Nurse Manager- Emergency Dept
Position Type: Regular
Scheduled Hours per 2 week Pay Period: 80
Primary Location: TN > HIXSON > MEMORIAL NORTH PARK HOSPITAL
Leading a team whose primary responsibility is taking care of others is very important. Our nursing Managers are directly responsible for overseeing the quality of patient care and assure the delivery of individualized nursing care is given from each team member. The right person for this opportunity will have strong leadership characteristics and a passion for jumping in and working directly with the team when necessary. If this describes you, connect with us and join our elite team of skilled nurses.
What you’ll do:
- Leader of an Emgerncy department
- Oversees quality of patient care to assure delivery of individualized nursing care
- Oversees patient care delivery to maximize patient/family satisfaction and minimize risk of injury or negative outcomes to patients or employees while serving as a resource for staff
- Directs staff during emergency situations
- Coordinates orientation and/or training for team
- Responsible for driving patient care across the continuum through leadership of disciplinary care rounds and care management
Under the direction of the Administrator, the Nutrition Services Manager works closely with the Dietitian, cooks, dietary aides, and other staff. The Nutrition Services Manager organizes plans, directs and supervises functions and personnel within the dietary department and assist with function of the facility.
Oversees the day to day activities of their operations & team members and serves as a role model. Provides management support to plan, organize and lead resources with assigned team members; as well as functioning as an individual contributor within the department. Works in collaboration with physicians, administrators, oncology staff and other healthcare staff to promote quality patient care management by ensuring that timely, accurate and complete data is incorporated and maintained on all types of cancers and certain benign conditions diagnosed and/or treated within CHI Health. Maintains the cancer registry by following data collection,
reporting and quality standards for compliance to state, federal and third party accreditation and regulatory agencies.
- Provides leadership and supervision in the development, implementation and management of Cancer Registry services on a system-wide basis.
- Develops and maintains a working knowledge of the requirements of the American College of Surgeons Commission on Cancer (ACoS/CoC) and applicable State laws, regulations, guidelines for cancer data collection and submissions.
- You will lead survey prep at facility, completing the Survey Application Record (SAR) and the documentation from the surveyor.
- You will ensure all American College of Surgeons (ACS) Commission on Cancer standards are met at accredited facilities and help facilities seeking accreditation to develop programs following the standards.
- Organizes, analyzes, interprets, assembles and disseminates oncology data collected by the cancer registries for routine and special reports/studies for internal and external usage to improve and/or assess the quality of patient care.
- You will maintain documentation of Oncology Committee activities using minutes and Program Activity tool in preparation for survey.
- You will attend all Cancer Committee meetings and ensures that Cancer Committee composition, meeting schedule, agenda and minutes meet COC standards
- Responsible for the coordination of patient flow throughout the perioperative services areas from admission to discharge.
- Consults in a variety of patient care situations requiring advanced competency and knowledge.
- Serves as a clinical resource for problem solving and Assists staff with patient related issues.
- Serves as a role model to develop staff competence in the delivery of nursing care.
- Responsible for cost effective operations and initiatives, including product evaluation, prevention of waste & damage, materials management, patient flow, control of overtime, & appropriate staff mix.
- Able to provide safe, quality care directly to a surgical patient as needed.
Continuous Quality Improvement:
- Facilitates unit-based performance enhancement program/projects & follows up with staff & Implements recommendations based on performance measures/outcomes.
- Supports and Participates in unit-based research projects based on performance enhancement data (i.e. infection rates).
Human Resource/Financial Management:
- Promotes philosophy of shared leadership and individual accountability.
- Encourages participation of staff in scheduling assignments and outcomes management.
- Coordinates staffing and Ensures staffing coverage to provide quality patient care within budgetary guidelines.
- Ensures cost-effective staff utilization. Assists in reassigning employees as necessary to improve productivity and/or to balance the workload. Evaluates staff and ancillary personnel as a resource consultant.
- Participates in the hiring process to include interviews and personnel recommendations; coaches & counsels staff; completes counseling documentation, as indicated.
- Assists the Director – Perioperative Services with the preparation & maintenance of the unit budget to include staffing responsibility, reviewing financial reports and materials mgmt.
The Program Manager, Quality Improvement - CIN is responsible for managing the quality improvement activities supporting the CIN’s value based program arrangements.
- Manages quality performance improvement activities for CHI Saint Joseph Health Partners.
- Responsible for assessing, analyzing and recommending quality performance improvement processes
- Identifies trends and variations in performance
- Identifies benchmarks for top-quartile performance
- Develops quality related educational programs for CIN participants, and delivers those programs to the appropriate audiences.
- Acts as liaison for quality related activities with medical providers, hospitals and ancillary participants of the CIN
- Ensures full compliance with payer program quality reporting requirements and monitors the performance of CIN providers on a routine basis. Reports performance on measures to the appropriate leaders and participants within the CIN.
- Maintains the CHI Saint Joseph Health metric library, which includes an inventory of measures used by national, state and local payers to evaluate the care provided by the CIN
- Supports CHI Saint Joseph Health’s Board of Managers and Board Committees. Meets routinely with leadership to ensure satisfactory compliance with performance and service expectations.
This job is responsible for the coordination, supervision and evaluation of all daily operations for the assigned Franciscan Health System (FHS) hospital campus in accordance with established business objectives and applicable accreditation/regulatory requirements. An incumbent oversees all respiratory care activities to make sure they are conducted in a cost-effective and efficient manner, meet customer needs and are compliant with professional standards, internal policies/procedures and applicable regulatory requirements.
Work includes: 1) supervising assigned staff (e.g. hiring, training, scheduling and evaluating) engaged in imaging activities in accordance with established operating standards; 2) serving as conduit/liaison with various internal departments in coordinating and troubleshooting various function-related issues; 3) problem-solving, troubleshooting and appropriate escalation of issues to higher-level management; 4) implementing solutions to resolve issues and/or errors; and 5) identifying opportunities to streamline current operations and implementing approved procedural changes. An incumbent may perform some patient care activities within scope of licensure on an incidental basis as needed.
Work requires knowledge of practices, standards, techniques and tools/equipment applicable to basic and advanced respiratory patient care and is performed in accordance with established standards/guidelines and requires knowledge of applicable regulatory requirements sufficient to ensure compliant operations and to exercise judgment and critical thinking in addressing operational and/or regulatory issues. Also requires expertise in supervising and evaluating the work of support staff. An incumbent works with higher level management on major operational or business decisions prior to implementation.
Manages and evaluates the operations, programs and resources of the assigned facility to assure the safe and appropriate delivery of diagnostic and/or therapeutic patient care, achievement of clinical core measurement scores, and to ensure that all activities are conducted in a timely and cost-effective manner and in compliance with organizational values, professional standards, internal policies/standards/procedures and applicable regulatory requirements; participates in the development of, and implements new clinical systems/programs to enhance existing services and raise the standard of care for the patient population served; ensures that work unit activities, productivity, and/or quality indicators are documented in accordance with FHS guidelines; produces and presents reports on key performance indicators and other significant benchmarking metrics; collaborates with other departments to address and resolve problems, share information and enhance overall effectiveness/productivity.
Staff Management and Development
Plans, manages and evaluates the work of clinical and administrative staff in accordance with the content, spirit and intent of applicable internal/external regulations and standards for human resource management; identifies adequate staffing levels for appropriate coverage to meet budgetary and operational objectives; ensures that employees are qualified and properly trained to perform assigned job duties; holds regular staff meetings and keeps employees appraised of all matters relevant to successful job performance; makes employment decisions, establishes performance standards, assesses clinical competency and evaluates employee performance; educates, guides, counsels and develops staff and addresses performance management concerns and technical issues elevated by subordinates as beyond their scope of authority.
Ensures that all aspects of clinical operations are conducted and documented in compliance with relevant internal policies, standards and procedures and applicable regulatory requirements; assesses, on a continuous basis, services, patient outcomes, quality control, family/patient satisfaction, staffing needs and operational effectiveness to ensure optimal care delivery; ensures that internal controls are sufficient to provide for accurate, complete and compliant programs and processes; identifies need for changes in standards, programs and services, and develops recommendations for consideration by the Director.
Keeps abreast of changing regulatory requirements/regulation, clinical/professional standards, changing customer demographics and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current strategies, programs and resources; determines nature/scope of impact on existing activities and determines effective response/solution while maintaining acceptable service levels and work quality.
Recommends, implements and evaluates new/revised procedures, guidelines, training materials and/or general communications in support of assigned clinical area/facility to ensure consistency with the philosophy/values of the organization and compliance with applicable regulatory/accreditation requirements; reviews training materials prior to assimilation into training curricula; ensures that all clinical and related support activities are fully documented in accordance with the standards and practices of the organization; ensures that employees understand and apply internal guidelines appropriately, and monitors compliance with all regulatory requirements.
Works with management team to ensure the application of consistent practices relating to internal operations, patient care, quality of human resources activities and FHS standards; assesses the strengths/weaknesses of the assigned clinical area/facility to identify opportunities and provide recommendations to Director for new quality/performance improvement initiatives; implements new processes and ensures that performance improvement activities are conducted in a timely and effective manner; ensures that staff receive the necessary on-site training and consultation to enhance their understanding of quality/performance improvement initiatives.
Participates in annual budget planning and administration relative to assigned responsibilities; monitors work schedules to control overtime and/or premium pay; monitors/approves expenditures within defined scope of responsibility; explains variances and addresses in a timely manner; informs Director/Manager of all issues with potential for budgetary impact.
Short- and Long-Term Planning
Participates, as a key member of the management team for the assigned clinical function, in the development of strategies, initiatives and programs addressing matters such as: provision of new services, standardization of procedures across the organization, increasing market share, maximizing resources, cross-selling services, improving cost-effectiveness of clinical services provided, enhancing patient outcomes/satisfaction and other issues of similar complexity and consequence.
1. Surgical Instrumentation: Ensure proper care and handling, decontamination, assembly, packaging, and sterilization of surgical instrumentation for Operating Rooms, Cath Lab, Labor and Delivery, and all invasive, diagnostic, and treatment areas. Ensure proper and safe functioning of hospital sterilization equipment. Ensure compliance with Regulatory Agency guidelines (JCAHO, CDC, FDA, AORN, EPA, etc.). Develop and revise process practices and monitor service standards of care for surgical instrumentation. Utilize research to promote and advance sterilization practice
2. Medical Supplies: Manage the acquisition, storage, distribution, and rotation of medical supply inventory in the Operating Rooms, Cath Lab, Labor and Delivery, and all other diagnostic and treatment areas, excluding LUM on the Nursing units. Maintain General Ledger/MAPS system interface and reconciliation by monthly cycle counts and year-end physical counts. Direct case cart activities. Provide decision support data in terms of dollars and volume. Maintain an Official Inventory location. Cost/Product Analysis for Decision Support. Automated Inventory Control/Management
3. Human Resources Management: Departmental staffing. Daily HR issues. Develop and maintain staff performance service levels. Actively involved in recruitment and retention. Executive corrective action. Hire/Fire. Staff Development
Provide direct patient care and coordinates nursing activities to facilitate safe, quality patient care at the unit/department level. Acts as a role model and change agent by initiating and accepting changes for improved patient care and cost reductions. Maintains active communication and collaborates with physicians, staff and other managers to meet specialty, departmental and organizational goals. Under the direction of the Director, may assist with other management responsibilities including budget management, planning, increased throughput and patient care management.
- With other managers, participates in the development, implementation and periodical reviews of all policies and procedures that guide and support the assigned services. These include, but are not limited to The Joint Commission requirements, federal and state regulations, regulatory standards, etc.
- Provides support to staff to ensure patients of a positive care experience. Assists with the resolution of patient/family complaints. Escalates issues appropriately to the director or administrative representative.
- Participates in developing and maintaining departmental staffing plan for all areas supervised, detailing appropriate employee classifications and qualifications consistent with the department’s operational plan, projected volumes, patient/acuity and other relevant indicators. Collaborates on a daily basis with other managers to ensure adequate staffing for all areas.
- Supervises assigned staff. Provides and/or coordinates necessary education, orientation and support to the team.
- Provides input in the development of annual operating and capital budgets, monitors and analyzes performance and productivity and implements necessary corrective plans. Utilizes budget information in management decision-making.
- Provides front-line leadership as a resource, mentor, and role model in delivering patient care using a team approach
- Coordinates equipment and supply needs to ensure availability as necessary.
- Attends department meetings, management meetings and others as assigned. Conducts regular staff meetings/huddles.
- Monitors safety compliance and contributes to fostering a culture of safety at the unit level.
- Forms effective work team through communication, team-building skills, coaching and counseling techniques, mentoring, delegation, decisiveness and integrity.
- Supports and participates in departmental performance improvement and quality activities.
- May assist with additional management duties as assigned by the unit/department director, including, but not limited to: Interviewing and hiring of personnel, scheduling of staff, utilization of special pay practices, timekeeping, and maintaining personnel records.
- Provide staff performance feedback including annual reviews and discipline as needed.
- Maintains high level clinical competence to assess patient needs, plan patient care, implement appropriate interventions, and evaluate the effectiveness of patient care delivered to defined patient population.
- Provides orientation/education for staff, students and other hospitals and community organizations as needed. Understands employee competency documentation requirements.
- Performs other responsibilities as requested.
This job is responsible for planning, managing and evaluation of the daily activities and future growth/development of the Denials Management Team for CHI Franciscan Health (CHI-FH) in accordance with professional standards, internal policies, standards and procedures and applicable regulatory/accreditation requirements.
An incumbent works to develop/implement a denials management program that anchors denials prevention/resolution processes in the analyses of core analytics to identify root causes and identify proactive and sound approaches/process improvements to avoid repetition of errors that lead to claims denials/rejections.
An incumbent promotes collaborative practice with revenue cycle stakeholders and facilitates data sharing that provides insight into where best to focus concentrated denial prevention and management efforts designed to reduce costly delays in payment and maximize claims reimbursement revenue.
1) managing professional RN and support staff who are responsible for denials management;
2) triaging care management denials team emergencies and assigning work coverage;
3) monitoring/reviewing results achieved by staff in meeting timeliness/quality/productivity work standards and the needs of the department;
4) assuring timely, accurate and comprehensive documentation of all activities;
5) serving as liaison between patient access/HIM, Billing and Care Management teams in regards to denials management activities; and
6) providing staff education for new policies and processes.
Work requires knowledge of the concepts, professional standards and methodologies applicable to effective denials management as well as applicable regulatory requirements sufficient to ensure quality and complaint interventions and exercise judgment and critical thinking in applying clinical guidelines and standards to determine the appropriate level of care, intensity of service, length of stay and place of service.
Also requires expertise in supervising and evaluating the work of subordinate clinical staff. Significant decisions are subject to the review and approval of higher-level management.
Essential Job Functions also include Operations, staff supervision and development, monitors compliance, performance/quality improvement.
- Knowledge of the principles, practices, professional standards, eligibility criteria and resources applicable to denials/utilization resource management from both hospital and payer business perspectives.
- Knowledge of the principles, standards and practices, systems and procedures relating to care management/denials function in a hospital setting.
- Knowledge of the content, intent and application of policies, standards, operations and regulatory/accreditation requirements pertaining to matters within the designated scope of responsibility.
- Knowledge of the content, application and interpretation of payer contracts and related materials.
- Knowledge of reimbursement methodologies for reviewing variances to expected reimbursement based on established guidelines.
- Knowledge of the application and operation of automated systems applicable to the assigned function.
- Knowledge of CHI-FH policies, standards and requirements relating to employee training, supervision, performance management.
- Ability to identify compliance deficiencies and/or systemic weaknesses and implement timely corrective action to forestall or remedy.
- Ability to exercise judgment and critical thinking in applying clinical guidelines and standards to determine the appropriate level of care, intensity of service, length of stay and place of service.
- Ability to analyze, trend and escalate issues as need to the appropriate stakeholders and to interpret required reports to facilitate optimal revenue recovery resulting from denials management processes.
- Ability to cultivate productive relationships with all payers in regard to utilization and denials management activities.
- Ability to act as a liaison between patient access/HIM, Billing and Care Management teams in regards to denials management activities.
- Ability to understand the intersection of financial and clinical factors that impact the success of denials management practices and process improvement initiatives.
- Ability to demonstrate effective supervisory skills, including developing clear performance expectations, hiring, coaching, conflict management, evaluating, resolving performance problems, and group facilitation. Change management
- Ability to understand financial and/or operational productivity reports, analyze complex data/trends, identify improvement opportunities and implement effective responses/solutions.
- Ability to define problems, collect data, establish facts, interpret requirements and draw valid conclusions.
- Ability to keep abreast of current and changing laws and regulatory standards and their impact on operations and activities.
- Ability to express ideas and convey information effectively in verbal and written communications.
- Ability to develop and implement tactics, standards and procedures relating to matters within defined scope of responsibility.
- Ability to read, understand and communicate in English sufficient to perform the duties of the position.
- Ability to use office equipment and automated systems/applications/software at an acceptable level.
- Ability to establish and maintain effective working relationships as required by the duties of the position.
The Manager, Mission Control has the unique opportunity to collaborate with stakeholders from all nursing units as well as ancillary clinical service lines across Virginia Mason Franciscan Health. The position will also help directly manage the clinical command center that provides patient placement, transfer, acute care staffing and other related services for the Pacific Northwest market. The incumbent will frequenetly partner with leadership from various departments to continuously improve the delivery of care for the organization, with an emphasis on improving patient access, throughput and safety. The Manager, Mission Control will also have access to industry-leading real time analytics created in collaboration with GE and Microsoft Azure, and will work of out a custom designed space in Gig Harbor, Washington.
This position is responsible for planning, managing and evaluating the implementation and daily operations of the Virginia Mason Franciscan Mission Control Center which executes the implementation of safe patient care based on best practice and standards of care throughout the region. The responsibilities involve developing standards/procedures to ensure regulatory compliance and standard of care, consolidating/standardizing clinical work flow/practices across the system and promoting/facilitating organization-wide adoption of technology which provides real-time access to data elements relating to patient throughput and supports/enhances the care process while improving upon efficiency and effectiveness.
The Mission Control Center houses a sophisticated display of analytic tiles that provide real-time situational awareness, alerts and predictive information designed to empower immediate action to prevent/resolve bottlenecks, reduce patient wait-time, coordinate services and otherwise intervene in clinical workflow to ensure that resources are aligned and utilized appropriately to execute safe and quality patient care.
Essential Job Functions:
Work includes: 1) developing/administering department budget (including capital equipment) and managing/evaluating assigned staff engaged in remote monitoring and related activities; 2) ensuring that overall goals relating to productivity, quality of care, patient satisfaction and/or growth in market share are achieved; 3) developing/implementing/monitoring clinical quality improvement initiatives to enhance/streamline current procedures/processes and to ensure programs/services meet all relevant standards; 4) ensuring that education/training is provided to appropriate healthcare providers and other stakeholders; 5) performing ongoing performance improvement activities (e.g. service recovery, identifying/responding to negative quality trends, ensuring survey readiness) and 6) planning, managing and evaluating subordinate staff.
The Manager, Payer Analytics & Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. Oversees and provides analytical and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and payers. Recommends and acts on strategies for maximizing reimbursement and market share. Develops new managed care products with external payers that are consistent with CHI’s strategic plans. Provides education to key stakeholders.
This position will serve and support all stakeholders through ongoing educational problem-solving support for managed care payer reimbursement models. This position requires daily contact with senior management, physicians, hospital staff, and managed care/payer strategy leaders. The position must handle adverse and politically difficult situations, as the work may have a direct impact on individual physician incomes, along with directly impacting the financial performance of CommonSpirit Health.
Essential Key Job Responsibilities
- Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff.
- Oversee quality control and quality assurance of Payer Analytics & Economics analytics deliverables and financial models to support the negotiation and implementation of appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives.
- Review and accurately interpret contract terms, including payer policies and procedures to appropriately contract performance and influence strategic pricing strategies.
- Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability.
- Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer strategy and operations, including expected and actual revenues/volumes, past performance, proposed contract language and regulatory changes.
- Oversee and prepare complex service line reimbursement analyses and financial performance analyses. Develop methods and models (involving multiple variables and assumptions) to identify the implications/ramifications/results of a wide variety of new/revised strategies, approaches, provisions, parameters and rate structures aimed at establishing appropriate reimbursement levels. Prepare and effectively present results to senior leadership, and other key stakeholders, for review and decision making activities.
- Identify, collect, and manipulate from a wide variety of financial and clinical internal data bases (e.g., PIC, STAR, TSI, PCON, EPIC) and external sources (e.g., Medicare/Medicaid/Payer websites). Identify and access appropriate data resources to support analyses and recommendations.
- Assess risk/exposure associated with various reimbursement structure options. Gather data and produces analytical statistical reports on new ventures, products, and services on operating and underlying assumptions such as modifications of charge rates.
- Maintain knowledge of operations sufficient to identify causative factors, allowances that may affect reporting findings. Ability to translate operational knowledge to identify unusual circumstances, trends, or activity and project the related impact on a timely, pre-emptive basis.
This job is responsible for organizing and monitoring the flow of information, materials and resources to facilitate ongoing and consistent communications between Virginia Mason Franciscan Marketing/Communications departments in support of initiatives, campaigns and related projects. An incumbent maintains awareness and up-to-date information on multiple and concurrent activities to assist project managers/teams and other stakeholders stay on-task and ahead of deadlines and to capture/address changing demands/priorities that may involve scheduling adjustments and/or additional communication efforts. By maintaining timely schedules and tracking status/progress, an incumbent helps to visualize/prioritize responsibilities and support better marketing and communications timing and resource decisions.
ESSENTIAL JOB FUNCTIONS:
Organizes, disseminates, tracks and monitors marketing/communications materials and resources to establish and maintain a timely and smooth flow of information.
• Develops prioritized work schedules for various initiatives to assure that project and process activities will proceed on schedule and in accordance with established plans; addresses multiple, concurrent and sometimes conflicting marketing and communications channels and priorities; creates and maintains timelines, instructions and breakdowns for current and future projects.
• Monitors approval workflows to facilitate smooth progression through established steps and to resolve potential trafficking bottlenecks.
• Identifies/communicates/troubleshoots potential issues that may cause disruption to established work schedules; develops viable solutions for workflow delays that may impact established timelines; advises higher level authority of issues beyond scope of position; follows up to assure identified issues have been resolved.
• Identifies opportunities, within scope of position, to adjust and/or revise work processes in order to facilitate increased efficiency and productivity.
• Develops considerable understanding of project(s) scope and related elements (e.g. timeframes, financials, outcomes, deliverables) sufficient to track and monitor progress with established schedules; convenes meetings as necessary to maintain ongoing familiarity with department projects and priorities and to assure staff/stakeholders are aware of looming deadlines.
• Tracks the status of multiple projects to keep teams ahead of deadlines and track any related budget issues; prepares and distributes status/progress reports on trafficking activities; informs, in a timely and comprehensive manner, project teams on any relevant updates and changes; shares revised documentation and reports with project teams.
• Monitors communication interplay between department sub-groups and outside resources; identifies and responds to changing developments/priorities/demands that require scheduling adjustments.
Performs related work as required.
This is the senior physician leader position responsible for providing leadership, management and strategic direction to ensure the delivery of high quality, cost-effective health care consistent with the mission of Mercy Medical Center-Des Moines (MMC-DM) and Catholic Health Initiatives (CHI) to better meet the needs of the community. The Vice President & Chief Medical Officer (CMO) serves as the senior physician leader working with others to set the vision and strategy for the organization. The CMO is responsible for improving clinical performance, overseeing conversion to evidence-based medicine, lead safety initiatives and direct quality assurance for Mercy. The CMO will have accountability for the oversight of all physician vice presidents who have operational accountability for employed physicians and relationships with independent physicians. The CMO provides on-going counsel and advice to the Medical Directors and elected medical staff officers on physician matters. The CMO assures compliance with corporate policies, by-laws and mission statement of the organization and assures clinical efforts meet or exceed standards of the various accrediting and approving bodies. The CMO serves as staff support to the Mercy Board of Directors and will perform special projects as assigned by the CEO and/or the Board. The CMO will work closely with his/her counterparts within CHI. The CMO will also work closely with the Vice President responsible for the Mercy Accountable Care Organization. The CMO will work collaboratively with the Leadership Team in all aspects of Mercy affairs and is accountable for the clinical excellence of medical care through the development, implementation and evaluation of the Mercy clinical effectiveness process that requires the integration of provider staff, Mercy management, and employees in collaborative working relationships.
Job duties require considerable knowledge of the specialized principles and practices related to health care management in order to evaluate and make viable recommendations for the improving health care delivery systems(s) and enhancing organizational effectiveness and efficiency. Also requires considerable leadership expertise relating to business planning, process improvement, budget administration and personnel management. Performance improvement efforts cover a variety of processes, and an incumbent must be sufficiently knowledgeable to recognize important synergies and opportunities in clinical outcomes, cost containment, patient safety/satisfaction and regulatory compliance.
- Responsible for building healthy relationships with direct and indirect leadership, physicians, providers and staff.
- Responsible for participation and documentation of the strategic development of the ambulatory and IP integration for the services. This would include business planning and facility/professional business case processes. Position is responsible for facility and practice capital development.
- Responsible for operations planning and execution in the ambulatory environment, inclusive of relationships, standards, informatics, quality, service, growth, and stewardship.
- Responsible for development of reporting, measuring, outputs, and monitoring performance metrics.
- Responsible for annual budgets and long range strategic financial planning for the assigned specialties.
- Responsible for optimizing infrastructure and overhead services for the division.
- Responsible for partnership with key medical leadership in identifying and monitoring key performance.
- Responsible for partnerships with key National, Health System, Academic, and Service Line leadership to develop integrated plans and execution.
- Responsible for development of effective communication and related meeting cadence.
- Responsible for being actively involved in the community and community organizations to promote good public relations and to ascertain community needs as appropriate.
- Assures coordination of accreditation and licensure activities and oversight of quality assurance/improvement initiatives for assigned division.
- Develop strategic and operational plans for the CHI Health Regional Network Development efforts for approval.
- Facilitate all CHI Health regional outreach and network development efforts and maintain high visibility in the regional / rural health communities and markets.
- Create and manage a plan for continuous market surveillance of trends and developments in the regional / rural market, collaborating with key leaders across CHI Health, CHI Health Partners and Prairie Health Ventures and their affiliates.
- Develop and implement strategy and network development action to augment market intelligence, to develop leads, and to facilitate business development opportunities and relations in select markets.
- Actively participate in CHI Health regional outreach and network development efforts meeting with Hospital CEO's, physicians and others across the region to develop positive relationships with CHI Health and CHI Health Partners that support the regional/rural facilities needs while facilitating CHI Health goals including the creation of a positive image and brand across the region.
- Develop strategic and operational plans for the CHI Health Regional Network Development efforts for approval.
- Maintain a system of management reporting that provides the system with timely and relevant information on all aspects of assigned functions.
- Collaborate with all elements of the system to provide a seamless, patient-integrated continuum of healthcare services.
- Complete annual performance review assessments within proper scope of judgment and accountability. Note: if the manager does not possess the same background licensure as their clinical staff members, they must have peer reviews completed for staff members to ensure clinical competence is met and validated.
- Onboarding process for new team members, seeks engagement within the team as well as with the mission and operations of the hospital. Develops plans for High/Middle/Low performers with emphasis towards employee retention and recognition of high performers. Monitor and improve staff satisfaction and employee safety culture using feedback, goals and action plans.
- Attention to quality of care and clinical performance. Exceed benchmarks, creating action plans when performance lags expectations, maintains a scorecard of departmental goals and communicates the goals broadly.
- Ensures patient and physician satisfaction by designing and controlling the patient experience; creating and monitoring service excellence, providing timely service recovery to patient and physician when necessary. Escalates as appropriate.
- Attention to growth and market development by innovating for growth, building revenue producing services with a focus on new revenue and referral development by provider.
- Using evidence-based data, seeks to carefully manage the necessary resources required for inpatient care, communicating directly with the ordering provider.
- Contributes to and operates within operating budgets, including volume, revenue and expenses. Maintains a capital asset 5 year plan in area. Provides detailed explanations for budget variances when necessary. Maintains area, equipment processes and furnishings to high expectations for aesthetics, safety and operational performance.
- Responsible for compliance, licensure and regulatory awareness: TJC accreditation, CMS CoP and other regulatory/accreditation guidelines as appropriate.
- Contributes to performance excellence and process improvement by managing the scope of service with data-driven decision making, using benchmarks, goals and action plans. Deploy strategy across the scope of the department.
- Responsible for ensuring finance functions operate and adhere to CSH/MercyOne wide policies and practices.
- Liaison between market and division/system finance and communicates key information.
- Responsible for managing team who runs development and administration of market budget process, ensuring an acceptable annual budget is developed and approved.
- Responsible for team who performs the recording and controlling of market accounting transactions, including accounts payable, purchasing, and internal and external audit functions. Ensures accounting systems safeguard market assets, provide viable management information and comply with GAAP.
- Ensures proper recording and compiling of data and reporting cost to 3rd party payors for correct reimbursement of provided patient care, and producing feasibility studies.
- Directs establishment and operation of a cost accounting system including directing subordinate personnel on key matters relative to the ongoing operating of the cost accounting system.
- Assures entity compliance with activities relative to tax issues including completion of required reports and payments. Remains informed of changes in laws and regulations and the effective tax issues for market on a federal, state and local level.
- Responsible for ensuring financial practices comply with applicable government and regulatory requirements.
- Supports the market CFO to report financial condition of market to senior management, local board and board committees, prepares or directs preparation of various reports which summarize market's financial position and condition for government agencies, board of directors, and division/system.
- Recommends for hire, orients, trains, directs, evaluates the performance of and, when necessary, recommends discipline or discharge of subordinate personnel.
- Serves as a resource/consultant to senior management personnel on finance-related issues.
- Participates as a member of management on a variety of committees engaging in activities such as achieving market/division wide goals.
- Develops and provides for in-service education and update programs for department subordinates as well as personnel in other departments as appropriate.
- Maintains knowledge of current trends and developments in the field by reading appropriate journals, books and other literature and attending related seminars, conferences.
- Forges successful relationships with market executives, key clinical leaders, and physicians to influence the market to optimize supply chain value and market operating margin
- Accountable for the market performance on supply expense as it relates to budget and key performance indicators
- Optimizes the total cost of ownership for supply chain including supply expense, labor, and other operating expenses related to supply chain activity
- Ensures department complies with established standard operating procedures, policies, quality assurance programs, safety, environmental, and infection control policies and procedures
- Selects, orientates, and assigns department staff (either directly or through subordinate supervisors)
- Manages departments to National Supply Chain standards of performance, making operational and personnel decisions to achieve desired performance
- Prepares and submits department budget and ensures that the department operate within that budget
- Promotes improvement efforts throughout organization to streamline processes, optimize financial performance, and identify areas of general inefficiency
Provides nursing care according to the nursing process, including assessment, diagnosis, planning, implementing and evaluating. Implements appropriate nursing care interventions. Administers medications and treatments in accordance with physician orders and established nursing policies and procedures. Care provided is based on defined standards of patient care and nursing evidence-based practice.
- Patience and focus to constantly monitor high acuity patients with
- Proven ability to think and react quickly in critical or emergency situations
- Medication evaluation, administration, and education specific to the patient’s custom care plan
- Facilitate education to patients and caregivers concerning condition, treatment plan, and prevention (if appropriate)
- Actively participate in decisions affecting your practice environment for excellence in delivering quality care to patients
- Responsible for monitoring, reviewing, and enforcing all policies relating to the outreach clinic’s handling, disposition, and utilization of material resources.
- Provides leadership to ensure that the outreach clinics adhere to system-wide policies and procedures.
- Assists with the clinic strategic planning process and implementation of growth plan
- Manages QA and PI activities.
- Provides a critical communication and collaboration link between Billing and Operations