Patient Care Manager - Outpatient Behavioral Health

Overview

The Patient Care Manager is responsible for the daily operations of assigned outpatient behavioral health department(s) and monitors the activities of all office operations to ensure the department(s) meet requirements and objectives and provide quality and cost-effective care. Patient Care Manager works closely with Clinical Leadership to ensure maximization of efficiencies and accuracies in provider schedules and patient care.

Responsibilities

 

Essential Functions

Operations & Staff Management

 

Provide leadership within the clinic setting in order to ensure effective, efficient office operations, optimizing performance and continually improving quality of care and financial viability in a vastly changing health care environment.

 

Coordinate day to day clinic operations and provide direct support and oversight to maximize schedules of providers, nurses, PSR’s, MORs, etc.

 

Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

 

Possess in-depth knowledge of and provide operational support for tasks and job functions in areas of patient accounts, registration, and insurance coverage.

 

Resolve customer concerns, questions, and complaints by identifying opportunities and coordinating appropriate action plans.

 

Oversee and work assigned Epic work queues daily and establish standards for reducing registration errors, claim denials, and other issues that affect department revenue.

 

Spearhead front office operations and team leadership, optimizing staffing, SVR, and fiscal performance to meet strategic business targets.

 

Develop and manage a budget for office supplies and equipment.

 

Monitor, verify and reconcile expenditures and revenues.

 

Establish effective mechanisms of communication with staff, providers and patients. Act as a liaison between providers/patients/staff/leadership.

 

Take the leadership role in times of disaster or emergencies to secure the safety of staff, patients, visitors, the facility and protected health information.

 

Ensure compliance with all regulatory and safety standards, including but not limited to, OSHA, DNV, HIPAA, and relevant labor laws.

 

Maintain compliance with organizational policies and procedures.

 

Complete hiring, onboarding, training development, and performance appraisals of assigned team members.

 

Directly supervise assigned team members, including MORs, MOAs, PSRs, CMAs, etc.

 

Create a culture of innovation, learning, teamwork and professional practice, consistent with the mission, vision and values of the organization.

 

Actively participate in and/or lead team huddles.

 

Act as first line decision maker with respect to employee relations, performance concerns, or disciplinary action situations.

 

Act as Payroll Timekeeper and approves scheduling and vacation requests for all staff.

 

Behave in a manner consistent with all Corporate Compliance and HIPAA policies and procedures.

 

 

Department Specific Job Function

Implement strategies that maximize access to care.

Responsible for delegated accountability of department metrics.

Ensures coverage of activities assigned to team members supervised by the Patient Care Manager.

 

Qualifications

Education: College Diploma: Licensed Practical Nurse; or Bachelor's Degree: Nursing; or Associate's Degree: Medical Assisting; or Experience in lieu of degree 

 

Work Experience: 2+yrs Healthcare operations; 2+yrs Ambulatory

Carle Health Company Overview

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

 

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois.  We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

 

 

 

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].

Salary Range

The compensation range for this position is $36.26per hour - $62.37per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.