Senior Manager Telephonic Case Management

Job Title

Manages a team that promotes quality patient care, ongoing patient support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) through staff with the provision of guidance, subject matter expertise, training and support to assigned telephonic staff. Collaborates with clinical staff to assist the patient in making informed decisions, regarding dialysis and insurance issues.

Principal Duties and Responsibilities :

• Provides oversight to the daily operations of assigned team, including but not limited to, establishing mutual goals, maintaining schedules, checking work at frequent intervals and assigning tasks and duties to improve and promote teamwork for overall department and individual growth.
• Provides subject matter expertise, leadership, support and guidance to assigned staff regarding procedures, issues and problems, ensuring appropriate application and resolution.
• Leverages team to identify, analyze, plan, organize and develop new workflow processes and / or modifies existing processes as appropriate to meet the program requirements, improve quality of care, reduce health care costs, and enhance / support the patient's health care or insurance needs.
• Provides strategic guidance with development of outcome and productivity reports and prepares other pertinent statistical reports noting trends and issues.
• Acts as a liaison for clinical stakeholders to address and resolve patient concerns or issues.
• Oversees caseload assignments based on patient / clinic volume and licensure requirements. Ensures team meetings compliance with state RN licenses to meet business needs.
• Utilizes evidenced based and best demonstrated practices to address barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and delivery.
• Responsible for offering staff education and development opportunities in partnership with the case management leadership, facilitates meetings and hosts staff meetings.
• Creates and provides presentations to clinical and case management staff, as appropriate.
• May be assigned a patient load depending on volume and need.
• Performs other related duties as assigned.

Physical Demands and Working Conditions :

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervision :

Education and Required Credentials :

Experience and Skills :

The job description will be provided. The position is a remote position managing 10-12 remote employees leading care for Value-Base Care payors.

The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.

Annual Salary : $105,000.00 - $175,100.00

Benefit Overview : This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.