Manager – Clinical Excellence (TPA) - Pipeline

To deliver TPA patient-centered services within clinical excellence covered network and provide quality medical care to ensure positive patient experience during their healthcare journeyPatient-Centered ServiceEngage with inpatients and their families to swiftly address any hospital related concerns or issues.Collaborate with cross-functional stakeholders to support appropriate and effective treatment and care.Ensure the consistent reporting of daily medical outcomes and notes for all patients.Manage members and hospital staff feedback and provide resolution.Identify possible issues and act proactively for solutions to avoid a negative impact.Clinical ExcellenceOversee hospital medical services and adherence to clinical standards.Monitor excellence in inpatient services to enhance clinical outcomes.Identify negative impact and critical issues with Provider's Medical management as they arise.Stakeholder CollaborationHospitals and support their professional development.Collaborate with healthcare consultants and providers to align case management plans with contractual clinical pathways.Ensure hospitals are compliant with the agreed standards of service delivery with Bupa.Coordinate with hospital teams to ensure seamless patient care and address any challenges or issues that may arise.#J-18808-Ljbffr