Medical Management Manager manages the organization's medical management programs, which may include case management, utilization review, quality management, or community health education programs with the goal of providing high quality, cost effective health care services. Collects and analyzes data on utilization, outcomes, safety, and costs to determine trends and identify problem areas. Being a Medical Management Manager presents findings, proposed solutions, and implementation plans to management. Implements long and short term solutions for improvements in patient care and cost savings. Additionally, Medical Management Manager requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Management Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Management Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
JOB DESCRIPTION
The incumbent is responsible for the organization and management of the coordination of services between the Case Management department and community partners. They build and maintain mutually beneficial relationships, facilitate communications, and coordinate activities between the Case Management department and our community partners. The incumbent seeks to establish mutually beneficial, encouraging relationships with targeted groups, establish parameters for collaborative efforts, and serve as a reliable contact point with whom stakeholders can engage. Additionally, they will conduct periodic evaluations with the leadership team to elucidate additional possibilities for collaboration.
EDUCATION
Social Work Pathway:
Masters in Social Work (MSW) from an accredited school of Social Work.
LICSW preferred.
Case management accreditation required by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications) preferred.
Or Nursing Pathway:
State of Vermont Registered Nurse (RN) license required. The University of Vermont Health Network is moving toward an all Bachelor of Science in Nursing (BSN) workforce. Current internal RNs are strongly encouraged to pursue a BSN to support this initiative.
Case management accreditation required by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications) preferred.
Or Masters in Health or Human Services Field Pathway:
Master's degree from an accredited institution in a Health or Human Services field. Licensure preferred.
Case Management accreditation required by a nationally recognized accrediting body for case management (examples: CCM, ACM or ANCC certifications), preferred.
EXPERIENCE:
Minimum of 3 years' experience in hospital case management preferred.