Utilization Management Assistant Jobs in Raleigh, NC

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About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Occ Summary
Manage daily operations of assigned of rehabilitation services clinics/units to ensure that work is accomplished safely and effectively. The Assistant Manager provides leadership to rehab staff on service-specificclinical and operational issues. The Assistant Manager requires demonstration of leadership, clinical, and interpersonal skills. The Assistant Manager collaborates with the manager/director on clinical and non-clinical operations related to the designated service area. The Assistant Manager provides leadership for the designated areas. The Assistant Manager is responsible for supervising, directing, coaching, and mentoring staff.
Work Performed
OPERATIONS: Maintain appropriate staffing levels in assigned area to meet expected patient volume. This includes developing staff schedules, reschedules, and approval of time. Provide oversight and support to ensure staffing needs/assignments are made according to workload, staff competency, and scope of practice. Delegate responsibilities within the scope of practice and validated competencies in order to meet the workload demands. As needed to fill gaps, render treatment of patients in his/her discipline. Duties and responsibilities include those required of the physical therapist, occupational therapist, speech pathologist, or audiologist. The Assistant Manager will plan, coordinate clinical requirements for staff and ensure all CBO (Competency Based Orientation) requirements for staff are current. Direct operations to facilitate patient flow, length of stay, and throughput. Coordinate clinical training requirements with staff regarding equipment and supplies. Assist their Manager/Director in preparation, oversight, maintenance, and monitoring of budget utilization. Ensure appropriate supply and equipment is available for needed patient care. Lead issue resolutions and projects to improve work flow processes throughout the department utilizing a proactive approach. Escalatecomplex issues to Manager/Director. Collaborate with different departments (APP, pharmacy, radiology, lab, PRMO) to resolve issues and improve work flow processes throughout the department. STAFF ONBOARDING & DEVELOPMENT: Lead and facilitate the interview process and selection of new staff. Consult with preceptors and orientees on a regular basis to provide support and determine how orientation should proceed on an individual basis. Oversee various personnel actions including, but not limited to, hiring,coaching, and performance appraisals. In collaboration with their Manager/Director, participate in disciplinary actions, terminations and other related activities as needed. Provide immediate support or education on policy, procedures, equipment, and supplies as needed. Mentor/coach staff to enhance their professional development. Assess the performance of assigned new hires and orientees including entry level therapists and therapy aides; provides ongoing feedback and coaching. Responsible for learning,implementing, and teaching new technology/procedures. Model and support the value of diversity in the workplace. QUALITY: Facilitate service recovery activities in coordination with Patient Visitor Relations. Provide clinical consultation and guidance asneeded to facilitate patient care. Support activities needed to ensure adherence to regulatory standards and compliance with clinical patient care standards and established policies and procedures. Review and provide appropriate follow up/communication on SRSs related to their team or patients in conjunction with their Manager/Director. Round on patient and families to validate services are provided consistently within expected standards; provide service recovery as needed. Supervise and coordinate delivery of patient care for assigned patient care area. Facilitate participation of therapy staff on department and organization wide councils/committees. LEADERSHIP: Promote an atmosphere of open communication that facilitates staff input into decision-making, resolution of conflict, and collegiality among all health team members. Communicate in an effective, professional manner. Facilitate and encourage staff participation in departmental and hospital committee and council meetings. Attend departmental and hospital committee meetings as assigned and represent department as needed. Other projects and duties as directed by the department manager or director.
Knowledge, Skills and Abilities
Candidates must possess teaching abilities, leadership qualities, professional judgment, critical thinking, and problem solving abilities, and a sense of professional development. Must demonstrate multi-tasking ability. Knowledge of scope of the Physical Therapy, Occupational Therapy, Speech Language Pathology, or Audiology practice Knowledge of and appropriate application of the rehabilitation process Knowledge of professional theory, practice and procedure Ability to assess rehabilitation needs of acute and chronically ill patients and their families Able to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others Able to teach patients and families in accordance with the rehabilitation plan of care Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Able to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Able to use computer and learn new software programs Able to navigate the entity to provide clinical care for patients Able to withstand prolonged standing and walking Able to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatmentsto patients Pre-employment Physical Capacity Testing Required
Level Characteristics
N/A
Minimum Qualifications
Education
Required: Graduate from an accredited Bachelor's program in Occupational Therapy, Physical Therapy, Speech Pathology, or Audiology. Masters or Doctorate in Occupational Therapy, Physical Therapy, Speech Pathology, or Audiology preferred.
Experience
Based on educational level, the minimum requirements are as follows: Bachelor's Degree: Minimum of five years of relevant clinical experience. Master's Degree: Minimum of three years of relevant clinical experience. Doctoral Degree: Minimum of three years of relevant clinical experience.
Degrees, Licensures, Certifications
Current North Carolina licensure and any applicable certification/registry to practice Occupational Therapy, Physical Therapy, Speech Pathology, or Audiology.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.