Job Description
Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program / operational efficiency involving clinical issues.
Position Overview
The primary role is to meet the service level agreement of the process by coaching the CSRs / Nurse Associates to meet their monthly goals. They develop and mentor their direct reports to expand their capabilities and reach their full potential. They work with a team of Assistant Managers and Support staff to maintain effective team working relationships hence ensuring high level of engagement and morale in their respective teams.
- The Assistant Manager is responsible for management of CSRs / medical services staff including the organization and development of high performing teams
- Works closely with managers ensuring consistency in care management interventions
- Facilitates effective interfaces among team members, as well as across teams, providers and departments
- Responsible for the day-to-day implementation of medical management services policies and procedures
- Accountable for meeting the financial, operational and quality objectives of the unit
Essential Overview :
1) Operational Efficiency
Articulate performance expectations and team objectives while collecting and interpreting balanced measure to evaluate individual staff and team performanceAssesses developmental needs and collaborates with the support team to identify and implement action plans that support the development of high performing teamsInitiate root cause analysis and monitor action plans for identified opportunitiesProvide effective coaching and feedback to Nurse Associates that enable them to improve their performanceWork closely with the Nurse Associates to identify areas for improvement and gaps in the process to create individualized and feasible action plansMonitor efficiency and initiate control measures to minimize variances in workload over timeExecutive monthly, quarterly, and annual performance review of Nurse Associates and consequent development processes effectivelyEnsures the team's understanding and use of information system capability and functionalityEnsure implementation and monitoring of best practice approaches and innovations to better address the Case Manager and Utilization Management Nurse Consultant needs across the continuum of careEnsure compliance with internal policies and procedures, external regulations and information security standardsEffectively forecast and manage the process volume, allocation, and staffing following the Statement of Work on a daily basisMaintain accurate reporting and cascading of information to internal and external stakeholdersUpdate mandatory process trackers and files for compliance purposesServe as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinkingOversee and facilitate implementation of updates management and training for new hires and / or team membersLead calibration sessions to ensure process knowledge alignmentMonitor random transactions on an ongoing basis and take corrective steps where necessary or make incremental improvementsMay have responsibility for their own case load work2) People Management
Select staff using clearly defined requirements in terms of education, experience, technical and performance skillsFormulate individualized plan with the CSRs / Nurse Associates to fully understand their career aspirationsDevelop a strong succession plan to encourage organic growth and facilitate “role ready” resources to ensures leadership continuity internallyCreate a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when neededEstablish an environment and work style that promotes the concept of teamwork, cross product integration,