Clinical Services Consultant- Brooklyn/Queens, NY
Location: Brooklyn New York
Description: Humana is looking of Clinical Services Consultant- Brooklyn/Queens, NY right now, this occupation will be placed in New York. More complete informations about this occupation opportunity please give attention to these descriptions. The position is responsible for ensuring quality and appropriateness of service to all Humana Members who are assigned to the Long Term or ! Transition Program. The position will be knowledgeable and compliant with all applicable laws and regulations to which we may be subject. By ensuring service and satisfaction standards, the position will result in improved client wellness by achieving quality outcomes.
This position requires an experienced individual with strong management or supervisory skills, as well as a health care background, with the ability? to ensure that the Care Managers meet
s
all quality and timeline standards. The Consultant must be able to lead change, promote a positive team attitude and be able to effectively respond to unexpected changes or demands. Must be able to work independently and make sound judgments within the scope of license and program guidelines, understands when to seek assistance from professionals and management
,
as required.
Other responsibilities include:
Ensures Clinical competence/excellence of all field ! staff
Ensures productivity of care managers by tracki! ng and achieving established goals
Motivates and inspires Care Managers to achieve productivity goals by regular and timely feedback and guidance.
Responsible for maintaining Professional adherence to Program requirements
Proactively identifies, evaluates and solves problems in a logical and systematic approach.
Responsible to ensure all elements of the programs are met by approving all assessments, reviewing clinical notes and managing ticklers.
Ensures superior customer service
Adheres to all policies, procedures and standards set forth by the company, state and federal regulations
Anticipates, identifies and reports in a timely manner areas of potential risk; and plans their resolution or prevention.
Consults with Manager, Transitions Clinical Services and Corporate Leadership staff as appropriate.
Provides education and coaching to Care Managers re: disease management, Humana Service! s, Wellness Programs, and Resources as needed.
Performs any other activities as directed by Senior Bridge leadership.
Monitors Care Manager adherence to Transitions Program 5 Steps to Success timelines.
Approves member surveys, reviews Care Manager activity notes and manages ticklers.
Manages engagement, enrollments, non-enrollments and discharges of members in assigned branches
Educates and provides coaching to Care Managers re: Program process and goals, documentation in EMR Rosalind, disease management, Humana Chronic Care Programs, training resources and updates.
Key Competencies
Builds Human Capital
: Identifies, selects, and retains Humana’s diverse talent, capitalizing on associates competencies, ideas and passion. Aligns talent with key components of our business strategy to create value for all stakeholders. Assesses, develops and rewards talent, encouraging progression throughout the ! enterprise. Motivates and inspires associates to higher levels of engag! ement, productivity and personal achievement. Provides regular, timely guidance/feedback to encourage developmental opportunities for associates, both direct and indirect reports.
Communication
: Ensures understanding regardless of the communication vehicle; understands the needs and perspectives of others and tailors delivery accordingly; shares information appropriately; actively listens.
Implementation/Execution
: Effectively leverages available resources (financial, people, time) to accomplish objectives and maximize return on investment. Makes appropriate decisions in the face of ambiguity. Anticipates and resolves barriers and constraints. Organizes and manages multiple priorities and/or projects using appropriate methodologies and tools.
Problem Solving
: Proactively identifies, evaluates, and solves problems with rigorous logic and a systematic approach; looks beyond the obvious to see root cause issues and creat! ive solutions.
Qualifications
Role Essentials
- 3 years experience in the areas of Nursing, Social Work, Long Term Care or Gerontology, preferably with care management experience
- Valid license in appropriate discipline with no disciplinary action
- Existing community and professional contacts within the geographic market
- Knowledge of community resources
- Proven leadership ability to influence, motivate, develop, and empower employees to achieve objectives with a team approach.
- 1-2 years of supervisory experience
- Proficient with Microsoft applications: Outlook, Word, Excel, and PowerPoint
- Bachelors or Master’s degree appropriate to clinical specialty
- Proven ability to lead teams and build strong working relationships, internally and externally
- Experience leading remote multi-location teams
- Care Management Certification!
Please be advised, the role! opportunity displayed here is for SeniorBridge, Inc. SeniorBridge Family Companies, Inc. is a wholly owned subsidiary of Humana Inc. Humana acquired SeniorBridge on July 6, 2012.
Schedule
:
Full-time
Primary Location
:
US-New York-Brooklyn
Role
:
Clinical Innovations and Health Practitioners
Work Environment Type
:
Office
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Humana.
If you interested on this occupation just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Thu, 25 Jul 2013 07:39:22 GMT
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