Part Time Utilization Management Nurse Jobs in Appleton, WI

• .7 FTE, Monday - Friday, in-person, on site at Aurora Medical Center OshKosh and/or Fond Du Lac

• Strong consideration for an internal candidate

Pay Range:

Leads performance improvement, resource management, and quality related activities of medical center and ambulatory practices. Serves as the senior physician leader responsible for clinical quality and outcomes, and assists medical staff in formulating standards of care, providing strategic direction and facilitating communication between the medical staff and administration to ensure positive relations. Aligns medical staff goals with the site, market and organizational objectives and strategies.

Major Responsibilities:

• As an integral part of the senior management team, participates in the development of the strategic and operating plans ensuring integration with the organization, and communicates plans to physicians. Establishes short and long-term objectives for appropriate areas and implements plans in collaboration with the medical staff and leadership.

• Serves as the senior physician leader for the assigned medical centers and ambulatory areas in the market and as an integral member of the market's leadership team while fostering an environment of teamwork, collaboration and mutual trust among physicians and administration. Consults with medical staff and leaders at each site to ensure operational efficiency and effectiveness.

• Responsible for the coordination of the administrative functions for medical staff, which includes but is not limited to the implementation of employment agreements, regulatory compliance, care management initiatives, physician performance reviews, peer review, privileging and credentialing.

• Facilitates the implementation and evaluation of quality and care management initiatives in conjunction with management committees. Provides review and guidance on the presentation and promotion of quality care through audits, assurance of peer review and quality management. Ensures documented physician peer review according to standards.

• Directs the performance improvement program for appropriate areas and the medical staff which includes establishing standards of performance, monitoring mechanisms and outcomes tracking. Ensures performance improvement and utilization management plans meet the requirements of The Joint Commission and other regulatory bodies.

• Ensures the successful implementation of system clinical best practice standards and programs as well as any other system or committee driven initiatives.

• Provides leadership for capacity management initiatives working with all disciplines to improve patient flow in support of optimal patient care.

• Oversees physician productivity and practice efficiency, and provides guidance on the implementation of enhancements.

• Ensures efficacy of the local physician recruitment process in conjunction with corporate physician recruitment services. Approves the recruitment of additional physicians and providers.

• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.

• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.

• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

• Responsible for taking an active leadership role in non-profit or community based organizations by providing community service hours or serving in professional organizations. Also, encourages team members to participate in these same community activities.

Licensure, Registration, and/or Certification Required:

• Medicine and Surgery, MD-DO license issued by the state in which the team member practices.

Education Required:

• Doctorate Degree in Medicine.

Experience Required:

• Typically requires 7 years of management experience in directing medical operations, performance improvement and quality programs within a large health care system, an attained board certification in a clinical field and 15 years as a practicing physician.

Knowledge, Skills & Abilities Required:

• Demonstrated excellence in clinical care and superior performance in physician leadership roles which includes quality and utilization management, clinical effectiveness and outcomes, clinical staff development, case management and clinical protocol development.

• Thorough knowledge and understanding of current trends in health care delivery, including the development of alternation delivery systems, care management, managed care, physician practice models, physician payment issues and access to health care.

• Demonstrated success in developing positive physician relationships and collaborations.

• Advanced knowledge of and skills in developing, planning and implementing long term strategies and plans.

• Excellent communication and interpersonal skills to successfully interact with physicians and employees at all levels throughout the organization and within the community.

• Proficiency in the Microsoft Office Suite or similar products. Advanced knowledge of computer applications and database management in a clinical setting.

• Excellent skills in problem solving, conflict resolution, negotiation and diplomacy.

• Dynamic knowledge of outcomes measurement, clinical quality and utilization.

Physical Requirements and Working Conditions:

• Will generally be exposed to a normal office environment.

• Must be able to operate all equipment essential in performing the job.

• This position requires travel so will be exposed to weather and road conditions.

• May be exposed to human blood and body fluids, so therefore must wear protective clothing as required.

• May be exposed to mechanical, electrical, chemical and explosive hazards.

• Must have functional speech, vision, smell, touch and hearing.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.