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Northern Light Sebasticook Valley Hospital

Department: RHC - Unity

Position is located: {Unity, ME }

Work Type: Full Time

Hours Per Week: 40 Hour/Week

Work Schedule: 8:00 AM to 4:30 PM

Summary:

Responsible for managing the operational aspects of the physician practice. Accountable for enforcement of the policies and procedures of the corporation. Serves in collaborate with the healthcare team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. Integrates evidence based clinical guidelines, preventative guidelines, protocols, and other metrics that are patient-centric, promoting quality and efficiency in the delivery of healthcare. Behaves in a professional manner and consistently demonstrates and promotes the values of respect, honesty and dignity for the patient, families and all members of the healthcare team. In improving the care of the patient and families of Northern Light Health physician practices, the physician practice manager is committed to the constant pursuit of excellence and teamwork.

Responsibilities:

+ Hiring new staff.

+ Training and orientation of staff/provider

+ Conducts timely performance appraisals of all staff members

+ Ensures Providers and staff members promote an atmosphere if professionalism and accountability

+ Recognizes that all staff complaints are important, and follow up is completed.

+ Notification of wage increases to staff.

+ Assigning duties to staff (maintaining job descriptions).

+ Scheduling and assignment of staff/providers

+ Directing work of staff/providers

+ Works with, or provides data to adjust, benchmark staffing levels and models.

+ Works collaboratively with all departments to effectively manage and maintain positive employee satisfaction across all continuums of patient care.

+ Attends required meetings. When establishing meetings i.e. monthly staff meetings, will be responsible to lead by example by providing agendas, keeping meetings on focus, tracking next steps (through minutes or otherwise), and reporting issues of accountability to the practice Administrator.

+ Manages Managers Self Services in timely fashion

+ Establishes FISH FUN concept of play, be there, make their day, and choose your attitude.

+ Serves as a resource for staff and assists with Technical questions and issues.

+ Maintains as a cohesive working relationship with the CBO and HIMS

+ Serves as a resource for all Employed Physician Practices

+ Ensures all Staff members are competent in all areas of Charge entry.

+ Ensures Staff members are knowledgeable of CMS Guidelines as they apply to their area of expertise i.e. annual CPT and ICD-9 ICD-10 changes.

+ Ensures Proper Staff for the Weekend Clinic

+ Coordinates, drives and track key services projects as assigned

+ Participates in orientation or educational activities as requested

+ Develops and maintains an understanding of best practices to use in coaching our practice to success.

+ Supports in- system clinical integration to enhance the financial performance of the organization.

+ Maintains facilities and equipment including maintenance of physical plan, oversight of renovations to meet organizational needs.

+ Promotes excellent customer service. Demonstrates assertive and creative problem solving by identifying problem areas affecting customer satisfaction, including evaluation of customer satisfaction performance as measured by AVATAR data and CG CAHPS scores.

+ Improve patient access to care by identifying barriers.

+ Directs and monitors answering service function for the department.

+ Is an active member of the Provider Coding Improvement Task Force.

+ Attends quarterly Provider Coding Meeting.

+ Maintains Weekend and Night call list with Lead Primary Care Provider

+ Ensures that assigned services are meeting the patient care objectives set by the lead physician and Administrator

+ Identifies the needs of physicians and support staff and balances those needs with overall needs of the department. Ensures high quality of services through proper performance improvement activities.

+ Creates an environment that is respectful to compliance considerations, regulatory bodies such as National Committee on Quality Assurance, AOA and other governmental agencies.

+ Performs periodic review of established processes to assure staff understanding to identify opportunities for improvement and compliance.

+ Leads quality improvement efforts and develops actions plans in conjunction with the Lead Physician

+ Assures the policies and procedures dealing with the areas that the Practice manager is responsible for are updated annually and meet AOA standards.

+ Maintains requirements for Meaningful Use, Eprescribing, ACO, PCMH and Health Homes

+ Maintains compliance with RL6 standards including state regulatory requirements for internal reporting, interfacing with state inspectors by completing mandated investigations.

+ Ensures that providers and other licenses are in good standing with state agencies and medical staff office regarding licensed and credentialed staff licensure, DEA, plans of supervision for mid-levels.

+ Maintains oversight of HIPAA standards, including breach investigations, reporting and discipline if indicated.

+ 100% compliance of Healthstream, CEO forums and any other in-services, meetings and training as assigned.

+ Maintains a comprehensive Knowledge of medical insurance plans

+ Educates staff on medical insurance guidelines

+ Develops and maintains a charge entry Dashboard for Quality Improvement.

+ Assists with formulating the budget.

+ Monitors provider WRVU/productivity daily, weekly, monthly, quarterly and annual to ensure budgets targets are met. Shares practice financials and other indicators with providers and staff.

+ Monitors daily practice provider schedules

+ Monitors provider billing/coding.

+ Monitors Provider chart note completions

+ Assists with fiscal analysis and resource utilization for program development initiatives.

+ Ensures the approval process for supplies and equipment used in the operations of the department.

+ Ensures accurate demographic patient information.

+ Ensures optimal utilization of facilities and space.

+ Ensures that all staff members complete charge entry

+ Works with providers/ practice manager to ensure timely completion of all notes

+ Reviews the visit documentation and the charge ticket to ensure all healthcare charges are captured

+ Applies payments captured in the practice to applicable charges

+ Ensures appropriate insurance is captured allowing clean claim submission.

+ Ensures that all billing information is forwarded to the CBO for entry

+ Develops and/or coordinates continuing education programs for staff under his/her supervision.

+ Ensures attendance of staff at all mandatory training sessions.

+ Attends conferences to increase practice management education.

+ Reviews provider panels to ensure current patient panel standard is met.

+ Develops and or coordinates continuing education

+ Works with MCHO to enroll uninsured/under insured patients

+ Encourages participation of staff in community/volunteer related events.

+ Actively encourages non-insured patient to contact MCHO. and visitors, reporting and addressing patient and environmental safety concerns.

Other Information:

Competencies and Skills

+ Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.

+ Applies Business Acumen: Demonstrates knowledge of current and future trends that impact organizational success. Applies proven practices and business theories to get results that meet financial as well as other business goals. Recognizes opportunities for new services and products and acts accordingly, taking measured risks into consideration. Possesses a thorough knowledge of their field and independently carries out their work in accordance with professional standards of the profession.

+ Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.

+ Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.

+ Develops Self and Others: Takes responsibility for engaging in professional self-development activities and programs. Strives to gain insight into their own values, strengths and weaknesses, interests and ambitions and takes action in order to enhance competencies and skills when possible. As a leader, encourages and guides employees towards growth opportunities to enhance performance and help them reach goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are enhanced appropriately.

+ Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.

+ Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.

+ Fosters Innovation: Employs and encourages the use of meaningful creativity in solving challenges. Proactively identifies opportunities and uses new approaches to enhance processes, systems and services. When appropriate, suggests or initiates new strategies, products, services, and markets.

+ Influences and Inspires: Builds enthusiasm and commitment among others to move in a desired direction and models it personally. Creates a compelling vision of success that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to attain an objective. Has the ability to appropriately influence others' actions and decisions with and without express authority.

+ Promotes Health and Safety: Promotes a healthy and safe environment for patients, employees and visitors. Advocates and models healthy physical and mental health behaviors even in challenging circumstances. Sets high quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others to report near misses and safety issues.

+ Provides Patient-Centered Care: Demonstrates understanding of patient care quality and service as organizational priority. Proactively supports change to improve patient experience and results. Exhibits the ability and willingness to find out what the patient wants and needs and to act accordingly, taking the organizational and outside resources into account. Cooperates, collaborates, communicates, and integrates care within and between teams to ensure that care is continuous and reliable.

+ Resolves Conflict: Promptly acts to find alternatives/solutions when team members disagree. Addresses issues in a direct, honest, and appropriate manner. Handles conflicting interests diplomatically and helps to solve them. Transforms difficult situations into teachable moments using respect and accountability .

+ Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.

+ Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration.

+ Utilizes Resources Effectively: Understands how to get the most out of available resources and uses cost-benefit thinking in decision-making and in setting priorities. Monitors and analyzes resource usage to identify and eliminate areas of waste and maximize resources. As a leader, defines targets and provides appropriate means; oversees progress and makes adjustments when necessary. Appropriately delegates work, sets clear direction and manages workflow and time.

+ Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.

+ Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.

+ Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.

+ Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education

+ Required Associate's Degree- Bachelor’s Degree Preferred

Working Conditions

+ Potential exposure to diseases or infections.

+ Potential exposure to hazardous materials.

+ Work with computers, typing, reading or writing.

+ Lifting, moving and loading 20 to 30 pounds.

+ Prolonged periods of sitting.

+ Prolonged periods of standing.

Pittsfield, Maine, SVH, Rural Health Care, Kennebeck Valley

Position Mgr- Physician Practices IILocation Req ID 83907