Clinical Nurse Manager
- Full-time
- Department: Patient Services
- Job Family: Pharmacy
Company Description
At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us!
Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.
Job Description
THE POSITION:
The Clinical Nurse Manager is responsible for guiding and overseeing the day to day clinical operations of the Clinical Nurse Coordinators, Clinical Nursing Supervisor, and/or Medical Necessity Appeals Nurses. The Clinical Nurse Manager develops appropriate clinical guidelines to ensure quality patient care is provided in accordance with state and federal guidelines, as well as contractual obligations. They collaborate with care team leadership, support the development of program services, policies and procedures, and ensure high levels of patient and client satisfaction.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by:
- Promote client satisfaction by ensuring compliance to program services, policies and contractual obligations
- Establish workflow, work methods and performance standards for the clinical team. Participate in developing clinical standards and guidelines based on best practice and evidence based medical care which will ensure safe and therapeutically effective service to our patients
- Ensure work is accomplished effectively by managing employee performance, work processes and other resources
- Monitor daily operational performance relating to operating metrics, quality measurements and contractual requirements, ensuring the team works within their scope of practice and within department budget
- Collaborate with patient Care Team leadership to ensure delivery of quality patient care
- All other duties as assigned
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
PEOPLE LEADER
People leaders must possess both the skills to effectively accomplish these tasks and the emotional intelligence to do so in alignment with our cultural values. In addition to the critical management and leadership tasks listed above, this role also includes the following unique responsibilities
- Provide leadership, resource abilities and advanced clinical knowledge to ensure high levels patient care and satisfaction
- Conduct training and evaluation of clinical nursing staff
- Interview, select and supervise the activities of the clinical nursing staff; communicate interpret and discuss with team the company policies and procedures
- Determine job objectives, work methods and performance standards; review performance relative to departmental objectives with each employee
EXPECTATIONS OF THE JOB:
- To promote client satisfaction by ensuring compliance to program services, policies and contractual obligations
- Set clear direction, effective plans and measurable outcomes
- Coordinate activities with finance team and Clinical Nurse Coordinators to manage Field Infusion Nurses, who are responsible for onboarding new patients and coordinating and providing home infusion services for new and active patients
- Understand the processing of clinical appeals as needed, be able to cross train associates in Medical Necessity Appeals.
- Planning, organizing and coordinating various projects, programs and services
- Supervise adverse drug event reporting to ensure contractual and regulatory guidelines are met. Participate in client audits as required
- Participate and contribute in staff meetings and patient care conferences
- Perform clinical monitoring activities in conjunction with other healthcare professionals
- Continually evaluate the efficiency, productivity and accuracy of the clinical team and take initiative to improve efficiency, improve quality, and develop best practices
- Serve as a point of escalation for calls requiring a higher degree of clinical expertise or discretion to resolve customer issues or complaints
- Keep abreast of state and federal laws pertaining to infusion services, URAC and ACHC guidelines
- Oversee/Investigate and resolve patient/payer requests
- Travel: 20%
The above list reflects the general details necessary to describe the expectations of the position and shall not be construed as the only expectations that may be assigned for the position.
An individual in this position must be able to successfully perform the expectations listed above.
Qualifications
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:
The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.
- Bachelors of Science in Nursing
- Licensed Registered Nurse of good standing in the state of Missouri
- 7+ years of relevant clinical nursing and management experience
- Excellent communication (written, verbal, and presentation) skills with the ability to interact with all levels of management
- Nursing case management, home health, and specialty infusion/pharmacy services experience
- Ability to adapt to a fast paced, dynamic environment
- Ability to manage, mentor, train and develop employees
- Commitment to process improvement with the ability to execute
- Proficient in Microsoft applications
- Exhibits an upbeat attitude, a genuine interest in others and a sense of humor. Energizes others and heightens morale through her/his attitude
- Possesses the ability to develop and articulate ideas and information that generate understanding and creates a climate that motivates and encourages others to participate
- Exhibits confidence in decision making, demonstrates empathy for employees and customers, and inspires team to deliver while being accountable for results
PREFERRED QUALIFICATIONS:
- Advanced degree in nursing or health related field
PHYSICAL/MENTAL DEMANDS AND WORKING ENVIRONMENT:
The physical and mental requirements along with the work environment characteristics described here are representative of those an individual encounters while performing the essential functions of this position.
This is a largely sedentary role. While performing the essential functions of this job the employee is regularly required to stand and/or sit for long period of time (up to 90%). Additionally they are regularly required to talk or hear, type and engage in repetitive motion, reach and grasp; occasionally required to lift and/or move up to 25 pounds. The employee is intermittently required to stoop or crouch; push or pull; or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
This role requires mental alertness. The employee must regularly communicate both verbally and written; concentrate on tasks; and remember and observe details. The employee must frequently adjust to changes; handle stress and emotions; and think analytically.
This job operates in a professional office environment. This role routinely uses standard office equipment.
The noise level in the work environment is usually moderate, with frequent interruptions and multiple demands.
EVERSANA is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.
Additional Information
OUR CULTURAL BELIEFS:
Patient Minded I act with the patient’s best interest in mind.
Client Delight I own every client experience and its impact on results.
Take Action I am empowered and empower others to act now.
Grow Talent I own my development and invest in the development of others.
Win Together I passionately connect with anyone, anywhere, anytime to achieve results.
Communication Matters I speak up to create transparent, thoughtful and timely dialogue.
Embrace Diversity I create an environment of awareness and respect.
Always Innovate I am bold and creative in everything I do.
From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.
By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply