Clinical Manager, Care Management

Bayhealth Dover , DE 19903

Posted 2 months ago

Job Details

Bachelor of Science

RN Required

BSN Required

General Summary

Plans, organizes, and implements care management functions for BHMC. Provide supervision of all the Care Managers. Coordinate and support ongoing problem solving. Assist in establishing tools, processes, and systems to optimize Care Management's role.

Essential Functions & Accountabilities

  1. Manages and oversees the care management functions for Bayhealth.
  2. Prioritizes internal resources to meet the needs of patients according to risk level, regulatory requirements, and external resource capabilities.
  3. Performs concurrent reviews to prevent denials, assuring appropriate communications and exchanged with physicians, related internal departments, and payers.
  4. Identify urgent utilization issues and report them to the Director, unit management, and attending physician immediately.
  5. Manage collection of Care Management/quality data according to pre-set criteria and standards for timeliness.
  6. Manages Care Management clinical staff.
  7. Maintains accurate budget data; monitors staff productivity.
  8. All other duties as assigned, within the scope and range of job responsibilities

Minimum

Preferred

Education:

BSN

MSN

Experience:
5 years clinical acute care experience
3 years supervisory and/or management experience in health-related field.

Supervision and/or management experience in Care Mgmt, Utilization Mgmt, or Performance Improvement

Licensure/Certification:

Current RN Licensure in DE or compact state

Certified in Health Care Quality (CPHQ), Utilization Mgmt, or Case Mgmt

Computer/Software Knowledge:

Basic keyboarding skills with basic skills in Microsoft Word, or similar application

Working knowledge of Microsoft Word, Lotus Notes, Clinical data base software


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Clinical Specialist Mechanical Circulatory Support Philadelphia

Medtronic Inc.

Posted 1 week ago

VIEW JOBS 4/11/2019 12:00:00 AM 2019-07-10T00:00 Bring your talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven innovation, our medical technologies open doors. We support your growth with the training, mentorship, and guidance you need to own your future success. Join us for a career that changes lives. CAREERS THAT CHANGE LIVES - POSITION DESCRIPTION: Position Summary The Clinical Specialist demonstrates quality in all actions; Manages the development, administration, and, distributor and customer education programs pertinent to Medtronic HeartWare's products and technology. Formulates and implements policies and procedures, and participates in all facets operational decision making pertaining to the programs of the organizational unit. Trains and educates investigators/customers on proper use of the Medtronic HeartWare Ventricular Assist Device (HVAD) product and technology. Works with surgeons, nurses, research coordinators, cardiologists and other hospital personnel to facilitate optimal outcomes during implant, post-operative care and long-term use of the HVAD system. Supports Field Sales on providing the best possible outcomes and service for our customers. Works closely with Sales team and provides case support to wider team when required. Will partner with Chief Medical Officer on case analysis, trouble shooting and clinical trial support. Collaborates with Marketing/Product Management, Engineering and Clinical Affairs on key projects and initiatives. Works on problems of moderate scope where analysis of situations or data requires a review of a variety of factors. Exercises judgment within defined procedures and practices to determine appropriate action. Builds productive internal/external working relationships. Essential duties and responsibilities * Provides leadership and direction in all aspects of the establishment, implementation, promotion, and administration of the clinical education activities, to include assessment, curriculum planning, communications and clinical skills development, and educational support * Developing professional expertise, applies company policies and procedures to resolve a variety of issues. * Maintain contact with customers to evaluate their clinical and educational needs * Develop and execute clinical education programs designed to enhance user competencies * Cultivates close relationship with strategic business partners, including all training centers and opinion leaders * Provides new employee training on products, technology and materials * Assist in developing objectives, and programs for marketing and selling the Company's products * Provides nursing and/or medical expertise in the development, implementation, and case reports, journal articles and clinical reports from clinicians * Plans, directs, and coordinates educational workshops, and other programs, events, and activities * Leads efforts to place speakers on podiums at key conferences * Represents HeartWare at conferences and symposiums * Responsible for initiating site contacts, providing technical and clinical support to customers * Work with other departments to establish priorities for the Company direction, new product development, and customer satisfaction * Input to management any and all situations affecting clinical results and sales MUST HAVE - BASIC QUALIFICATIONS: IN ORDER TO BE CONSIDERED FOR THIS POSITION, THE FOLLOWING BASIC QUALIFICATIONS MUST BE EVIDENT ON YOUR RESUME * Bachelor's Degree * Minimum 5 years of clinical experience NICE TO HAVE - DESIRED/PREFERRED QUALIFICATIONS: * Medical device sales within cardiac surgery, interventional cardiology or endovascular surgery * Demonstrated cardiac operating theatre and/or cath lab experience * MBA or graduate degree preferred. * BS/BA degree in relevant field/discipline required such as Nursing, Biomedical Science, Business Administration, Marketing or equivalent * Clinical trial experience within medical device space is a bonus. Required Knowledge, Skills, Abilities * Ability to develop and present educational programs and/or workshops * Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures * Skill in organizing resources and establishing priorities * Knowledge of adult education and communication principles and practices * Outstanding interpersonal, verbal and written communication skills and the ability to communicate and work effectively within a diverse community * Desire to help others * Composed under stress * Strategic planning skills * Advanced knowledge and understanding of nursing and/or medical principles, methods, and procedures * Ability to develop, implement and evaluate clinical education methodologies and assessment instruments * Ability to organize, prioritize and schedule work assignments * Working knowledge of conflict resolution and mediation principles and techniques * Must be willing and able to travel * Must reside in the United States PHYSICAL JOB REQUIREMENTS: * The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions * Frequent required travel to customer clinics, hospitals and offsite meetings. While performing the duties of this job, the employee is regularly required to be independently mobile * Continuous verbal and written communication * Frequent 2- handed lifting of up to 40 lbs. from floor to chair/table and from one to another surface at approximately the same level * Sitting, standing and/or walking for up to eight plus hours per day * Environmental exposures include eye protection, infectious disease and radiation * Ability to wear 7-9 lbs of lead for extended periods of time while in the O.R. * Frequently required to use hands to finger, handle or feel objects, tools or controls * Ability to effectively use a mobile phone, PC, keyboard and mouse * Frequent bending/stooping, squatting and balance * Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus in relation to travel and operating a personal computer * Must be able to drive approximately 80% of the time within assigned territory. * Clinical Specialists are required to be within their assigned territory each day to be available as unscheduled needs arise. CS's are required to work a number of weekend and holidays during the quarter, as determined by local management. Weeknight call coverage is the primary responsibility of the Sales Rep, however, at times, business and/or geographical needs require a CS to be scheduled for week night coverage as approved by regional management. * Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be reviewed and will be considered as part of your application. Travel Requirements: * Minimum travel of 50% ABOUT MEDTRONIC Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be. We can accelerate and advance our ability to create meaningful innovations – but we will only succeed with the right people on our team. Let's work together to address universal healthcare needs and improve patients' lives. Help us shape the future. It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities. This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Medtronic Inc. Dover DE

Clinical Manager, Care Management

Bayhealth