Clinical Program Manager
- Works closely with the leadership at the long-term care facilities in their region and company leadership to meet the key performance metrics for a market
- Directly manages a team of Providers and RN Case Managers who are providing care in nursing facilities
- Ensures all patient services are delivered on time and effectively and within the scope of the plan.
- Collaborates with colleagues to explore innovative delivery models or enhancements to current delivery models and care practices.
- Identifies opportunities for process improvements and staff education to produce optimal outcomes
- Serves as a subject matter expert (SME) on the ISNP plan and care model.
- Collaborates on the development of training materials to support clinical training
- Participates in clinical training initiatives
- Collaborates with business leaders to implement new markets and programs
- Reviews daily, weekly and monthly management reports to monitor and manage care delivery.
- Collaborates with vendors and community organizations for improved service delivery
- Oversees the review and resolution of complaints and grievances
- Participates in company-wide initiatives to ensure consistency and high-quality in the clinical delivery of care
- Participates in company-wide quality improvement initiatives across all aspects of the organization
- APRN or PA license required
- 3-5 Years of experience in long term care or chronically ill patients
- 3-5 years of practice experience needed
- 1-3 years of management experience in long term care, home health or chronic condition management preferred
- Driver’s license without restrictions and good driving record
- Working knowledge of MS Office including Word, Excel, PowerPoint, SharePoint, and Visio
- Strong experience in leadership and business preferred.
- Strong background and familiarity with Medicare, Medicaid, ISNP, Nursing Facility and Managed Care preferred
- Strong working knowledge of HEDIS/ STARs preferred
- First line supervision and delegation of duties of all the Providers (NPs/PAs) and RN Case Managers in direct clinical care services
- Frontline oversight, planning, and delegation of onboarding activities of new employees within the designated region
- Responsible for provider relations issues that are not at a regional or corporate level that would affect P&Ps
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