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)
SUMMARY
The primary purpose of the facility-based APP is to administer Provider-level direct patient care services within the Post-Acute Care setting.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Embraces the philosophy of our company to render care in a manner, approach and with the skill that promotes maintenance or enhancement of each patient's clinical status and quality of life.
- Conduct Annual Wellness Visits on all long-term Nursing Facility residents and may perform Annual History and Physicals as requested by Facilities.
- Conduct clinical interventional and episodic direct care visits, and appropriate re-evaluation of care visits.
- Provide ongoing evaluation and treatment of chronic, co-morbid illnesses, as medically appropriate
- Evaluate/treat residents for changes in condition.
- Review medications, orders, and diagnostic tests, and respond to clinical abnormalities appropriately for all patients under their care, as allowed and/or requested by collaborating physicians.
- Coordinate care with collaborating physicians as indicated for overall medical management.
- Assist with facility-wide illnesses, where appropriate collaborations exist.
- Coordinate care with other disciplines, such as Therapists, Specialists, and Social Workers.
- Maintain communication with families/attend family conferences when possible.
- Other duties as assigned
QUALIFICATIONS
- Valid nurse practitioner or physician assistant license in state of operations & current board certification in your field
- Must possess a minimum of a Bachelors and Masters Degree in Nursing from accredited Colleges or Universities.
- Experience in nursing is required, and some experience as a Nurse Practitioner/Provider is preferred, but not necessary, although demonstrated critical thinking skills are required.
- Must possess knowledge of Nursing and clinical Nurse Practitioner critical thinking skills application to the aged, chronically ill, and convalescent resident.
- Strong leadership, interpersonal, and problem-solving skills preferred.
- Must possess excellent written and oral communication skills
- Must possess traits of punctuality, organizational skills, and ability to function within a team.
Due to the nature of our business, we require all of our employees to be fully vaccinated on their first day of employment, in compliance with all applicable EEOC guidance regarding vaccines and qualified exemptions.
Job Type: Full-time
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Work Location: In person
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