In this role, the selected candidate will provide oversight for appropriate and compliant clinical episodic reimbursement; participate in the recruitment, interviewing, selection, and orientation of team members.
Develop training materials and provide training for both providers and internal team.Assist in development of covered benefit grid and corresponding authorization requirements for all covered services as well as any state specific medical necessity criteria .
Manage and lead the day-to-day operations of assigned studies to ensure completion per established project team goals and objectives in compliance with applicable GCP/ICH guidelines and other regulatory requirements.
The Clinical Nurse Manager is the clinical and business leader of a specific patient care unit(s) with accountability for planning, organizing, staffing, coaching and motivating a professional team so that safe and effective care is delivered.
Works with Clinical Operations Management staff to ensure the successful management, performance, and career development of Clinical Trial Managers (CTMs), Lead Clinical Research Associates (CRAs) Clinical Research Associates (CRAs) and Clinical Operations Analysts (CMAs/CMOAs).
Responsible for leading all aspects of Day Surgery, PACU, and Preadmission's Testing's clinical operations, including but not limited to oversight of clinical staff and scheduling, patient flow, patient satisfaction, resource allocation, etc.
Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning and ensures compliance through review of documentation and care coordination activities.
In this role, you will be responsible for supporting and driving quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of QAI tools.
In this role, you will be responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff.