Organization

Primary Care Coalition of Montgomery County, Maryland was founded in 1993 when a group of physicians and health care officials imagined a Montgomery County where every resident had access to high-quality health services. They envisioned a dependable source of primary care for low-income, uninsured individuals in our community and created a framework that shared the responsibility for providing that care across the public and private sectors. The Primary Care Coalition (PCC) was formed to help make their vision a reality. The mission of PCC is to improve the health of vulnerable individuals and families by building partnerships and strengthening systems. The vision of PCC is to attain a strong, vibrant community that supports all people in achieving healthy lives.
 

Job Description:

The Specialty Care Manager coordinates and oversees specialty care services for clients in the Montgomery Cares and Nexus Montgomery programs. Oversees enrollment and services provided to Montgomery County residents in the Maryland Cancer Fund. This position is responsible for supervising nurse reviewer(s)/care manager and client services specialists, and interacts professionally with medical specialists and their staff, hospitals and co-workers. The Manager works with providers and patients with complex medical needs to initiate specialty care and follow through with the plan of care. This position is also responsible for monitoring resources to ensure they are not over-extended or over spent, and coordinating with clinic staff, case managers, social workers, Provider Services, external programs and others to ensure that resources are available to patients.

Responsibilities include:

• Direct and manage the specialty care programs and monitor program effectiveness. Establish program goals and metrics, regularly monitor and report on program performance, and develop strategies to improve program performance and quality of specialty care services. Coordinate efforts with the Catholic Charities Health Care Network (CCHCN).
• Review incoming referrals to specialty care networks to triage them according to urgency.
• Request necessary documentation and test results from clinic staff to ensure appropriate referrals to specialty care.
• Oversee day-to-day operations to ensure consistent staffing, efficient operations of network referral processes, on-going resource development and problem-solving in coordination with PCC’s Provider Services Department, PCC and clinic staff, and specialty care providers.
• Assure appropriate staffing, including supervision, staff training and development, performance evaluation, coaching and counseling in accordance with PCC’s policies. Serve as a role model to encourage teamwork, outstanding client relations and professionalism.
• Regularly monitor data related to specialty care referrals including, need, capacity, cycle time and reasons for returned referrals. Prepare monthly, quarterly and annual reports in a timely manner, and present information to funders, County Department of Health and Human Services and the Montgomery Cares Advisory Board on a routine and ad hoc basis.
• Participate as a member of the PCC management team and in programmatic activities, internal work groups and committees as appropriate. Participate in individual and organizational development activities.
• For selected patients, follow up with specialists after specialty care appointments to obtain treatment plan and coordinate with clinic staff to arrange for any additional procedures or other services the patient will need.
• For selected patients, ensure that the patient has the necessary paperwork prior to having procedures and other services done.
• Identify areas of concern related to patient coordination for specific patients and coordinate with appropriate clinic and external staff to respond.
• Participate in PCC resource development processes and inform grant writing activities related to specialty care and other areas of expertise.

To succeed you will need:

• Clinical licensure (e.g. RN; NP; PA; MD; DO) with current license to practice in the state of Maryland required.
• Bachelor’s Degree required.
• 3-5 years of health care delivery or health care administration, preferably in a non-profit setting.
• Experience in primary care and/or specialty care required. Experience in hospital settings desirable.
• Experience working with diverse, under-resourced populations preferred.
• Appropriate clinical expertise to triage specialty care referrals.
• Demonstrated excellent oral and written communication skills and the ability to communicate effectively with a broad range of stakeholders including patients and families, clinicians, hospital administrators and public health officials.
• Fundamental understanding of budget monitoring.
• Demonstrated effective computer skills, including Microsoft Office suite, database management and reporting, and electronic medical records.
• Spanish language ability preferred.

ADA Requirements

• This job operates in a professional office environment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets and fax machines.
• This is largely a sedentary role; however, some filing may be required.
• This would require the ability to lift files, open filing cabinets and bend or stand as necessary.
• Requires ability to learn new software applications as necessary.
• Must be able to lift up to 20 pounds.
• May require occasional travel.

Disclaimer

This job description indicates in general the nature and levels of work, knowledge, skills, abilities and other essential functions (as covered under the Americans with Disabilities Act) expected of an incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of an incumbent. An incumbent may be asked to perform other duties as required.