- Location
- Charlotte, United States of America
- Workplace
- Remote
- Department
- Healthcare
- Experience
- 2+ years
- Source
- Workday
Description
Job Overview
Duties and Responsibilities
- Under the direction of the Director of Clinical Services - plans, organizes, and manages the provision of patient care and Clinical Case Managers.
- Acts as a first line manager for designated staff and assists with patient care as needed.
- Day to day management of provider issues and care delivery.
- Contributes to improving quality and consistency of patient care & experience.
- Evaluates quality of care, patient satisfaction and compliance.
- Facilitates Care Coordination Meetings and provides leadership in problem solving and gives professional advice from a clinical perspective.
- Reviews, implements and interprets clinical policies and procedures as directed by DOCS.
- Serves as a clinical lead at relevant clinical and departmental meetings.
- Enforces and demonstrates compliance with all State and Federal regulations.
- Communication with case managers (State funded programs, Medicaid, and third-party payors), clinical updates, and ensuring continuing authorizations and re-verification of eligibility.
- Compliance and participation in the continuing quality improvement and utilization review of organizational services.
- Supports and executes the mission, ethics, and goals of the company effectively.
- Represents themselves in a positive and professional manner in the company and community.
- Adheres to dress code with a clean and neat professional appearance.
- Reports as scheduled in order to complete work within designated time.
- Maintain a steady patient caseload.
- Interview and screen candidates.
- Aid in terminations, coaching, education and counseling of field staff.
- Assist in the management of complaint intakes, track and follow-up.
- Meet and greet potential new cases
- Participates in QAPI/PAC as appropriate
- Assist with QA audits as needed/ when appropriate
- Takes and active role during in-services meetings to promote team re-education and compliance.
- Other duties as assigned
Requirements
- Current state license as a Registered Nurse, BSN preferred.
- Minimum of 2 years of experience in a Home Health or Acute setting required.
- Minimum 3-5 years of clinical management/supervision preferred.
- Demonstrate leadership capabilities with strong supervisory and interpersonal skills.
- Detail oriented, flexible, good organizational and time management skills.
- Current CPR card and current health certificate as applicable.
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Additional Job Description Information
EEO Statement:
MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.