Senior Clinical Manager
Since 2012, this client has been a trusted partner for the nation’s top health plans, health systems, post-acute care providers, and at-risk physician groups navigating the shift from volume to value. Their high-touch, proven care model fully supports patients from pre-acute through to the home. This client's patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions.
Top reasons to love this job – 1. Become a part of an innovative team, who has been a pioneer in post-acute management and care transitions; uniquely positioned to manage patients, and improve clinical and financial outcomes. 2. Close-knit, collaborative team; providing excellent quality care management and UM solutions support 3. Opportunity to grow a new team and rollout new initiatives, with the support of an established employer Top "must-have" skills for this job – 1. 5-7 years of advanced leadership experience in an inpatient and/or outpatient skilled nursing and/or rehabilitation environment 2. Bachelor’s Degree in Nursing or Rehabilitation Services (OT, PT, ST); Master’s degree preferred 3. Familiarity with care management, utilization/resource management processes and disease management programs 4. Experience managing multi-disciplinary care teams, including nurses, therapists, social workers and case manager Tell me about this job – The Senior Clinical Manager (SCM) is responsible for management of all clinical functions in the market to ensure consistent, efficient delivery of services throughout the healthcare continuum. The result creates compliance with clinical model, ensures positive outcomes for patients and KPI achievement for the market. The SCM establishes strong relationships with their MA plan or partner hospitals, providers, client peers and other key market stakeholders. This position requires input into market specific strategy and implementation of innovative clinical programs with fidelity to the clinical model. This individual assists the GM in developing strategic direction and creating the annual business plan for the market with consideration to clinical impact of decisions. The SCM is also responsible for maintaining a positive work environment for our colleagues, serving as communication link to GM, Corporate and CTM and ensuring compliance with all corporate policies and procedures. Primary Responsibilities • Implements and directs clinical programs based on the individual needs of the client, identifies variation and proposed pilots to CDO. • Ensures clinically integrated, patient centric care coordination with a focus on appropriate first PAC setting, appropriate PAC LOS, transitions of care and readmission avoidance • Supports the concept of being a data driven organization, relying heavily on analytics and outcome reports to drive the business. Includes daily, weekly and monthly report review and analysis. • Cultivates a strong internal culture designed around collaboration, feedback, motivation, and accountability. Responsible for clinical operations, quality and performance of market.