• Clinical Care Manager

    Job ID
    2018-1082
    # of Openings
    1
    Job Locations
    US-CA-Los Angeles
    Posted Date
    1 month ago(12/12/2018 1:46 PM)
    Category
    Clinical - Management (RN)
  • Summary

    MedZed is re-imagining the house call. Will you innovate with us? MedZed is a fast paced, start-up. We are inspiring and enabling better health. MedZed utilizes technology to bring healthcare to patients with complex medical and social needs. We partner with health plans and managed care organizations to treat high-risk patients with respect and compassion in their homes.

     

    Due to our growth, we are seeking an exceptional Clinical Care Coordination Manager to join our team. The care coordination team is an integral part of our care team by helping to manage traditional back office functions while playing an active role in process development. You will be responsible for driving all initiatives related to the department including staffing, personnel development, collaborating with internal and external providers, , metrics and efficiency, and implementing/improving processes. This position requires a person who is a critical thinker with a passion for detail and the ability to work in a dynamic, fast paced environment. The ideal candidate will be ready to provide service at any moment, stay cool under pressure and handle multiple projects fluidly.

    Responsibilities

    • Ensure timely completion of all tasks within care coordination department
    •  Develop and maintain strong relationships with utilization management departments for customers and PPG’s to enhance patient care and reduce utilization by achieving timely referral processing.
    •  Serve as liaison between MedZed and referring clinical practices, payers and facilities
    •  Define, create and implement department initiatives to help drive success
    •  Create and refine department processes to simplify communication and documentation within the department and with other departments.
    •  Ensure high quality telephonic outreach, assessment, intervention, referral, monitoring and service planning for all patients served.
    •  Collaborate on forecasting and workload models
    •  Oversee the hiring, training and management and professional development of all team members and build a high functioning effective unit
    •  Train team to effectively participate in panel management activities
    •  Work with CMO to prepare for internal and external clinical rounds
    •  Fielding clinical calls from patients that have been escalated by peers or teammates

    Qualifications

    •  RN or LVN License (active and in good standing)
    •  3+ years of experience in case management/utilization management
    •  3+ years of experience in a managerial position
    •  Experience working directly with Medi-Cal and Medicare Advantage populations
    •  Knowledgeable in Medi-Cal IPA/PPG delegations as it relates to patient care (referrals & authorizations)
    •  Highly organized and able to juggle multiple priorities simultaneously
    •  Strong Microsoft Office skills (Excel & Word)

    Additional Skills and Experience:

    •  Ability to problem solve in real time to adjust processes when needed
    •  Able to communicate with patients, co-workers, and external partners with courtesy and respect (in person, by telephone, and through email)
    •  Display a professional, warm, and helpful attitude
    • Compassion for handling difficult situations with people who are ill and need help
    •  Work well under pressure: assess, respond, and communicate issues in a timely manner
    •  Interpret and apply clinical and non-clinical policies and procedures
    •  Motivated to get things done well - not just done.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed