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Clinical Enrollment Manager
Maternity Risk Assessment & Case Management
In the Business of Saving Babies
Atlanta - Georgia
The Clinical Enrollment Manager manages the day to day operations of
the Case Management Enrollment functions and is responsible for
coordinating and supervising the clinical enrollment operations of
the Maternity Risk Assessment and Case Management department. The
position facilitates the determination of team goals, staffing
levels, encourages team problem solving, creativity and customer
service. The Clinical Enrollment Manager provides leadership and
manages the Clinical Enrollment staff to achieve the desired
clinical, financial and resource outcomes.
This position ensures conformance to established practices and
proper training of staff. This position prepares related reports and
audits performance to monitor quality and efficiency of the staff.
PRINCIPAL RESPONSIBILITIES include the following:
1. Manages performance of clinical enrollment staff providing
feedback and direction to meet established financial goals,
resources requirements, and quality metrics.
2. Manages and assumes responsibility for clinical enrollment/case
management team operations; this includes continually assessing and
managing flow of clinical functions, addressing concerns as they
arise.
3. Evaluates effectiveness of care given by team members. Analyzes
case management outcomes to identify and make recommendations for
program enhancements or changes.
4. Leads the recruitment selection, hiring, and orientation of the
clinical enrollment staff.
5. Assist with the creation of department vision and mission that is
consistent with the aspirations of Women’s and Children’s Health.
Communicate this vision to the department associates, customers and
clients.
6. Implement strategies and processes that address customer needs
and competitive threats.
7. Work with the Management Team to ensure annual business plan
aligns resources (structure, processes, information, technology,
people, budget and time) against the pursuit of short-term and
long-term business objectives.
8. Ensure direct reports and employees have development plans that
are relevant to skill improvement.
9. Conducts clinical quality monitoring and documents action plan
follow -up, in conjunction with the VP, Health Services
10. Reviews clinical data to ensure the provision of quality care
for the participant while meeting cost containment objectives.
11. Maintains current clinical and insurance knowledge for
appropriate management of all levels of cases.
12. Assure appropriate staffing of teams to provide effective
provision of all services.
13. Coordinates ongoing education, continuous in-service training
program and competent supervision to improve patient care and
employee efficiency.
14. Demonstrates appropriate delegation of tasks and duties to team
members.
15. Openly communicates issues to management, using lines of
authority appropriately.
16. Provide input for planning and managing the budgetary process.
17. Responsible for program development and research as assigned by
the management team.
18. Assists management in ensuring adherence to Company protocols
and procedures, as well as in maintaining compliance with applicable
laws and regulations.
19. Assists in ensuring quality and appropriateness of services,
including the consideration/resolution of ethical issues arising in
the care of patients.
20. Participates in mid-year and annual departmental performance
reviews.
21. Monitors departments’ compliance with established clinical and
operational policies and procedures.
PROBLEM SOLVING
1. Position will be expected to assess and participate in best
practice identification and determination of areas for improvement.
Position is required to independently plan and prioritize patient
care and business objectives.
ACCOUNTABILITY / DECISION MAKING
1. Position requires performance management and case manager content
knowledge and leadership. Position may also require caseload demand.
2. Responsible for team clinical standards and productive team
dynamics.
3. Position is required to be on-call on a 24-hour basis, as needed.
SUPERVISORY RESPONSIBILITIES
1. Management of clinical enrollment personnel within the Maternity
Risk Assessment and Case Management department.
EXPERIENCE
1. Seven plus (7+) years’ active care experience in critical care or
disease management required, Care Center experience preferred.
2. Four plus (4+) years of supervisory experience preferred.
3. Three plus (3+) years’ management experience in team based
concepts, conflict resolution and leadership preferred.
4. Five (5) to seven (7) years’ experience in Customer Service
concepts.
5. Strong organization and teaching skills preferred.
CERTIFICATES, LICENSES, REGISTRATIONS
1. Registered Nursing degree, with current licensure. BSN preferred.
2. Certified Case Management preferred.
SALARY
Base Salary - $75,000 to 78,000, Depending on experience
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