Care Management Manager at PRISM Medical Products LLC
Elkin, NC 28621, USA -
Full Time


Start Date

Immediate

Expiry Date

08 Nov, 25

Salary

0.0

Posted On

09 Aug, 25

Experience

4 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Typing, Teams, Collaboration, Regulations, Cross Functional Relationships, Outlook, Communication Skills, Microsoft Excel

Industry

Human Resources/HR

Description

AT PRISM MEDICAL PRODUCTS, WE?RE NOT JUST OFFERING JOBS?WE ARE BUILDING CAREERS!

As part of our dynamic team, you?ll be empowered to make a meaningful impact every day. Whether you?re on the frontlines of patient care, operations, or support services, you?ll play a vital role in delivering the innovative and patient-centered solutions that define Prism CARE Solutions.
We?re searching for motivated individuals to elevate our expertise, support our mission, and help deliver outstanding results. Join us to thrive in a fast-paced, collaborative environment that values growth, compliance, and delivering an exceptional client experience. If you’re ready for a fulfilling, long-term career that makes a real difference, we?d love to hear from you!

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Responsibilities
  • Leads strategic initiatives to drive departmental growth and performance, aligning with organizational goals and objectives.
  • Collaborates with cross-functional teams to identify new revenue streams and optimize existing ones, driving sustainable growth and profitability.
  • Maintains a comprehensive understanding of current contracted payers, both federal and non-federal, and acts as a key liaison to the payer relations team, supporting payer strategies.
  • Manages departmental budgeting, including planning, forecasting, and monitoring expenditures to ensure alignment with financial objectives.
  • Ensures team members are trained to apply critical thinking in navigating complex payer scenarios to deliver unparalleled customer service and achieve the most advantageous outcomes for referrals.
  • Participates in the Certified Training Assistant (CTA) program as a Certified Trainer, and successfully completes available leadership development programs to actively support Training & Development.
  • Monitors key performance indicators and metrics to track progress and identify areas for improvement; implements corrective actions as needed; stays abreast of industry trends and best practices, applying relevant insights to drive strategic decision-making and innovation.
  • Partners with key stakeholders across departments, business units, and sister companies to align initiatives, drive shared goals, and enhance organizational collaboration.
  • Fosters a culture of excellence and accountability by providing effective leadership to direct reports and coaching managers to develop these values within their teams.
  • Oversees scheduling, disciplinary actions, performance evaluations, and paid time off for assigned team members.
  • Coordinates and drives monthly or quarterly gatherings, including in-services, educational sessions, and training activities, to address and resolve knowledge gaps or issues related to health plan protocols, procedures, processes, and the overall effectiveness of referral sources.
  • Maintains an excellent attendance record and drives excellent attendance of departmental team members through accountability measures and incentives.
  • Enhances organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
  • Adheres to all company policies and procedures regarding employment, safety and compliance and reports any concerns of non-compliance in any area to your manager immediately.
  • Performs other related duties as requested and assigned by Executive Leadership
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