Medical Management Director directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs. Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Being a Medical Management Director develops and implements clinical guidelines for care designed to improve outcomes while managing costs. Requires a bachelor's degree. Additionally, Medical Management Director typically reports to top management. The Medical Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Medical Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
WELLBE INTRODUCTION
The WellBe care model is a Physician Led Advanced Geriatric Care Program focused on the quality of care of the frail, poly-chronic, and elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to overall health care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe’s Care Model is to provide our members the entire continuum of care from chronic to urgent care in the home, hospital, skilled nursing facility, assisted living, palliative care, and to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum.
GENERAL SUMMARY
The Director of Neighborhood Management assumes a pivotal role in healthcare logistics, collaborating with data analytics to pinpoint statistically optimal locations for patient attribution clinical service area within our markets. This role will review all nuances impacting a market and deliver analytical decisions related to market assignments, care service areas, and evaluate and recommend best strategies across key departments to deliver the best patient engagement results. Responsibilities entail leveraging data insights to inform node placement strategies, make core recommendations for market level execution and outreach efforts, coordinate with market leadership to finalize node locations, and facilitate seamless integration of neighborhood-based patient care initiatives. The ideal candidate will possess a strong background in data analytics, healthcare management expertise, and effective communication skills to align node placement decisions with overarching organizational goals.
Job DescriptionWe are seeking a dynamic and experienced Director of Neighborhood Management to join our team. As a Director of Neighborhood management, you will be responsible for ensuring that we are planning and executing on core engagement strategies including recommendations for call list utilization, staff placement, and ideal assignment of care service areas based on numerous factors including data, geography, staffing and attribution. The Director of Neighborhood Management is responsible to ensure that there is full alignment between operational leadership and market execution.
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The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.