Works with the Medical Director of the PA Clinical Network to contract with outside firms that provide care management services.
April 18, 2020
Demonstrated strategic and analytical skills, including the ability to analyze complex situations, learn quickly and synthesize corresponding solutions, options and action plans.
April 21, 2020
Provide regular reports to the administrator regarding any problems associated with the provision of core services, statistical data regarding number of residents served, hours and types of services delivered and need to transition residents to a different level of care.
June 09, 2020
Supports the goals of the Care Centered Collaborative and its parent organization, the Pennsylvania Medical Society to support physician-led networks of team-based care that succeed in value-based care arrangements.
June 11, 2020
Develops and implements systems, policies and procedures for prospective, concurrent and retrospective case review, clinical practice guidelines, care maps, clinical protocols, and reporting quality of care issues identified during the utilization review process.
July 17, 2020
Performs personnel management activities assuring consistency of application of employee relations' policies for hiring, performance evaluation, salary adjustment, counseling and termination.
August 06, 2020
Collaborates with Leadership to evaluate medical trends and develop Medical Management and Quality Improvement initiatives to result in improved quality, achievement of health benefit ratio targets, and reduction in administrative costs.
August 13, 2020
Review assignment sheets for Resident Services Assistants to ensure all duties have been performed and provide medication oversight for Resident Medication Assistants.
September 17, 2020
Monitor recorded services, and related Care management documentation (inclusive but not limited to LCED, IAm Assessments, Life Plans) to ensure they meet regulatory Health Home standard, while providing feedback and guidance to assigned care management team members, and maintain records in the Care Management Platform.
September 26, 2020
Participate in development of annual goals for Assisted Living, standards of care and policies and procedures concerning the provision of care and services.
September 29, 2020