What are the responsibilities and job description for the RN - Hospital Program Manager position at SCP Health?
At SCP Health, what you do matters
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What you'll be doing:
Responsible for management of SCP's Hospital Medicine operations at the designated Client Hospital Medicine Programs. Primary functions include: Liaison with Staffing Operations on scheduling decisions and related matters and ensures a constant and accurate depiction of needed providers and an adequate pipeline for the practices. Work directly with and in service to the designated System Medical Director/GMO with responsibility over the contract relationship. Support the performance of the medical team through daily interface with program medical directors providing administrative support necessary to achieve quality patient care outcomes and success in meeting the assigned goals and objectives. Coordinate and develop systems to promote quality, cost-efficient delivery of patient care. Works closely with all levels of administration, Medical Directors, physicians, and outside organizations to increase market presence, coordinate practice business, accomplish directives, and facilitate the resolution of problems. Principle interface with our billing and coding departments and functions and will work cooperatively with other personnel to generate timely collection of charges and reimbursement.
- Represent SCP Health patient services and the Hospital to ensure retention of existing referral sources and to grow new referrals and volumes by enhancing client, PCP, Patient and Provider Satisfaction, as well as, Quality Case Management, Emergency Department and other facility relations.
- Facilitate training and orientation process of new office staff, and all patient care providers including but not limited to maintaining current orientation packets, obtaining computer access and any facility specific training.
- Participate in physician interviews and coordinate with the Hospitalist recruiters to ensure applicants meet with the medical directors and are able tour all facilities of interest.
- Act as a professional representative in dealing with all levels of hospital and staff personnel and cultivate communication within the hospitalist team and with hospital staff, patients/families, caregivers, Administration, nursing staff, referral sources, care management, and SCP corporate team members. Act as point person and conduit for the program.
- Ensure accomplishment of organizational and program goals by establishing new, and maintain collaborative relationships with key personnel and attending regularly scheduled department meetings across the delivery system. These should include: care management, patient experience and satisfaction, quality and mortality meetings, operational throughput meetings, monthly JOC meetings, nursing, IT, administration, HIM, and managed care organizations.
- Identify on site production, performance, or other issues; and communicate these to Medical Director, including recommended strategies for improvement. This would include reviewing Physician and NPPA payroll monthly to ensure accuracy and opportunities for streamlining costs.
- Oversee daily operations in regards to physician signatures, provider credentialing, physician completion of medical records and physician completion of daily billing.
- Coordinate with RCS on Billing and Coding reporting.
- Recommend and implement improvements to the practice as it relates to KPIs, and Client & Provider Satisfaction as established by both SCP and the client.
- Establish and facilitate standing HM Committee meetings between Hospital Administration, designated facility department managers, and SCP's Corporate HM representatives (include ED representatives if contract includes both).
- Facilitate engagement of HM Medical Director(s) to result in meeting participation, provider recruiting and retention.
- Availability by phone or pager for emergencies, patient complaints, or other facility issues.
- Work with hospital admin to attain the group's key clinical and practice indicators relating to Core Measures, facility specific metrics, readmission rates, length of stay, case mix index (CMI), billing/diagnostic coding trends, and daily volume statistics.
- Participate in organizational planning and evaluation of the program in conjunction with Medical Directors by continually communicating all feedback, issues, and needs to include data analysis, provider scheduling, performance surveys, and quality reviews.
- Assist Medical Director in development of clinical protocols, order sets, etc.
- Understand and fulfill all site-specific requirements.
- Participate in required corporate meetings, training sessions, organizational pilot programs, and cross coverage as requested.
- Maintain a positive and professional attitude, appearance and conduct at all times, and adhere to all HIPAA requirements.
- Additional duties and responsibilities as requested by Group Medical Officer.
- A system level position containing three (3) or more affiliated HM Medical practices
- High level of interface with Hospital C-Suite and Market CEO
Who/What we are looking for:
- 5 years' experience as a clinician in an acute healthcare setting.
- Bachelor of Science in Nursing.
- Knowledge of relevant state and federal healthcare regulations.
- Intermediate knowledge of healthcare informatics, including quality measures.
- Experience leading and managing teams and/or processes.
- Experience working in a matrixed organization.
- Clinical and case management experience.
- Understanding of financial and budgeting processes and principles.
- Intermediate Microsoft Office proficiency (i.e. Outlook, Excel and PowerPoint).
- Ability to work on site Monday-Friday at the facility located in North Miami.
To learn more about SCP Health, please visit:
www.scp-health.com
www.scp-health.com
Join our social circle:
- Check out our LinkedIn Page
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SCP Health is an Equal Opportunity Employer.
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