What are the responsibilities and job description for the MCO Team Manager - PA Health and Wellness position at PATIENT CARE COORDINATION, INC.?
An MCO (Managed Care Organization) Team Manager in Patient Care Coordination oversees and manages a team responsible for coordinating and delivering care to patients, ensuring seamless communication and collaboration among healthcare professionals and other relevant parties to achieve optimal patient outcomes.
SALARY RANGE: $45278.98 to $68897.36
Key Responsibilities of an MCO Team Manager in Patient Care Coordination:
This role specifically oversees the PA Health and Wellness Team internally at PCC.
Team Leadership and Management:
- Supervising and mentoring team members, including patient care coordinators or case managers.
- Assigning tasks and caseloads to team members.
- Ensuring team members adhere to MCO guidelines and protocols.
- Providing ongoing training and development opportunities for the team.
- Resolving team conflicts and addressing performance issues.
Patient Care Coordination:
- Identifying patients with complex needs or those who may benefit from care coordination.
- Developing and implementing individualized care plans that address the patient's specific needs and goals.
- Facilitating communication and collaboration among healthcare providers, patients, and families.
- Ensuring timely access to necessary medical and social services.
- Monitoring patient progress and outcomes, and making adjustments to care plans as needed.
Quality Improvement and Compliance:
- Monitoring and evaluating the quality of care provided by the team.
- Ensuring compliance with MCO regulations and standards.
- Participating in quality improvement initiatives.
- Conducting audits and reviews of patient care records.
Communication and Collaboration:
- Serving as a primary point of contact for patients and their families.
- Communicating effectively with healthcare providers, MCO staff, and other stakeholders.
- Participating in team meetings and conferences.
- Working collaboratively with other departments within the MCO.
Data Management and Reporting:
- Maintaining accurate and up-to-date patient records.
- Collecting and analyzing data related to patient care outcomes.
- Preparing reports and presentations on team performance and patient outcomes.
Skills and Qualifications:
- Strong leadership and management skills.
- Excellent communication and interpersonal skills.
- Knowledge of healthcare systems and managed care principles.
- Ability to work independently and as part of a team.
- Strong problem-solving and analytical skills.
- Experience in patient care coordination or case management.
- Bachelor's degree in a related field (e.g., nursing, social work, health administration) is often required, Master’s preferred.
- Experience with electronic health records (EHR) systems.
Knowledge of relevant regulations and standards.
SALARY RANGE: $45278.98 to $68897.36
Key Responsibilities of an MCO Team Manager in Patient Care Coordination:
This role specifically oversees the PA Health and Wellness Team internally at PCC.
Team Leadership and Management:
- Supervising and mentoring team members, including patient care coordinators or case managers.
- Assigning tasks and caseloads to team members.
- Ensuring team members adhere to MCO guidelines and protocols.
- Providing ongoing training and development opportunities for the team.
- Resolving team conflicts and addressing performance issues.
Patient Care Coordination:
- Identifying patients with complex needs or those who may benefit from care coordination.
- Developing and implementing individualized care plans that address the patient's specific needs and goals.
- Facilitating communication and collaboration among healthcare providers, patients, and families.
- Ensuring timely access to necessary medical and social services.
- Monitoring patient progress and outcomes, and making adjustments to care plans as needed.
Quality Improvement and Compliance:
- Monitoring and evaluating the quality of care provided by the team.
- Ensuring compliance with MCO regulations and standards.
- Participating in quality improvement initiatives.
- Conducting audits and reviews of patient care records.
Communication and Collaboration:
- Serving as a primary point of contact for patients and their families.
- Communicating effectively with healthcare providers, MCO staff, and other stakeholders.
- Participating in team meetings and conferences.
- Working collaboratively with other departments within the MCO.
Data Management and Reporting:
- Maintaining accurate and up-to-date patient records.
- Collecting and analyzing data related to patient care outcomes.
- Preparing reports and presentations on team performance and patient outcomes.
Skills and Qualifications:
- Strong leadership and management skills.
- Excellent communication and interpersonal skills.
- Knowledge of healthcare systems and managed care principles.
- Ability to work independently and as part of a team.
- Strong problem-solving and analytical skills.
- Experience in patient care coordination or case management.
- Bachelor's degree in a related field (e.g., nursing, social work, health administration) is often required, Master’s preferred.
- Experience with electronic health records (EHR) systems.
Knowledge of relevant regulations and standards.
Salary : $45,279 - $68,897
