are valued for their individual perspectives and contributions and benefit from flexible work schedules, recognition and opportunities to grow. If you’re looking for a rewarding career supporting a meaningful mission, along with generous benefits and recognition, consider joining us at CalOptima Health!
About the Position
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.
Duties & Responsibilities:
• 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.
• 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.
• 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.
• Provides oversight and coordinates with other support resources/teams as needed for key deliverables.
• Partners with CalOptima Health’s leadership to leverage opportunities for program enhancement and growth in the context of CalOptima Health’s strategic plan.
• Completes other projects and duties as assigned.
Experience & Education:
• 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 is also 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.
Physical Demands and Work Environment:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Physical demands: While performing duties of job, employee must be able to sit for extended periods of time, as well as work at the computer for long periods. Employee is required to use hands and fingers, especially for typing on the computer and using the mouse. Employee must be able to communicate, particularly for regular phone use, in meetings and face-to-face interaction. Must be able to tolerate high level of stress and be able to operate under pressure.
• Work Environment: Typical office environment with minimal to moderate noise levels and controlled office temperatures.
About our Benefits & Wellness options:
At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. Employees also have access to 457(b) retirement plans with pre/post-tax contribution options.
CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together.
CalOptima Health is an equal employment opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.
Job Location: Orange, California
Position Type:
To apply, visit https://apptrkr.com/4862741
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