Clinical Services Manager

Job Description

The RN Clinical Manager is responsible for administering, directing, planning and coordinating clinical, ACO and Medical Home activities in assigned departments. Supervises the clinical staff including Registered Nurses, Licensed Practical Nurses and Medical Assistants. Works collaboratively with the physicians to ensure high quality, cost effective and accessible patient care services.

Job Responsibilities :

• Oversees the management of daily operations of the Departments.
• Manages personnel and / or activities of the assigned medical office(s) / departments including, but not limited to, interviewing, hiring, training, counseling, evaluation, disciplining and terminating in conformance with organizational policies and procedures.
• Works with the physicians in patient care quality improvement, ACO and Medical Home initiatives including gaps in care, Medicare STAR ratings and risk adjusted reimbursement, RAF.
• Manages the Distribution of Sample Medications, tracking, documentation and auditing.
• Develops and administers office policies and procedures in a consistent and timely manner and in accordance with accreditation standards as applicable (Quad A).
• Develops clinical guidelines for prioritizing work activities, evaluating effectiveness and modifying activities as necessary.
• Evaluates the clinical competence of the clinical staff.
• Functions in pre- or post-op care or during procedures as necessary based on staffing and department needs.
• Mentors staff to stimulate professional development and professional growth.
• Identifies, analyzes and resolves work related problems and issues.
• Coordinates the development and review of operating budgets for assigned medical offices / departments. Monitors compliance with established approved budgets, ensuring effective staff and resource utilization.
• Monitors use of medical supplies, keeping supplies current with medical trends.
• Manages relationships with outside vendors to ensure contract compliance and effective levels of support.
• Oversees office billing procedures, including but not limited to, patient registration, encounter processing and reconciliation, and charge entry. Works collaboratively with the Billing Department managers and staff to ensure timely and accurate bill processing and payment.
• Maintains the Medical Office facility. Oversees and recommends improvements including renovations, expansion and purchase of equipment.
• Works collaboratively and actively communicates with other Departments and administrative personnel to ensure maximum organizational efficiency and productivity.
• Responds to patient concerns. Promotes quality patient care and service.
• Ensures patients' follow-up phone calls are made in a timely manner.
• Collects data, prepares reports, analyzes statistics and budget reports, and answers correspondence as needed.
• Serves on organizational committees and attends management meetings as requested.
• Participates in professional development activities.
• Adheres to all Summit Health Compliance Program Policies and Procedures including all regulatory financial and OSHA requirements. Participates in and contributes to help achieve a total compliance program.
• Manages assigned projects as directed. Performs other duties as requested.

Job Requirements :

Education / Certifications / Licenses : BSN required; MSN or Masters in Management or Healthcare preferred.

Critical Care and / or Surgical background preferred.

3 years or more managerial experience preferred.

BLS & ACLS certification.

Performance Standards for Specialty Knowledge, Skills & Abilities : Strong computer skills, previous EMR experience preferred. Proficient in Excel and Word. Ability to multi-task and strong organizational skills.

Manager Competencies :

Planning and Initiative :

Ability to organize workload to meet both short and long term goals and objectives; proactively monitors key performance indicators and makes real-time adjustments to ensure that projects stay on track; keeps abreast of latest trends in the industry and proactively works to implement 'best practice' ideas at Summit Health; takes the initiative to recommend solutions, process improvement initiatives, and pragmatic 'business shifting' ideas on enhancing the performance of the function or department. Champions automation & process improvement vs. inefficient manual processes; focuses on redundancies and cross training to ensure a proper back-up structure is in place. Understands and recognizes the importance of setting goals.

Hiring & Assimilating :

High quality recommendations made regarding hiring of top talent; Works with Human Resources effectively to increase talent pipeline and identify both traditional and non-traditional areas of potential recruitment; assures new hires receive necessary orientation and comprehensive training to fully perform to required expectations. Properly introduces new hires to the organization, its culture, and colleagues.

Talent Development, Performance Management, & Retention :

Provides appropriate and constant positive and constructive feedback; provides coaching and identifies development opportunities during the normal course of business and clinical operations. Identifies and cultivates 'Top Talent'. Regularly meets with team and individuals to appropriately share company information, provide career guidance, and take the 'pulse' of the team and department. Prudently addresses employees who are performing at a level that is less than full performance and applies the correct measure of progressive discipline, in conjunction with Human Resources; documents performance issues as required.

Pay Range : $93,900.00 - $117,400.00 Annual

The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.