Director Clinic Operations & Care Coordination, RN

Duties/Responsibilities: 

Management of Clinic Medical Assistants Services, EMG technician, and Scribes

• Responsible and accountable for the supervision of all Medical Assistants (MA), EMG technician, and external contract scribes.
• Works with MA supervisors to coordinate coverage and provide MA performance requirements and standards.

Management of Clinic Front Desk Services

• Responsible and accountable for front desk staffing and coordination for patient entry for appointments and services in coordination with Billing department requirements.

Management of Care Management Services

• Supervises a multidisciplinary team of care managers responsible for patient care coordination.
• Develop and maintain a tracking system of seamless care coordination across medical services, including transitions and referrals in Member Care platform for CCM.
• Utilize CM tracking to meet productivity targets, including enrollment for CCM, TCM, PCM, and RPM.
• GUIDE (Guiding Improved Dementia Experience) Program
• Oversee patient enrollment.
• Conduct data analysis and reporting.
• Perform internal audits to ensure compliance with organizational and state/federal practices, policies and regulations.
• Interface with patient support organizations to identify support services to meet all requirements of GUIDE program.

Leads Quality Improvements in clinic operations.

• • Leads patient care coordination and adherence to clinical protocols and regulatory standards.
  • Provides leadership and training to adhere to all OSHA standards and practices.
  • Develops and implements management protocols, policies, and departmental strategy in consultation with senior leadership.
  • Leads regular Care Team meetings and departmental meetings with the involvement of input from organizational department leadership.
  • Develops and oversees quality management and improvement programs in collaboration with physicians.
  • Implements staff educational programs and training requirements.

• Manages all departmental budgets and staffing requirements and creates reports, pull data and outline processes as directed by the VP, Clinical Operations.
• Responds to and comply with requests for information.
• Maintain operations by following policies and procedures; reporting needed changes.
• Works as a team player.
• Provides any other duties and responsibilities as determined by management and physician leadership.
• Abides by all HIPAA and other regulatory requirements.

Education and Experience: 

• Active Registered Nurse license in the state of Texas.
• Certified Case Manager (CCM) preferred.
• At least 5 years of experience working in out-patient case/care management experience.
• Prior managerial experience in a healthcare setting required.

Required Skills/Abilities: 

• Knowledge of general administrative and departmental leadership skills.
• Ability to teach and supervise care management, disease management, and patient education skills.
• Ability to teach knowledge of chronic physical and behavioral health conditions.
• Strong interpersonal skills with the ability to build effective relationships across medical teams with patients.
• High proficiency in problem identification and care plan development.
• Professional interaction skills with medical providers and other healthcare professionals.
• Skillfully conduct health assessments and screenings.
• Strong written and oral communication skills.
• Ability to relate to people with diverse educational, socioeconomic, and ethnic backgrounds.
• Planning, organizing, and attention to detail.
• Customer service skills.
• Ability to maintain confidentiality.

Physical Requirements: 

• Ability to sit for extended periods of time.
• Ability to operate general business equipment, including printers and copiers.
• Ability to talk or hear on the phone.
• Ability to lift files, open filing cabinets and bend or stand on a stool, as necessary.