Clinical Program Manager- FFS

ESSENTIAL JOB DUTIES:

• To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation.
• Assist DCOi in the management a team of Providers who provide care within nursing facilities.
• Collaborate with colleagues to explore innovative delivery models or enhancements to current delivery models and care

practices.

• Identify opportunities for process improvements and staff education to produce optimal outcomes.
• Serve as a subject matter expert (SME) on the Fee for Service Model
• Participate in clinical training initiatives.
• Strong Orientation and mentor plans for new APP's
• Weekly check in to NPs with Coaching and Charting improvements
• Team Lead will assist Director in organizing coverage plans
• Other duties as assigned.

JOB REQUIREMENTS:

• Ability to work designated schedule, reliable attendance
• Skilled business background
• Proficient leadership skills
• Knowledge of HEDIS and STAR ratings
• Knowledge of Medicare, Medicaid, I-SNP, Nursing Facility and Managed Care
• Proficient knowledge of Microsoft Office applications
• Punctuality, reliability
• Successful completion of required training
• Manage stress appropriately
• Handle multiple priorities effectively
• Independent discretion/decision making
• Make decisions under pressure
• Position may require flexible hours, unscheduled overtime or occasional week-end work
• Unrestricted driver's license; clear driving record
• Some travel may be required

REQUIRED QUALIFICATIONS:

• Education:
• Master's degree in nursing
• Experience:
• 3 to 5 years' experience in long-term care or with chronically ill patients
• 3-5 years of practice experience
• 1-3 years management experience in long-term care, home health or chronic condition management preferred
• Vast experience in leadership and business preferred
• Extensive knowledge and experience with Medicare, Medicaid, I-SNP, Nursing Facility and Managed Care

preferred

• HEDIS/ STARs experience preferred

• License/Certification(s):

• APRN or PA license required