This role will assist in the management of daily operations of an interdisciplinary care team, ensuring the delivery of outcome-based, cost-effective care through metric-driven decisions. The primary purpose is to oversee all patient care services and personnel for their assigned team, collaborating with team members to achieve exceptional outcomes. This includes assuring the development of personnel qualifications and policies, identifying and facilitating professional development needs and competency of staff through home visits, and maintaining compliance with regulatory agency policies and procedures. The role involves providing staff guidance in making clinical and case management decisions that are cost-effective and focused on clinical outcomes. Accountability for team performance in achieving desired clinical and operational performance measures is key. The role utilizes clinical software to identify opportunities for education, most appropriate utilization of services, oversee clinical progression of patients, and trend team outcomes and performance. Assures that clinical and functional outcomes are achieved at the highest level possible. Resolves patient care problems collaboratively with internal/external customers and peers across regions. Oversees daily patient assignments for clinical staff based on client needs and staff competency to maintain team productivity standards using LEAN Daily Management processes. Coordinates referrals and ensures timeliness of SOCs and adjunct service delivery. Ensures continuous assessment of patient needs and the development, implementation, and updating of individualized plans of care. Coordinates patient care, including communication with all physicians involved. Determines staffing needs and coordinates hiring to meet service demands for assigned geographic areas. Hires, trains, coaches, and evaluates staff, completing personnel evaluations according to agency timelines. Reviews and analyzes team and patient metrics to align with agency initiatives. Participates in preceptor programs, anticipates customer needs, and responds quickly, accurately, and pleasantly. Actively participates in the performance improvement process plan (H3W), huddles, IDT, and the agency QAPI Program. Performs other duties as assigned.
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Job Type
Full-time
Career Level
Manager
Education Level
Associate degree