Regional Director, Clinical Operations VBC (Finance)

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

SUMMARY

Lead a regional team of clinical team members to drive quality patient outcomes in value-based care. Oversee operations, staffing, compliance, and workflows while partnering with physicians and dialysis facilities. Monitor performance metrics, implement process improvements, and talent management. Collaborate closely with cross-functional colleagues to develop and execute strategies to improve quality and reduce cost of care.

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

• Directly manages a team of Nurse Case Managers and Coordinators, providing direction, mentoring, and professional development.

• Coaches and mentors the team through regular team meetings, on-site shadowing, and other means.
• Conducts regular 1:1 meetings, team huddles, and comprehensive team meetings to ensure alignment and address concerns.
• Routinely reviews team metrics / scorecards with individual team members and the full team.
• Ensures optimal deployment and daily productivity of the clinical team, including by balancing caseloads and assignments.
• Supports nurses in optimizing their schedules and patients (e.g., prioritizing on-site work for nurses who have in-person responsibilities).
• Oversees payroll, PTO, expense management, and other Human Resources processes, ensuring accuracy and compliance.
• Addresses staffing needs by liaising with Human Resource Business Partners, conducting interviews, overseeing onboarding, and precepting new hires.
• Monitors compliance with professional licenses and manages credentialing processes.
• Implements core processes and workflows, including regular reviews of Optimal Starts patients, regular reviews of CVC patients, engagement with dialysis facilities, IDT meetings for key physician practices, and others as needed.
• Runs effective internal IDT meetings together with Associate CMO to review high risk patients, ensure the presence of strong care plans, and ensure execution against care plans.
• Partners with Market Operators to design and deploy workflows with each relevant physician practice and dialysis team.
• Ensures routine engagement of Nurse Case Managers and Coordinators with Risk Adjustment Nurse Practitioners, as appropriate, to support CDMV findings in being processed and acted upon.
• Monitors, analyzes, and reports on operational performance metrics, suggesting and implementing improvements to enhance efficiency.
• Leads reporting out on clinical team performance and issues during Monthly Operating Reviews.
• Develops close working relationships with dialysis facility administrators, and ensures that appropriate communication processes and other workflows are in place with Nurse Case Managers and dialysis teams to maximize impact of interventions for dialysis patients.
• Develops close relationships with physician practice leaders and administrators, and is seen as a key clinical resource to drive impact with the practice.
• Is routinely in the field with the team to provide in-person coaching and mentoring; travel required when not geographically close to team and partners.
• Key Performance Indicators include:
  • Optimal Starts
  • Admissions
  • Readmissions
  • Time on Dialysis
  • CVC Rate