Duties and Responsibilities  

• Under the direction of the Director of Therapy - plans, organizes, and manages the provision of patient care and Clinical Case Managers. 

• Acts as a first-line manager for designated staff and assists with patient care as needed. 

• Day-to-day management of provider issues and care delivery. 

• Contributes to improving quality and consistency of patient care & experience. 

• Evaluates quality of care, patient satisfaction, and compliance. 

• Facilitates Care Coordination Meetings and provides leadership in problem-solving and gives professional advice from a clinical perspective. 

• Reviews, implements, and interprets clinical policies and procedures as directed by DOT. 

• Serves as a clinical lead at relevant clinical and departmental meetings. 

• Enforces and demonstrates compliance with all State and Federal regulations. 

• Communication with case managers (State-funded programs, Medicaid, and third-party payors), clinical updates, and ensuring continuing authorizations and re-verification of eligibility. 

• Compliance and participation in the continuing quality improvement and utilization review of organizational services. 

• Supports and executes the mission, ethics, and goals of the company effectively. 

• Represents themselves in a positive and professional manner in the company and community. 

• Adheres to dress code with a clean and neat professional appearance. 

• Reports as scheduled in order to complete work within designated time. 

• Maintain a steady patient caseload. 

• Interview and screen candidates. 

• Aid in terminations, coaching, education, and counseling of field staff. 

• Assist in the management of complaint intakes, track, and follow-up. 

• Meet and greet potential new cases. 

• Participates in QAPI/PAC as appropriate. 

• Assist with QA audits as needed/when appropriate. 

• Takes an active role during in-service meetings to promote team re-education and compliance. 

• Other duties as assigned.