JOB SUMMARY: Under minimal supervision, provides direction and administration of WPH owned clinic’s activities to ensure accomplishment of their objectives. Recommends clinic objectives to ensure financial profitability through short and long range planning in order to achieve and maintain growth. Continually evaluates the timely adjustment of clinic strategies and plans to meet changing national, state, and local needs. Coordinates recruitment and credentialing of employed physicians. Supervises WPH employed physicians in clinic and non-clinic settings. Supervises physician clinic personnel.
- Develops and implements unit specific patient/customer service, human resource and financial goals and objectives consistent with hospital goals and objectives.
- Develops and implements unit specific policies and procedures.
- Performs all aspects of human resource management including recruitment and retention of assigned staff.
- Works with WPH Recruitment office on recruitment of non-physician staff.
- Analyzes and determines appropriate staff mix to support patient/customer needs.
- Ensures patient/customer satisfaction by analyzing patient/customer complaints, concerns and suggestions and providing appropriate follow-through.
- Within scope of authority, ensures the development of systems to properly support clinic-wide activities using sound internal control principles. Ensures internally required information and reports are communicated as appropriate. Directs the coordination of hardware and software requirements for existing and future systems.
- Ensures competency of unit staff/student through the development and/or presentation of educational programs and through ongoing staff performance evaluation.
- Forecasts staffing, capital and operating budget needs in evaluating and reporting on the units market sensitivity, financial analysis, space utilization review, staff performance evaluation, etc.
- Plans and organizes staff and facilities to meet patient/customer needs.
- Markets and promotes new and existing programs and services to internal and external customers.
- Works with the Medical Staff Services coordinator on medical staff credentialing of employed and locum physicians.
- Facilitates cooperative and collaborative community and institutional relationships.
- Ensures adherence to legal requirements and government reporting. Works to report quality and other data as required by the government to ensure physician reimbursement is not negatively impacted. Develops plans to improve reported scores and avoid reimbursement reductions.
- Directs the preparation and maintenance of management reports necessary to carry out functions of the clinics. Reviews reports with physicians and works on corrective actions where needed.
- Reviews physician employment contracts and works with the CEO to renew contracts. Calculates required physician bonuses. Logs all payments to physicians and compares to contracts in accordance with policy.
- Works with physician office coordinators to maximize time of service collections.
- Ensures coordination of payroll functions and personnel records of assigned staff
- Ensures adherence to licensing bodies’ requirements. Directs the preparations of information requested or required for compliance.
- Works with physicians to complete call schedules. Works with Administration to fill openings with Locum Physicians as needed.
- Schedule monthly meetings with each clinic
- Provide WPH physicians and providers with monthly productivity, financial, and patient satisfaction reports.
- Serves as ACO Champion.
- Participate in hospital wide committees.
- Prepare Performance Improvement plan and submit reports as required.
- Undertakes special studies or projects as requested.
ACO RELATED FUNCTIONS:
- Lead and help drive the implementation of ACO initiatives at the community-level with input from medical and operational leaders, as well as other key Steering Committee members.
- Be the primary point-of-contact and informational resource for both National Rural ACO and the facility team on all ACO-related activities and initiatives.
- Attend quarterly Regional Workshop Meetings.
- Educate and provide mechanism of communication for all key staff (including inpatient, business, provider/practitioner, frontline/registration, clinical and outpatient/clinic) on principles of the ACO, specific initiatives/programs, and progress, on an ongoing basis.
- Receive and ensure effective and efficient distribution of key documents, created by the National Rural ACO, to proper internal stakeholders for effective use of the information. Examples include: monthly patient satisfaction reports, claims data reports, cost and utilization reports.
- Collaboratively plan agenda for monthly Steering Committee meetings with National Rural ACO Project Manager.
- Prepare for and lead monthly Steering Committee meetings.
- Lead the formation of integrated cross-departmental subcommittees of internal stakeholders (clinical, operational, billing, marketing, IT staff, etc.) to plan workflow redesign and implement ACO initiatives such as Annual Wellness Visits, Chronic Care Management billing, and Post-Acute Care linkages, etc.
- Monitor and track internal progress on ACO activities and help create solutions to any barriers that arise.
- Recognize operational barrier(s) and identify proper follow-up procedures that may include discussion and escalation to local leadership, Steering Committee, and/or National Rural ACO Project Manager.
- Help manage the culture shift and transition across the community, from traditional fee-for-service to value-based, coordinated patient care.