The Clinical Operations Manager is responsible for the day-to-day operation of the clinic, including line management responsibility for non-physician personnel, as directed by the Regional Administrator or Clinic Director. Responsibilities include providing financial and operational information as requested; maintaining effective communication with physicians and Memorial Physician Services leadership; ensuring compliance with established standards, practices and regulatory requirements; planning, managing and directing activities of the business staff and clinical staff; maintaining supply inventories; completion of payroll functions; maintain minimum set levels of patient satisfaction. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
QualificationsEducation:
High School diploma or equivalent required, and college course work in business or a health care curriculum highly preferred.Bachelors or Master’s degree in business administration or health service administration preferred.Licensure/Certification/Registry:
CPR certification preferredExperience:
Five years experience in a physician office practice setting or similar healthcare setting, with at least two years of management/ supervisory experience or demonstrated leadership ability required.Computer experience required and previous experience with scheduling and/or billing software preferred.Other Knowledge/Skills/Abilities:
Knowledge of Medicare, Medicaid, and insurance regulations and procedures preferred.Knowledge of evidence-based medicine, chronic condition management, patient engagement, and pharmaceuticals preferred.Excellent verbal and written communication skills required.Working knowledge of Electronic Health Records required.Excellent PC skills, including use of Microsoft Office products including Word, Excel, Outlook, and PowerPoint.Outstanding organizational and process skills, accountable, and dependable.Outstanding ability to communicate with patients and physicians in all situations. Responsibilities Responsible for routine managerial functions, including, but not limited to; physician and employee staffing and work assignments; employee satisfaction; payroll preparation; hiring and direct supervision of clinic personnel; orientation and/or training of employees; conducting physician and staff meetings; implementation of clinic policy, procedures, and process; assisting in the development and implementation of the budget and strategic plan, including access and growth; fulfillment of managed care requirements; financial reporting; maintenance of facilities and equipment; stocking of supplies; purchasing of equipment; patient satisfaction; identifies quality improvement opportunities and uses appropriate QI tools and techniques to evaluation potential solutions; leads problem solving to ensure resolution of clinical care issues and adoption of “best practices”.Manages the relationships, skills, abilities and working style of direct reports, which includes all clinical nursing, nursing support, non- clinical colleagues, and allied health staff members. Interviews, hires, trains, retains, schedules, evaluates, educates, grows and molds this dedicated clinic team to ascertain the highest of clinical and non-clinical service for our patient base. Responsible for maintaining the individual satisfaction of this assigned employee workforce. Assists the clinical director with management of adequate staffing levels by provider.
Assists clinic in meeting financial goals. Works with providers and staff to meet productivity targets, attain reasonable reimbursement through proper coding, hold days in accounts receivable to acceptable level, and hold expenses to targeted levels. Reports financial data as requested. Facilitates accounts payable process.
Manages the on-site billing and collections process, coordinating efforts with centralized billing office. Responsible for proper submission of bills. Investigates rejections, taking steps to minimize future problems.
Assists the clinic director with interfacing with various departments of Memorial Physician Services and Memorial Health System to secure resources for clinic.
Complies with all clinic policies and procedures. Applies the Minimum Necessary Standard when accessing protected health information. Monitors employees to ensure they do the same.
Maintain compliance with Rural Health Standards by maintaining constant clinic readiness, if appropriate. Responsible for quality clinical management, including HEDIS audits, patient centered medical home, and all state and federal programs dealing with outpatient clinical settings.
Engages staff in developing annual clinic goals and individual goals consistent with MPS’ Strategic Plan for recommendation to the clinic director. Implements mechanisms with staff to fulfill clinic goals and objectives. Reviews goals and plans of actions with staff on a regular basis.
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