Clinical Programs Manager Resume Example

• 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.

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.