Nurse Practitioner/Physician Assistant: Director of Clinical Services

JOB SUMMARY

The Director of Clinical Services leads the licensed provider team at PPDE, including Advance Practice Clinicians, RNs, and LCSWs. In collaboration with the Medical Director and COO, the Director of Clinical Services will strategically and effectively plan and direct all aspects of clinical health care at PPDE, across all service lines. Develop and ensure goals, objectives, and medical services budget are met. The Director of Clinical Services follows all PPDE clinical protocols, including the PPFA Medical Standards & Guidelines, and provides direct medical care to patients in accordance with all policies and guidelines. This position reports to the Medical Director for clinical matters and to the COO for administrative matters.

ESSENTIAL FUNCTIONS

All duties and responsibilities are performed in a professional, efficient and customer service-oriented manner in compliance with PPDE's Medical Standards and Guidelines, other PPDE policies, procedures, quality management guidelines, and local, State and Federal regulations.

2. In collaboration with the COO and VP of Finance, develops and monitors annual budget, analyzes and manages their respective budget(s), provides leadership to their division's management staff to analyze and manage their respective budgets with a dual focus on real-time management and long-term comparison and improvement.

3. Identifies emerging issues and strategic opportunities for PPDE and develops new initiatives commensurate with the agency's strategic plan.

4. As a member of the Senior Management Team, actively participates in the planning, implementation, monitoring and evaluation of all agency programs and other operating support functions.

5. Upon approval and in collaboration with Executive Leadership, represents PPDE by participating in federation-wide activities and affinity groups, as well as community organizations or planning groups, and other agencies, coalitions, donors and public officials.

6. In accordance with PPFA Medical Standards and Guidelines, collaborate with the Medical Director for the drafting, implementation, and monitoring of PPDE medical protocols and procedures.

7. Ensure all CLIA requirements are up to date and proficiency testing is complete for all applicable staff.

8. Responsible for the oversight of clinicians / physician EHR coding errors and provides oversight of the annual coding audit.

9. Participates in the development / updating of a list of consultants who are willing to care for patients referred from PPDE.

10. Serve as Program Director for Colposcopy.

11. Serve as Program Director for Gender Affirming Hormone Therapy.

12. Serve as Program Director for Menopause.

13. Serve as Program Director for Prenatal Care.

14. Serve as Program Director for Sexual Dysfunction.

15. Serve as Program Director for Urinary Incontinence.

16. Serve as Program Director of Ultrasound Services.

17. Serve as Program Director or Delegate to Lead Clinician for Breast (basic).

18. Serve as Program Director for Primary Care (limited) or delegate to Lead Clinician.

19. Serve as Program Director for Reproductive Health Conditions or delegate to Lead Clinician

As Program Director, responsibilities include :

a. Developing and updating affiliate protocols in accordance with the PPFA Medical Standards and Guidelines

b. Overseeing the training / education / supervision / proctoring and ongoing monitoring of licensed providers

c. Providing ongoing availability of consultation when needed

d. Granting clinical privileges relevant to the service

e. Participating in RQM activities, including, but not limited to

i. Medical record review and other program audits

ii. Peer review

iii. Review of required documentation (program complications, outcome / quality, etc.)

f. The Program Director may designate staff to assist in the performance of these responsibilities.

20. Through these activities demonstrate an understanding of and commitment to PPDE core values of access, activism, care, confidentiality, diversity, excellence, integrity, respect, self-determination, and stewardship; practice these values in relations with internal and external customers.

21. Other duties as assigned.

MEDICAL STAFF SUPERVISION

1. In collaboration with the Medical Director, provide the training, medical supervision, and evaluation of PPDE clinicians including nurse practitioners, nurse midwives, physician's assistants, CRNAs, and RNs. Ensures that all newly hired licensed medical staff undergo proctoring (period of supervised practice) in order to assess the clinical skills of the individual. The duration of the observation may be individualized and based upon the training and experience of the individual. Evidence of the completed proctoring must be included in the staff member's personnel / credentialing file.

2. Provides regular clinical observation in conjunction with the annual performance review of licensed clinical staff.

3. Readily accessible for clinical consultation / questions by telephone, cell phone, or email to PPDE clinicians, arranging alternative appropriate coverage as needed.

4. Convenes and conducts clinical staff meetings as needed to optimize the program.

5. Coordinates and participates in onsite medical resident and clinician training opportunities, seeking grant opportunities to fund.

PATIENT CARE

1. Provide direct medical care across PPDE's entire scope of practice, including family planning, abortion care, and telehealth services 3 days per week.

2. Maintain productivity expectations, with expected patient load of 3-4 patients scheduled per hour, and compliance standards of the health center.

3. Provide coverage for clinician absences at PPDE health centers as needed.

4. Ensure licensed provider on-call schedule is maintained; participate in on-call per the schedule / rotation.

RISK & QUALITY MANAGEMENT

1. In collaboration with the RQM Manager, ensure that PPDE has implemented a written, well-defined, affiliate-wide risk and quality management program that includes process design, data collection / analysis, assessment and improvement, and evaluate all risk exposures at least annually.

2. In conjunction with the RQM Manager and RQM Committee, complete assigned portions of the annual affiliate-wide Risk and Quality Management Work Plan, annual affiliate-wide audit calendar, annual RQM Project for submission to ARMS, and other quality and risk management reports required by ARMS and / or PPFA. Updates progress on goals and projects.

3. Complete chart audits in conjunction with Medical Director and COO in compliance with ARMS, PPFA Medical Standards and Guidelines, and PPDE protocols and procedures.

4. Communicate audit needs and findings to appropriate staff, ensure audit completion, compile data and assist health centers and other departments in the development of quality improvement plan.

5. Complete routine and quality improvement follow-up audits in scheduled time frame, developing and implementing related quality improvement plans if established internal and external benchmarks are not met. Compliance expectations are set for all audit indicators.

6. Review audit results with Medical Director (medical related) and CEO (non-medical), develop and implement changes as indicated.

INFECTION PREVENTION OFFICER

1. Administer PPDE's infection prevention plan to prevent, identify, and manage infections and communicable diseases in the clinics.

2. Serve as the Covid Positive resource for PPDE staff self-reporting a positive case.

3. Ensure compliance of policies and procedures for :

a. the utilization of protective clothing and equipment;

b. the storage, maintenance and distribution of sterile supplies and equipment;

c. the disposal of biological waste; including blood, body tissue; and fluid in accordance with Delaware law;

d. standard precautions / body substance isolation or equivalent

e. communicable disease including tuberculosis, HIV / AIDS, hepatitis, and other airborne diseases.

4. Identify safety risks;

5. Implement corrective and preventive safety measures.

6. Complete on-going training in infection control.

QUALIFICATIONS

To be successful, an individual must perform each essential function satisfactorily and demonstrate a constructive relationship with all staff. Listed below are knowledge, skills and / or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND / OR EXPERIENCE

1. Graduate of an accredited nursing program / physician assistant program with state-mandated certifications / licensure.

2. Current Delaware license as an advanced practice registered nurse / physician assistant with prescriptive privileges, DE Controlled Substance Registration, and DEA license required.

3. Minimum of 3 years of experience as an advanced practice nurse / physician assistant, with experience and broad knowledge of family planning preferred. Experience within a family planning clinical setting preferred.

4. Supervisory experience with demonstrated ability to lead and motivate others while working as part of a team.

5. National Certification or a current Medicare / Medicaid number.

6. Quality and risk management experience preferred.

7. Epic experience preferred.

8. Working knowledge of Medicaid and other applicable medical insurance requirements, reimbursement systems, medical insurance billing and coding.

9. Experience in and knowledge of family planning, reproductive health care issues, clinical training and development, and OSHA and CLIA regulations preferred.

10. Professional, positive attitude with proven ability to contribute effectively to highly functioning work teams.

Reasoning Ability : Must have the ability to define problems, collect data, establish facts, and draw valid conclusion. Ability to interpret an extensive variety of technical instructions in various formats required. Ability to multi-task and to work effectively under pressure due to conflicting demands is required. Must be flexible, highly organized, creative and detail-oriented with the ability to set and meet deadlines.

Language Skills : Ability to read, analyze and interpret periodicals, professional journals, procedure manuals and technical procedures. Ability to write reports, procedure manuals and correspondence. Requires excellent verbal and written communication skills, listening and interpersonal relationship communication skills. Must be able to communicate clearly and interact comfortably with a diverse group of clients, staff and volunteers in a non-judgmental, professional and sensitive manner. Able to effectively use interpreter services (in person and in phone) to communicate with clients who speak other languages.

Mathematical Skills : Must possess the ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.

Computer Skills : Excellent keyboarding skills with high level of accuracy required. Proficiency in Internet usage and Microsoft Outlook helpful. Must possess capacity to learn software programs required for specific position and access electronic communications, including e-mail, Extranet and Internet. Proficient in the use of PPDE's Electronic Health Record system; proficient in the use of ultrasound and other tools as required in performance of current job duties.

Leadership : Excellent leadership capabilities; able to mentor and coach fellow health center staff in the achievement of health center and PPDE clinical and employee goals.

Strategic Thinking : Able to think strategically about ongoing improvements in current clinical practice and health center functions.

Customer Service : Excellent internal and external customer service skills and a commitment to providing the highest level of patient satisfaction.

Organizational Ability : Strong organizational skills and ability to multi-task in both patient care and other job-related duties. Able to adapt to diverse operation hours, needs and clientele of all PPDE health centers.

Judgment & Decision Making : Ability to exercise initiative, sound judgment and problem-solving techniques in the decision-making process.

Communication Skills : Excellent communication skills with patients and staff in all areas of PPDE including administrative, clinical, and non-clinical center staff.

Innovative / Creative Ability : Able to suggest new and creative ways to improve existing and new clinical services and health center systems.

Physical Demands : All of the position functions listed within this position description involve to greater and lesser degrees the following physical demands : close vision; hearing / listening; clear speech; walking; lifting and carrying up to 25 pounds; stooping; kneeling; bending; sitting; standing; and use of hands to finger, handle, and feel during examinations and using equipment. The physical demands are representative of those required to successfully perform the essential functions of this position.

Work Environment

1. Works in a diverse environment, builds productive relationships, and effectively works independently and collaboratively as part of a team.

2. Performs tasks that involve exposure to blood, fluids, or tissues as well as cleaning solvents and other chemicals.

3. Works in an environment with usually moderate noise level.

4. Works in an environment where protestors may be present at work and related sites.

5. Works an irregular schedule, which could include some weekends, early mornings and evenings.

6. Works in a cost-effective and flexible manner, multi-tasks, works effectively under pressure due to conflicting demands, and manages a minimum of four patients per hour.

7. Performs agency duties at various sites, so a valid driver license or otherwise ability to provide own reliable transportation is required.

PI261376359