Clinic Manager overseeing daily operations and patient care at Medcor's occupational health clinic. Collaborating with key stakeholders to ensure effective clinic workflows and logistics.
About the role
- Assesses patient's clinical needs against established guidelines and/or standards to ensure that the services provided are medically appropriate to members needs.
- Evaluates the necessity, appropriateness and efficiency of services provided.
- Develops, coordinates and assists in implementation of members- individualized plan of care.
- Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
- Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
- Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
- Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
- Documents accurately and comprehensively based on the standards of practice and current organization policies.
- Provides field based and/or telephonic case management activities specific to the Dual Special Needs program.
Requirements
- High School Diploma/GED required
- Bachelor degree preferred or relevant experience in lieu of degree
- Requires a minimum of three (3) years broad clinical experience
- Requires a minimum of three (3) years experience in home care, discharge planning, or case management. Preferably with the elderly frail population.
- Requires a minimum of three (3) year experience in the health care delivery system/industry.
- Active Unrestricted NJ SW/RN/LPN License or CSW Required
- Requires strong knowledge of the standards of practice for case managers.
- Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS).
- Required knowledge of medical terminology.
- Prefers knowledge of managed care principles.
- Prefer experience with elderly frail population.
Benefits
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
Job title
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Experience level
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Clinic Manager overseeing operations in a worksite health & wellness clinic for Medcor. Responsible for patient care and collaborative health service functions in a team environment.
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