Medical Management Manager manages the organization's medical management programs, which may include case management, utilization review, quality management, or community health education programs with the goal of providing high quality, cost effective health care services. Collects and analyzes data on utilization, outcomes, safety, and costs to determine trends and identify problem areas. Being a Medical Management Manager presents findings, proposed solutions, and implementation plans to management. Implements long and short term solutions for improvements in patient care and cost savings. Additionally, Medical Management Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Management Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Management Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
The primary purpose of your position is to maintain medical records in accordance with federal and state guidelines, as well as in accordance with our established policies and procedures, to assure that a complete medical records program is maintained.
Disclaimer: The following statements are intended to describe the general nature and level of work assigned to this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the individual in this position. Other duties may be assigned as deemed necessary or appropriate by management.
ESSENTIAL FUNCTIONS
1. Know, understand, incorporate, and demonstrate the Mission, Vision, Values and Guiding Behaviors of Mount Joseph at Waterille in behaviors, practices, and decisions.
2. Consistently demonstrate (leads by example) Sanctuary Values to all internal and external customers (residents, visitors, volunteers, and associates.) Create and maintain an atmosphere of warmth, propagating a calm environment throughout the community.
3. Execute assignments in a culture that is shared and collaborative across all divisions within MJW.
4. Charts Prepare new charts for admissions Maintaining proper forms in charts required for community use Assign admission numbers per our registry for MDI Prepare a manila folder and index card for each admission Take pictures of the resident for MARS/TARS as well as elopement book if necessary and put residents names on room board
5. Enters information and documentation accurately in HealthMEDX electronic record in accordance with company policy, practice and standards.
6. Audit Electronic Records per facility policy and procedure. Report any issues to Administration. Make sure proper documents are signed accurately and in the chart Prepare old files for off-site storage as required Record all discharges and expirations in the registry
7. Scanning Records Scan all forms and attach to resident record in defined area Complete audits for assuring accuracy of scanning and filing of information in the correct Electronic Record and in the correct area.
8. Log all medical record requests, internal and external, to insurance/attorneys/patients and families; make copies and send assigned letter to request source for proper charges per company policy, standards and practice.
9. Maintain a neat and organized work area.
10. As assigned may be required to log physician visits, and report to DON monthly; participate in charge audit for MDQI; provide relief coverage for other team members; participate in quarterly medical record audit; order and maintain supplies of forms for the building.
11. Attend and participate in scheduled training, in-service training, mandatory annual in-service training and educational classes as required/needed.
12. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the community policies and procedures.
MINIMUM QUALIFACTIONS
1. High School Diploma or equivalent.
2. One year previous experience as a receptionist or in a secretarial position preferred.
3. Basic to intermediate proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.); extensive knowledge and experience with electronic mail and calendaring system in PC LAN environment. Ability to type with speed and accuracy.
4. Ability to utilize and maintain standard office equipment, e.g., copier, printer, fax shredder, phone system, personnel computer, etc.
5. Previous experience working in long-term care or with the geriatric population preferred.
6. Must possess superior customer service skills and professionalism.
7. Must possess outstanding verbal and written communication skills.
8. Ability to adapt to ongoing change and work in a fast-paced, customer-driven environment.
9. Possesses interpersonal and relationship building skills to work in a cross-functional team as well as the ability to work with residents based on their cognitive ability.
10. Self-starter, highly motivated with a high productivity level.
11. Possesses a high degree of personal accountability, responsibility and strong decision making abilities.
12. Must possess the ability to plan, organize, develop, implement and interpret programs, goals, objectives, policies and procedures of the organization
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