Top 7375 Manager Coding Jobs

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Clinical Documentation Improvement (CDI) Manager
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Regional Clinical Manager - Pediatric Urgent Care (PA/NP)

PM Pediatrics Management Group -
Staten Island, NY

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Job Details

Full-time
$150,000 - $200,000 a year
14 days ago

Qualifications

Optimizing workflow processes
Continuous clinical improvement initiatives
Advanced practice provider

Full Job Description

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Summary

The Regional Clinical Manager is a leadership role reporting to the Regional Operations Director. The primary responsibility is to ensure providers are well-oriented to PM Pediatric Care’s culture, value and processes; engaged; and well-trained. The Regional Clinical Manager will provide training and education for new providers, reinforce skill development among low-performing providers, assist in adjusting the provider schedule to match training needs, daily volume, and seasonality, as well as address quality and safety concerns.

Description

Includes regular on-site presence at the following locations: Bensonhurst, NY and Staten Island, NY

KEY FOCUS AREAS

On-time progression and onboarding of new providers through Provider Training Program
Provider acquisition and retention
Timely scheduling of interviews and candidate hiring decisions
Provider team clinical performance
Building a culture of quality and safety
On-time progression and onboarding of new providers through Provider Training Program
Provider acquisition and retention
Timely scheduling of interviews and candidate hiring decisions
Provider team clinical performance
Building a culture of quality and safety

ESSENTIAL RESPONSIBILITIES

Provider Training and Ongoing Education for Providers: Provide in-person orientation for new providers, including culture, quality, and office workflow. Ensure timely completion of Provider Training Program, which includes running provider assessments, Bootcamps, skills workshops, lectures, and RESCUE training. Engage early and often with low performing providers to improve their clinical performance and engage all providers in ongoing education, including introducing new clinical guidelines, in collaboration with Clinical Excellence Team.

Provider Scheduling and Shift Management: Support ROD in completing and adjusting provider schedule to match training needs and provider productivity. Collaborate with regional team in securing backup coverage for last minute callouts to prevent office closures.

Quality, Safety, and Medical Complaints: Respond to patient complaints that are medically related and escalated from the provider who rendered care or calls that are urgent in nature. Review safety reports, investigate root causes, implement corrective actions, and close loop with central teams. Provide feedback to the providers as warranted.

Clinical Documentation and Resource Utilization: Ensures appropriate provider documentation, collaborates with Clinical Excellence Team on chart review process; monitors and coaches providers on use of templates, proper coding, and resource utilization.

Provider Recruitment and Hiring: Review candidate qualifications, conduct on-site interview, arrange shadowing shifts for candidates, and make timely hiring recommendations to Operations Manager and Regional Operations Director.

Provider Mentorship and Support:

- Circulate among provider staff at all assigned offices on weekly or bi-weekly basis.
- Respond to medical escalation consults and/or develop system for peer-to-peer consult
- Conduct pNPS review monthly and, in collaboration with Operations Manager, work with bottom providers on action plan and progress.
- Recommend to Clinical Excellence Team and Operations Manager any providers in need of Performance Improvement Plans (PIP). Provide training and mentorship related to PIP.

Regional support: Provide back up coverage for Regional Clinical Managers or Regional Medical Officers on PTO. Participate in Administrator-On-Call rotation.

CLINICAL REQUIREMENT: 26 - 32 hours clinical per week based on regional needs and determined by supervisor

Qualifications

MINIMUM HIRING REQUIREMENTS

Graduate of an accredited Physician Assistant or Nurse Practitioner program
Ability to obtain and maintain DEA certification
Licensed in the state where the site is located
Meet threshold criteria/qualifications for Credentialing and Privileges
Training and quality improvement/process improvement experience

ATTRIBUTES

Recognized by patients and peers as an exemplary pediatric medical provider; sought out by others for advice
Sets and models high performance and behavior standards
Pursues everything with energy, drive and a need to finish; meets commitments
Consistently exceeds goals; pushes self and others to excellence
Solution-oriented

Compensation:

$150,000 - $200,000

The salary/rate range listed here has been provided to comply with local regulations and represents a potential base salary/rate for this role. Please note that actual salaries/rates may vary within this range above or below, depending on experience and location. We look at compensation for each individual and based on experience and qualifications.

EEO Statement

PM Pediatric Care is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status or any other characteristic protected by law.

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