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Clinical Programs Manager Resume Example

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CLINICAL PROGRAMS MANAGER
Professional Summary

Multi-talented [Job Title] consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity.

Skills
  • Staff Management
  • Judgment and Decision Making
  • Skilled in [Software]
  • Privacy and confidentiality
  • Business growth and retention
Work History
Sep 2010 - CurrentClinical Programs ManagerAnthem, Inc. - Indianapolis , IN

Responsible for day-to-day operations and coordination of efforts of a multidisciplinary team that provides wide range of preventive interventions to promote health and prevent chronic illnesses. The team utilizes the most up-to-date guidelines to inform the interventions and embraces values that promote health equity.

• Triage complex patient referrals for scheduling with the most appropriate clinician and assist patients in obtaining appropriate level of care throughout the health system.

• Assess work flow and implement tools and procedures to improve efficiency, support high level of patient centered services and increase clinical revenue.

  • Managed high-value existing and new business partnerships to deliver on objectives and maximize corporate revenue, support and awareness.
  • Coordinated with [Type] team in developing project plans for prioritized initiatives.
  • Developed standard operating procedures and document workflows for current and future process steps.
  • Developed and executed plans to monitor standard process adherence.
  • Established and maintained productive working relationships with staff to resolve operational difficulties and to promote interdisciplinary, collaborative approach to customer service provision.
  • Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
Oct 2002 - Sep 2010Medical Office ManagerBayhealth - Milford , DE
  • Joined program in its second year and contributed in process improvement and medical staff support. Team included surgeons, cardiologists, nurse practitioners, nurses,social worker, dietitian, psychiatrist and support staff.
    • Ensured support of medical staff, quality of care and case management, compliance, and relationship management with referring physicians.
    • Developed policy and procedure manual to ensure compliance with regulatory agency expectations. Prepared program for surveys by United Network for Organ Sharing, New York State Department of Health and Department of Health and Human Services (CMS/Medicare)
    • Implemented improvements that impacted: referral process; customer service; patient tracking; and support of clinical staff, enabling program to better serve greater number of patients.
    • Prepared case reviews and participated in weeklyinterdisciplinary clinical meetings.
    • Oversaw support staff that triaged patient calls, coordinated testing, maintained communication with referring physicians.
  • Created and implemented organizational policies and procedures.
  • Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies and procedures when managing $[Number] annual budget and supervising [Number] employees.
  • Managed [Number] employees with various personalities and from different cultures for large [Number]-physician practice.
  • Addressed and remedied all patient or team member issues.
  • Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
  • Consulted with healthcare professionals on business decisions.
  • Developed and maintained electronic record management systems to analyze and process data.
  • Ensured compliance with OSHA and HIPAA regulations.
  • Assisted with regulatory issues such as compliance.
  • Redesigned workflow processes for patient access and back-office, resulting in reduction of staffing costs by [Number]% system-wide.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Jun 1997 - Jul 2002Program CoordinatorCity Of Colorado Springs - Colorado Springs , CO

As member of start-up team delivering comprehensive evaluations, implemented and communicated policies and processes to service patient population with broad spectrum of diagnoses and learning challenges.

Scheduled complex patient evaluations across several disciplines.
• Participated in interdisciplinary meetings with psychiatrist, psychologists, neurologist and neuropsychologist.

• Interfaced with parents and referring primary care physicians.
• Worked with insurance case managers to obtain authorization for services.
• Program grew from start-up to strong revenue center offering comprehensive package of services and treatments. Expanded services to other satellite locations in the DC area.

  • Optimized service procedures to increase customer satisfaction.
Education
Bachelor of Arts: PsychologyUniveristy of Colorado | City
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75Average
Resume Strength
  • Completeness
  • Measurable results
  • Strong summary

Resume Overview

School Attended

  • Univeristy of Colorado

Job Titles Held:

  • Clinical Programs Manager
  • Medical Office Manager
  • Program Coordinator

Degrees

  • Bachelor of Arts : Psychology

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