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)
Our client is seeking an Internal Medicine or Family Medicine Physician with additional Geriatric Medicine certification and/or experience to serve as Medical Director of the Programs of All-Inclusive Care for the Elderly (PACE) organization located in Mobile, Alabama. The ideal candidate will provide general medical direction and supervision of participant care, oversee clinical outcomes, and contribute to the Quality Assurance Performance Improvement (QAPI) program. This role requires leadership, collaboration, and a commitment to the well-being of elderly participants.
Salary range: $231,000 - $280,000 depending upon experience
Key Responsibilities
● Provides general medical direction and supervision of the medical aspects of participant care
● Responsible for the delivery of participant care, clinical outcomes, and oversight of the Quality Assurance Performance Improvement (QAPI) program
● Responsible for the development and maintenance of medical policies and procedures/standards and protocols
● Provides direction and supervision to related Primary Care Providers (PCPs) and APPs
● Provides leadership and guidance to the program colleagues and providers in the local community
● Conducts history and physical on new participants and event-based and periodic reassessments
● Interviews and evaluates applicants to PACE Organization and their caregivers and participates in the Intake and Assessment decision
● Discusses each participant's medical conditions and prognosis with him/her and their caregiver to assist them in expressing their wishes and planning their future care
● Collaborates in the nursing treatment program of participants
● Establishes and/or maintains as a member of the leadership team a plan to achieve operating goals
● Participates as an active member of PACE Organization interdisciplinary team
● Educates and advises the team regarding the implications of diagnoses, cognitive and physical function and treatment options
● Participates in team and family conferences and decision-making processes
● Educates participants and families regarding health maintenance and their chronic medical conditions, in cooperation with nursing staff
● Supervises the health care and treatment program as developed by the interdisciplinary team
● Performs physical examinations, orders and evaluates appropriate laboratory and diagnostic tests, and records results in a systematic manner
● Participates in provider on-call rotation as required
Schedule and Shift Details
● Full-time or Part time (16-24 hours/week)
Travel
● Occasional travel within the region
Job Type: Full-time
Experience:
License/Certification:
Ability to Relocate:
Work Location: In person
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