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 risk manager is responsible for the facility’s risk management activities, which include managing claims against the facility, interfacing with legal counsel, administering the risk management program on a day-to-day basis, managing and analyzing risk management data, conducting risk management educational programs, coordinating insurance coverage and risk financing, and complying with the Joint Commission’s risk management educational standards, all with the objective of controlling and minimizing loss to protect the assets of the facility. This individual is responsible for reviewing and formulating policy and organizational changes, and making recommendations for final approval by the vice president, chief executive officer, and governing body. Completes other duties as assigned by the Director of Corporate Compliance/Risk Management.
Job Requirements
Minimum Education Requirement :
Bachelor’s degree required.
Minimum Experience Requirement :
2 years of relevant experience required. Previous experience in a health care environment preferred. Proficient in the use of a personal computer including spreadsheet analysis, presentation graphics and word processing. Highly developed verbal and written communication and organizational skills. Ability to communicate effectively with individuals and groups at all levels of the organization, patients, families and external individuals, groups and agencies. Ability to manage multiple priorities, simultaneously handle multiple projects and make appropriate decisions to assure completion of tasks on time. Demonstrates flexibility and willingness to undertake new responsibilities as assigned. Ability to work under stress. Ability to solve problems of a complex nature. Ability to work efficiently and effectively under deadline pressures. Professional maturity and demeanor that daily sets the tone in carrying out the responsibilities of the position and to represent the organization to internal and external constituents. High degree of honesty, integrity and confidentiality. Demonstrates flexibility and willingness to undertake new responsibilities as assigned. Ability to work under stress. Excellent problem-solving, statistical and analytical abilities. Public speaking, consultative and interpersonal skills. Understanding of the organization and healthcare environment.
Minimum License Requirement :
CPHRM preferred.
Samaritan is an Affirmative Action/Equal Opportunity Employer. Women, Minorities, Disabled, and Veterans are encouraged to apply.
Job Type: Full-time
Pay: $27.19 - $43.50 per hour
Expected hours: 40 per week
Benefits:
Experience level:
Schedule:
Ability to Relocate:
Work Location: In person
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