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Executives EXL / E / 1106807

Executives EXL / E / 1106807

exlin pune c4, pune, india
30+ days ago
Job description

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 performance
  • Assesses developmental needs and collaborates with the support team to identify and implement action plans that support the development of high performing teams
  • Initiate root cause analysis and monitor action plans for identified opportunities
  • Provide effective coaching and feedback to Nurse Associates that enable them to improve their performance
  • Work closely with the Nurse Associates to identify areas for improvement and gaps in the process to create individualized and feasible action plans
  • Monitor efficiency and initiate control measures to minimize variances in workload over time
  • Executive monthly, quarterly, and annual performance review of Nurse Associates and consequent development processes effectively
  • Ensures the team's understanding and use of information system capability and functionality
  • Ensure 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 care
  • Ensure compliance with internal policies and procedures, external regulations and information security standards
  • Effectively forecast and manage the process volume, allocation, and staffing following the Statement of Work on a daily basis
  • Maintain accurate reporting and cascading of information to internal and external stakeholders
  • Update mandatory process trackers and files for compliance purposes
  • Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking
  • Oversee and facilitate implementation of updates management and training for new hires and / or team members
  • Lead calibration sessions to ensure process knowledge alignment
  • Monitor random transactions on an ongoing basis and take corrective steps where necessary or make incremental improvements
  • May have responsibility for their own case load work
  • 2) People Management

  • Select staff using clearly defined requirements in terms of education, experience, technical and performance skills
  • Formulate individualized plan with the CSRs / Nurse Associates to fully understand their career aspirations
  • Develop a strong succession plan to encourage organic growth and facilitate “role ready” resources to ensures leadership continuity internally
  • Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed
  • Establish an environment and work style that promotes the concept of teamwork, cross product integration,