Clinical Services Manager

Description

GENERAL SUMMARY OF DUTIES: 

The Clinical Services Manager will work hands-on with providers, executive leadership team, vendors, and other clinical teams and partners to design, prioritize, and implement innovative clinical initiatives; in addition to, managing the performance of clinical initiatives currently in place.

SUPERVISION RECEIVED: 

CEO, COO, or as assigned

SUPERVISION EXERCISED: 

As assigned

ROLE AND RESPONSIBILITIES: 

• Facilitate and manage a portfolio of various clinical programs at different stages of development and implementation.
• Establish collaborative, longitudinal relationships with the operations team, medical leaders, external providers, and clinical teams.
• Flex to produce content in short sprints when appropriate, while also managing longer term programs and projects - working collaboratively with the value-based care team and other leaders in the development of clinical program presentations, formulating hypotheses, and identify operational barriers/risk impacting clinical program performance.
• Responsible for the creation, implementation and management of clinical programs across a broad spectrum of business opportunities in support of the company’s vision to maintain and develop initiative to support a high performing care model.
• Ensures the effectiveness of clinical programs through monitoring, measurement, and implementation of performance improvement strategies as indicated 
• Remain current on healthcare industry trends and value-based care models.
• Works collaboratively with the Population Health Manager and leadership with PHC Research and other teams as assigned on daily clinical operations, daily problem-solving of clinical and operational issues, and the development and revision of policies and procedures. 
• Relationship building with external provider partners including coordinating performance reviews for defined preferred providers. 
• Assesses current clinic flows, processes, and procedures, identifies areas of improvement, and develops and implements best practices and appropriate changes to improve outcomes. 
• Participate in continuing professional growth through attendance at workshops and professional in-services and through individual research and reading, to include communication skills.
• Attend and participate in organized functions of PHC and perform administrative functions as necessary.
• Demonstrate personal responsibility and respect for patients, patients’ families, and co-workers in professional appearance.
• Demonstrate flexibility, enthusiasm, and willingness to cooperate while working with others in multi-disciplinary teams.
• Others duties as assigned.

Requirements

QUALIFICATIONS

• RN with 3+ years’ experience in managing Clinical Program Development, Quality Improvement and/or Population Health programs in a payor, provider, or population health organization
• BSN preferred
• 5+ years of clinical experience
• Care Management experience preferred
• Diagnosis Coding Experience preferred
• Research Experience preferred
• Current, active, and unrestricted certification/license
• Experience working on clinical models in risk-based financial arrangements
• Experience working with health IT applications and data
• Demonstrate ability to work as part of the team
• Experience leading work teams
• Planning and organizational skills
• Understanding of program or project management processes
• Excellent communication skills

KNOWLEDGE AND SKILL REQUIREMENTS: 

• Demonstrates the ability to effectively prioritize and execute tasks in a timely manner while eliciting cooperation from a variety of sources, including upper management, peers, and other team members.
• Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
• Demonstrate strong analytical, organizational, intellectual curiosity and problem-solving skills.
• Set and complete challenging goals.
• High index on relationship building and teamwork.
• Experience at working both independently and in a team-oriented, collaborative environment is essential.
• Self-motivated, dependable, strong work ethic with a desire to learn.
• Strong time and project management skills.
• Ability to work effectively in a team environment. 
• Experience with computer applications.
• Knowledge and demonstrated abilities to work in a regulatory climate that includes oversight by federal and state rules, payer contracts, governmental benefits, and community resources.
• Excellent oral and written communication skills.
• Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management.
• Ability to work successfully in a fast-paced, stressful environment.

ENVIRONMENTAL/WORKING CONDITIONS: 

• Talking, hearing, repetitive motions and close visual acuity associated with a normal office environment. 
• Occasional exposure to clinical / medical office setting.

PHYSICAL/MENTAL DEMANDS: 

• Standing, sitting for long periods while doing computer input and making phone calls.
• Must have ability to bend, stoop, twist and work with computer equipment. 
• May require work during after hours