CLINICAL OUTCOMES MANAGER jobs in Fort Smith, AR
CLINICAL OUTCOMES MANAGER manages the collection and analysis of clinical outcomes data to develop clinical process improvement initiatives. Oversees staff who gather data on performance metrics and facilitates the review of clinical program effectiveness. Being a CLINICAL OUTCOMES MANAGER provides advanced analyses and reports on clinical outcomes data. Evaluates and summarizes patient data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Additionally, CLINICAL OUTCOMES MANAGER identifies areas for improvement and assists leaders/physicians in developing strategies to improve performance. Requires a bachelor's degree in nursing or healthcare related area. May require a Registered Nurse (RN) license. Typically reports to a director. The CLINICAL OUTCOMES MANAGER 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. To be a CLINICAL OUTCOMES MANAGER typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Recently Added CLINICAL OUTCOMES MANAGER jobs
- AFMC
-
Fort Smith, AR
FULL_TIME
-
Job Description:
SCOPE OF POSITION:
Responsible for managing specific areas of AFMC’s review services in accordance with contract deliverables. Responsible for the supervision assigned staff. Support the organization’s mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence Accountability, Respect and Teamwork.ESSENTIAL JOB FUNCTIONS:
- Select, direct, coach and evaluate the assigned review staff. Develop standards of staff performance and set annual performance objectives. Ensure the quality and accuracy of work performed and that staff meet performance goals within designated time frame.
- Supervise assigned review program/area/functions. Plan, schedule, direct and monitor review activities to comply with contract deliverables.
- Develop and maintain manuals of policies, procedures, objectives and quality assurance for assigned review area.
- Ensure review activities are documented through data system or manually and adequate controls are in place to assure validity of entry and results.
- Function as a resource for clinical and non-clinical staff by providing oversight and follow-up for clinical related questions or issues.
- Develop proposals and facilitate implementation of projects, procedures, and controls for current and anticipated contracts in cooperation with the Director, Clinical Review and Senior Director, Clinical Review.
- Communicate effectively with internal and external clients. Upon request, verbally informs patients, facility personnel, the attending physician and other ordering providers, and health professionals of specific utilization management requirements and procedures
- Serve as liaison between departments and vendors to provide information, project updates or in the resolution of administrative problems and inquiries.
- Assume review activity during clinical review specialist absence or when assistance is needed. Work concurrently with clinical review specialist for evaluation and training purposes.
- All clinical review managers will participate in the Quality Management Committee. Five percent of your time is allocated to the Quality Management Committee.
- Analyze and control expenditures of department to conform to budgetary requirements.
- Generate reports of projects activities as assigned or directed.
- Maintain knowledge of specific projects including: contract, contract deliverables, policies and procedures, etc.
- Assist in preparation, production, and delivery of educational activities for staff.
- Adhere to format, content and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality.
- Meet regularly with assigned staff to communicate pertinent information, needs and requests to other team members as appropriate.
- Train assigned staff on job specific regulations and contract requirements.
- Ensure AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance.
- Additional duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES:
- Intermediate skill level with MS Office (Word, Excel, Outlook, and PowerPoint).
- Type 40 wpm.
- Exceptional skills in business English and spelling required.
- Ability to maintain confidentiality.
- Coaching skills.
- Strong oral and written communication skills.
- Creativity.
- Customer service.
- Ability to delegate as required.
- Ability to meet deadlines.
- Attention to detail.
- Flexibility.
- Knowledge of ICD 9/ICD 10 Coding.
- Knowledge of HIT/EHR.
- Medical terminology.
- Ability to work collaboratively and independently to achieve stated goals.
- Initiative.
- Ability to relate professionally and positively with staff, business partners, customers, constituents, recipients and the public.
- Leadership skills.
- Ability to multitask.
- Ability to prioritize.
- Strong organizational skills.
- Problem solving skills.
- Professionalism.
- Project management skills.
- Ability to read, interpret and apply laws, rules and regulations.
- Knowledge of quality improvement processes and techniques.
- Valid driver’s license.
- Ability to travel, including overnight travel.
- Time management skills.
Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices):
Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to travel as needed. Must be capable of performing the essential job functions of this job, with or without reasonable accommodations.EDUCATION:
Required: Associate or Bachelor’s degree in Health Information or Nursing ( ), licensed as a Registered Nurse in the state of Arkansas, without restrictions.
Desirable: Master’s degree in nursing, health services administration, public health, business or related field
EXPERIENCE:
Required: Five (5) years clinical nursing experience, Three (3) years leadership experience.
Desirable: Clinical experience in specialty area, experience in quality assurance, utilization review, coding, Medicare or Medicaid, QIO experience preferred.INTERNET REQUIREMENTS:
Reliable, high-speed wireless internet service (Wi-Fi)
An upload speed of at least 2Mbps is required to support softphone functionality. - 18 Days Ago
- Mercy
-
Fort Smith, AR
FULL_TIME
- We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts o...
- 7 Days Ago
- Universal Health Services, Inc.
-
Clarksville, AR
FULL_TIME
- Responsibilities Seeking a full-time Clinical Assessment Coordinator to work on the 20-bed inpatient Geriatric Psychiatry Unit in the Johnson Regional Medical Center in Clarksville, AR. The Clinical A...
- 2 Days Ago
- AFMC
-
Fort Smith, AR
FULL_TIME
- Job Description: SCOPE OF POSITION: Responsible for the efficient and effective development, production, and management of all aspects of AFMC’s clinical case review in Medicare, Medicaid, and private...
- 8 Days Ago
- Mercy
-
Fort Smith, AR
FULL_TIME
- We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts o...
- 10 Days Ago
- AFMC
-
Fort Smith, AR
FULL_TIME
- Job Description: SCOPE OF POSITION: Responsible for analyzing patient records to determine legitimacy and necessity of medical services in compliance with government reimbursement policies. Review may...
- 22 Days Ago
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0 CLINICAL OUTCOMES MANAGER jobs found in Fort Smith, AR area
- Encompass Health
-
Fort Smith, AR
- $10,000 Sign on Bonus Full time, $5,000 sign on bonus Part Time Hiring all positions Full time, New Grads, Nurse Extern,...
- 4/23/2024 12:00:00 AM
- Urgent Team Management
-
Fort Smith, AR
- Baptist Health Urgent Care is looking for dedicated, compassionate, and experienced Nurse Practitioners to join our dyna...
- 4/23/2024 12:00:00 AM
- KFC
-
Fort Smith, AR
- Looking for a rewarding career in the fast-food industry? KBP Foods, a leading franchisee of KFC, is hiring a Restaurant...
- 4/23/2024 12:00:00 AM
- ambercare
-
Fort Smith, AR
- Daily Pay offered for select positions! Addus HomeCare is hiring immediately for Caregivers and Certified Nursing Aides ...
- 4/23/2024 12:00:00 AM
- Doyon Government Group
-
Fort Smith, MT
- Job Description Job Description Doyon Technical Services (DTS) is a wholly owned subsidiary of Doyon Government Group (D...
- 4/22/2024 12:00:00 AM
- Live Well Healthcare Solutions
-
Fort Smith, AR
- Live Well Healthcare Solutions - Live Well Healthcare Solutions takes personal pride in serving our communities with our...
- 4/22/2024 12:00:00 AM
- JLM Strategic Talent Partners
-
Fort Smith, AR
- WHO IS JLM STRATEGIC TALENT PARTNERS & WHAT IS OUR ROLE We partner with National & International prime contractors to pr...
- 4/22/2024 12:00:00 AM
- Encompass Health
-
Fort Smith, AR
- $10,000 Sign on Bonus More personalized patient care More professional impact BE THE CONNECTION. In your role as nurse s...
- 4/21/2024 12:00:00 AM
About Fort Smith, Arkansas
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