Clinical Practice Manager - Prenatal Center at St. Luke's… · Location…

City/State: Nyack, New York Department: Physician Practice Management_3 Work Shift: Day Work Days: MON-FRI, VARIED HOURS Scheduled Hours: Day Scheduled Daily Hours: Hours Vary Hours Per Pay Period: 40 Pay Rate/Range: N/A

Job Summary

Plans, organizes, controls and directs the operational activities of the medical practice. Provides supervision for all staff ensuring all company policies are being followed. Communicates effectively with patients, physicians, staff members and all other internal and external contacts. Requires proficient knowledge of Managed Care, Medicare and Medicaid guidelines, billing and coding expertise. Must promote and maintain the goals and objectives of the organization while representing the practice with a positive, professional attitude and appearance at all times. Must ensure the practice is in compliance with the NYS Article 28 guidelines and requirements.

Essential Functions

• Plans, organizes, controls and directs the operational activities of the medical practice. Provides supervision for all staff ensuring all company policies are being followed. Communicates effectively with patients, physicians, staff members and all other internal and external contacts. Requires proficient knowledge of Managed Care, Medicare and Medicaid guidelines, billing and coding expertise. Must promote and maintain the goals and objectives of the organization while representing the practice with a positive, professional attitude and appearance at all times. Must ensure the practice is in compliance with the NYS Article 28 guidelines and requirements.
• 1. Must possess a thorough understanding of running a medical office practice and possess business skills required to run an operationally efficient practice.
• 2. Must possess excellent organizational, written and verbal skills.
• 3. Must be able to think independently and use good judgment for situations that require initiative and ingenuity.
• 4. Must possess excellent interpersonal skills necessary to communicate tactfully and effectively with employees and internal and external customers.
• 5. Must be able to hire, train and manage employees effectively.
• 6. Must have knowledge of Human Resources policies and procedures.
• 7. Must be familiar with all medical procedures performed in the office and/or hospital.
• 8. Must have proficient knowledge of ICD9 and CPT codes, billing and collections.
• 9. Must have a working knowledge of industry regulations.
• 10. Must be able to handle multiple tasks, assignments, and deadlines simultaneously.
• 11. Must possess problem solving skills and abilities.
• 12. Must have exemplary customer service skills and train and manage staff to possess those skills.
• 13. Must be proficient with computers including Microsoft Word and Excel.
• Personal and Professional Attributes
• 14. Ability to manage and work well with co-workers, clients, and management in a positive and cooperative manner.
• 15. Must be detailed oriented
• 16. Must be flexible with working hours to accommodate the needs of the facility, physicians and management.
• Qualitative and Quantitative performance standards
• 17. All staff management decisions must be made without regard to race, religion, color, sex, age, national origin, marital status, pregnancy, handicap or veteran status.
• 18. Must be multitasking and be able to set priorities to complete assignments within a specified time-frame.
• C. Job Specific Contacts
• 1. General Contacts: Physicians, physician extender(s), patients, patient family members, employees and senior management.
• 2. Job Provides Direction to: Front desk staff and clinical staff in the office.
• D. Environment and Demands
• 1. Environmental Demands: Possible exposure to communicable diseases, airborne illnesses, bodily fluids, and toxic substances.
• 2. Essential Physical and Cognitive Demands, Manual Dexterity: Exposure to difficult body mechanic positions for extended periods of time.
• Part I: Hospital-Wide Standards
• A. Organizational: Demonstrates adherence to Montefiore Nyack Hospital “We Care” standards.
• WORKING TOGETHER
• “I will commit to work together in a courteous, respectful manner. I will demonstrate a positive spirit of service with all employees with whom I interact.”
• Place team success above individual recognition.
• Be receptive to new ideas and approaches within my workplace.
• Offer assistance generously without hesitation.
• EMPOWERMENT
• “I will be accountable, responsible, and self-directed in all aspects of my work at all times.”
• See projects through to ensure completion.
• Problem solve with patients, family members, and other employees.
• Follow up to ensure a resolution.
• COMMUNICATION
• “I will demonstrate positive communication in a clear, courteous and appropriate manner at all times.”
• Answer the phone within three rings if possible and identify myself, my department, and ask, “How may I help you”?
• Use effective verbal and written communication to patients, families, visitors, using the principles of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You)
• Use positive communication in my tone of voice, body language, and choice of words.
• Respond to e-mails in a courteous manner, with-in twenty-four hours.
• APPEARANCE
• “I will dress in a manner that reflects a professional and positive image of the hospital at all times”
• Maintain a clean, neat, and professional appearance which adheres to hospital dress code policy.
• Promote and adhere to Nyack Hospital's guidelines regarding a safe and clean work environment for employees, patients, families and visitors.
• RESPONSIVENESS
• “I will demonstrate the ability to provide timely feedback and communication to patients, visitors, and coworkers.”
• Respond to patient call lights and ask if I can assist. (No Pass Zone).
• Respond empathetically.
• Apologize for delays and concerns.
• EXCELLENCE IN SERVICE
• “I will strive to ‘do my best everyday’ in exceeding customer expectations.”
• Anticipate and address my patients’, families and visitors needs.
• Avoid negativity and exhibit a “can-do” attitude.
• “Manage up” fellow employees, physicians, departments, and the organization, to increase patient confidence both internally and in the community.
• Exit elevators to accommodate our patients’ first.
• Acknowledge people in the hallway by smiling and making eye contact.
• Help lost guests and new employees by escorting them to their destination.
• B. MISSION/STRATEGIC PLAN:
• Demonstrates support of the mission and strategic action plan through the initiation and ongoing implementation/evaluation of department activities/plans.
• C. JOB SPECIFIC COMPETENCIES:
• Demonstrates the technical/professional knowledge, skills and abilities necessary for the successful operations of the department including, where applicable, age specific competency. *
• 1. Maintains organization of the office consistent with the goals and requirements of the company.
• 2. Coordinates the supervision of employees through delegation of appropriate responsibility and authority to qualified staff.
• 3. Establishes minimum requirements consistent with and complementary to company policies and procedures for effective supervision of staff.
• 4. Initiates all new hires, promotions, salary adjustments, disciplinary actions, terminations, and commendation for all personnel.
• 5. Prepares paperwork required by Human Resources and maintains current employee information on all personnel.
• 6. Assures that patient records are maintained and are in compliance with all local, state, federal and accreditation regulations.
• 7. When applicable, implements, trains staff and maintains Electronic Health Record for practice.
• 8. Streamlines all office procedures to better utilize personnel at highest capacity.
• 9. Processes and forwards all invoices, status reports, volume reports, and various requested reports to the Director on a weekly basis.
• 10. Maintains knowledge of all current local, state, federal and accreditation regulations.
• 11. Communicates effectively with all internal and external customers, striving to reach solutions to problems and resolve issues that are most beneficial.
• 12. Provides reports as requested by Director.
• 13. Initiates staff meetings to ensure knowledge of all rules and regulations, facility problems and maintains open lines of communication.
• 14. Attends all staff and in-service meetings.
• 15. Assists and maintains all budget activities and requirements, providing fiscal statistics, as required by Director.
• 16. Coordinates and maintains current knowledge of reimbursement requirements/regulations and assists in the initiation of changes to the charge system to maximize revenue in coordination with the Billing and Collections Company and/or on-site Billing personnel.
• 17. Maintains and implements current knowledge of all managed care requirements in coordination with the Director of Managed Care.
• 18. Monitors and implements all system needs and requirements in coordination with IT.
• 19. Ensures the facility is clean and presentable at all times.
• 20. Anticipates Director’s needs by gathering records, reports, correspondence or other specific information as needed.
• 21. Composes correspondence and sends to appropriate individuals under the direction of the Director.
• 22. Participates in professional development activities to keep current with health care trends and practices.
• 23. Presents a professional manner and dress in representing the company to clients and staff.
• 24. Possesses basic knowledge in all areas of Managed Care policies and procedures.
• 25. Maintains amicable relationships with all providers to ensure excellent working environment.
• 26. Coordinates all activities with Director to ensure compliance in all areas of Managed Care, Medicare and Medicaid.
• 27. Provides phone support, as needed.
• 28. Provides support to other personnel on an as needed basis.
• 29. Coordinates office supply needs for purchase and ensures cost-effective pricing and monitoring.
• 30. Ensures that a neat and orderly work area is maintained.
• 31. Ensures all mail is processed daily.
• * Document on addendum age specific competency.

Qualifications

• Bachelor Degree Preferred
• 4-6 years Work experience in Practice Management or hospital setting management Required
• Practice Management (Medium proficiency)

Montefiore Nyack Hospital is an equal employment opportunity employer. Montefiore Nyack Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.