Director Managed Care Medical
1 month ago
Spends 100% of time in a center providing direct patient care, leading by example, and creating an exceptional patient experience
Manages key clinical center metrics that are provided by Clinical Analytics and relate to quality outcomes and holds therapists accountable: % MS Referred, Visits per Case, % Therapy SDE, % Seen, TOP
Consistently demonstrates all components of the Physical Therapy Guidebook and the Perfect PT visit
Manages clinical outcomes and addresses outlier cases with staff therapists
Ensures clinical workflows to optimize patient capture, processing of referrals and scheduling
Executes therapy plan for each patient with a focus on early intervention and same day evaluation
Creates a professional and collaborative working environment with full colleague participation that promotes teamwork, quality, exceptional outcomes, and patient safety
Works with DTO to identify clinical improvement opportunities
Fosters relationships with employers, referral sources and payer groups through routine communications and engagement opportunities
Masters use of clinical systems to ensure efficient and excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders
Ensures compliance with individual State Practice Act/Rules and Regulations/WC Regulations
Drives patient and client experience and satisfaction metrics
Actively participates in CLT meetings with COD and CMD to improve quality, patient safety, outlier management, and ensures the ongoing development and growth of the center’s business
Maintains and cultivates relationships with center clients and payers while responding to requests within 24 hours
Works with DTO and CLT to manage clinical and support staffing levels and proficiencies that will optimize patient satisfaction, workflows, and efficiencies
Promotes, cultivates, and exemplifies Orange Book values for all center colleagues
Develops colleague success through all aspects of the talent life cycle for staff therapists and PTSS within the center
Fosters an environment of collaboration, professionalism, patient and colleague safety, quality care, continuous improvement and reward and recognition
Leads and promotes collaboration within CLT and across disciplines to achieve clinical and business outcomes
Accountable for understanding and input on Center financial drivers (GRV, PI, New Injuries, TAT) and outcomes in order to achieve annual business plan
Promotes center initiatives and work flows that are consistent with those in other centers
Possesses financial awareness and provides input to center budget and key business metrics
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. br>
Qualifications:
EDUCATION/CREDENTIALS
• Bachelors of Science or advanced degree in Physical Therapy (Doctor of Physical Therapy) from an accredited college or university
• Must meet licensure requirements of jurisdiction
JOB-RELATED EXPERIENCE
• Customarily at least two years of demonstrated clinical experience in an occupational healthcare setting
JOB-RELATED SKILLS/COMPETENCIES
• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
• The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
• Demonstrated outstanding clinical knowledge of physical/occupational therapy services
• Demonstrated outstanding dedication to Concentra’s philosophy of therapy in occupational medicine
• Demonstrated outstanding interest in the leadership of therapy staff
• Demonstrated leadership qualities and administrative abilities to the job responsibilities as described
• Demonstrated excellent communication skills and the ability to exercise proper judgment, make decisions, and motivate employees
Additional Data:
Generous paid time off (PTO)
Paid holidays
Set schedule
Medical and prescription plans
Basic and enhanced dental and vision plans
Supplemental health benefits (accident, critical illness, hospital indemnity insurance)
LifeWorks employee assistance program
Company-funded HSA
Short-term disability
Pre-tax spending accounts (health care and dependent care FSA)
Training provided in our world-class occupational medicine process management model*
Medical experts panel (MEP)
New hire learning program
Occupational Health University
Leadership development program
Yearly CEU stipend and time
Tuition reimbursement
Professional On-demand Learning Modules*
Malpractice insurance*
Unmatched opportunities for advancement locally and nationally*
Traditional and Roth 401(k) with employer match*
Competitive salary*
Colleague referral bonus program*
Colleague discount program*
Life insurance/disability
Pre-tax spending accounts
Relocation assistance (when applicable)
Incentive/RVU bonus
Commuter benefits
Identity theft services
This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. br>
Concentra is an Equal Opportunity Employer, including disability/veteran
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