Mgr Practice

Mgr Practice

Requirements

• Bachelor’s degree in healthcare/related field or equivalent
• 3-5 years management experience
• Excellent communication skills
• Thorough understanding of components of practice management, including billing/collection/insurance, performance standards, physician concerns, quality assurance, personnel selection and budgetary planning, control & assessment
• Ability to supervise professional & non-professional associates & promote staff development through delegation
• Ability to work well with a wide variety of professionals at all levels of the health care system
• Basic computer skills

Responsibilities

• Collaborates with the Director, Physician Practice Management and physician leadership to maintain an environment that is patient centered
• Actively rounds on patients and associates to create and maintain a positive patient experience
• Reviews and analyzes each patient comment and monitors satisfaction scores
• Communicates and discusses patient satisfaction goals and objectives to all associates and physicians
• Devises and implements patient satisfaction improvement plans based upon the feedback from various sources as approved by the Director, Physician Practice Management
• Monitors and communicates improvement initiatives, and holds self and associates accountable to performance standards, behaviors of excellence and patient service standards
• Establishes and carries out procedures for appropriate delivery of patient care and monitoring of quality standards in compliance with AMG, regulatory and payer guidelines
• Provides a safe environment for patients and associates through effective monitoring of staff and physician compliance to established standards of care, policies and procedures and HIPPA compliance
• Ensures all associates are up to date with all safety training and certifications
• Ensures availability of all equipment, supplies and other tools necessary for patient care
• Evaluates and monitors health outcome indicators and carries out ongoing process improvements using established best practices and clinical initiative tools
• Partners with director and physician leadership to ensure accuracy and timely documentation of all patient care services
• Monitors compliance within all AMG wide systems, and all regulatory standards to ensure standards are met and followed
• Collaborates with Quality Improvement, Risk Management, and the coding and compliance departments to facilitate education for all physicians and associates
• Supports and maintains a Culture of Safety
• Monitors, tracks and resolves patient and safety events in the STARS system
• Encourages associates use of STARS system to report all events and near miss events
• Ensures timely and comprehensive completion of ACAs and RCAs when indicated
• Utilizes information to implement process changes and educates for improvement
• Coordinates, monitors, and audits Clinical Integration, HEDIS, Senior Wellness program, Medical Home Program, and all other health outcome related programs including AdvocateCare
• Ensures that associates are educated on all program initiatives and are incorporating program elements into their daily workflow
• Collaborates with care team to meet health outcome goals set by AMG and other agencies
• Develops and implements process changes to meet/exceed organizational goals related to health outcome indicators
• Educates and involves physicians and associates
• Collects statistics and prepares monthly, quarterly, annual reports and shares all data with the physicians and associates
• Ensures financial success of practice(s) by actively monitoring budget, physician productivity and fiscal operations of assigned cost centers
• Knowledgeable regarding requirements of all payment plans in which the practice participates
• Ensures systems are in place to effectively handle all reporting and documentation relative to reimbursement
• Maintains current knowledge necessary for management regarding computer systems, billing, insurance coverage, state, federal laws, nursing assessment/treatment, scheduling and other functions related to practice department
• Participates in the planning and administration of an annual budget specific to assigned department(s)
• Monitors budget monthly by thorough completion of variance report, and corrective action plans
• Assures efficient utilization of staff, supplies and equipment
• Assures that operating expenses are within/under budget levels
• Works with Purchasing, Supply Chain, Facilities & Finance Department to ensure purchases, including capital purchases, are correctly processed
• Develop and formalize internal operations infrastructure to assure optimal health outcomes, maximum patient satisfaction and economically efficient operations
• Works as a cohesive liaison with the Billing and Business Operations associates to ensure maximal departmental revenue is realized
• Responsible for assuring that all charges related to patient care activities are entered into the billing system accurately and according to policy
• Monitors billings reports and ensures that assigned associates are collecting co-pays, outstanding balances and self-pay fees at the time of service
• Establishes systems and processes for just-in-time inventory levels and controls the cost of supplies
• Actively engaged in responding to trends and opportunities within practice(s)
• Derives, implements and evaluates new and innovative cost reduction opportunities
• Assists in the creation and maintenance of an operationally efficient and physician friendly work environment
• Manages resources daily to meet productivity standards and to optimize efficiency, effectiveness, and output of each department
• Oversees daily practice site operations to assure economically efficient processes, maximum patient and physician satisfaction, and safety
• Consults with director as needed
• Builds relationships with other departments/business unit to assure operational effectiveness
• Reviews available reports and new/existing policies and procedures with director and physician leadership to develop practice improvements
• Identifies new needs or refinements to existing policies and procedures and forwards to director
• Ensures productivity goals are consistent with organizational goals
• Works with physicians and team to improve patient access and convenience
• Implements and complies with policies and procedures to assure effective and efficient operations consistent with Medical Group/Advocate Health Care philosophy, policies and procedures
• Understands physician compensation plan and able to articulate the basic structure of the program
• Assists physicians in meeting incentive targets
• Supports the Director to manage details of individual physicians’ agreements within contract guidelines
• Assists with orienting new physicians to staff and environment
• Implements schedules for new physicians
• Participates in the smooth transition of practice acquisitions
• Ensures timely separation processes occur for physician terminations and retirements
• Monitors and handles physician services and patient needs, and addresses and corrects any concerns or issues
• Consults director and physician leadership as needed on the development and implementation of actions to maximize physician productivity
• Meets with physicians and physicians/support staff on a regular basis to review staff issues and operational efficiencies
• Distributes and discusses productivity reports, Clinical Integration reports, compensation settlements, etc.
• Works with director to clarify issues
• Participates in calls for clarification to Finance as appropriate or needed
• Manages health information and medical records processes in and out of the EMR environment
• Collaborates with Health Information department, Risk Management and Quality Improvement associates as needed to ensure all elements of protected health information are enforced
• Manages daily human resource functions related to Associates to ensure continued quality, development and retention reflecting the Advocate Experience
• Creates an environment where the Associates are motivated to do their best, are routinely recognized for good work and achieves Associates Satisfaction scores consistent with AMG goals and standards
• Knowledgeable about basic benefit issues
• Responds to and handles basic benefit questions
• Analyzes staffing patterns, mixes and needs to assure both quality of service and cost effective deployment of personnel
• Coordinates recruitment activities
• Facilitates and promotes retention strategies
• Evaluates and conducts performance reviews for staff on time
• Handles routine human resources processes, such as job posting, interviewing, hiring, status changes, payroll and payroll corrections, leaves of absences, etc.
• Conducts regular staff meetings
• Provides a conduit for communication of AMG initiatives, KRA data, and all necessary information to associates and physicians that assist in maintaining and creating a positive and open work environment
• Documents meetings using stop light report
• Coordinates and documents orientation, training and required competencies to ensure that associates are proficient in job requirements
• Develops implements and complies with policies and procedures to ensure effective and efficient operations consistent with AMG philosophy, policies, and procedures
• Assesses educational needs of the staff and facilitates educational opportunities
• Assists individuals with identifying professional goals and provides opportunities to achieve those goals
• Facilitates and drives initiatives that enhance practice growth as well as retention of existing patients under the direction of the Director, Physician Practice Management and in collaboration with physician leadership
• Assists in implementing and monitoring medical practice management contracts, letters of agreement, joint venture services and other agreements
• Facilitates new physician group transitions in coordination with the Director and Practice Acquisitions
• Recommends and implements approved new program proposals with detailed cost/benefit implications, in conjunction with Director and VP
• Assesses marketing materials
• Makes recommendations and establishes plans for approved activities to increase and generate referrals/new patients
• Works with physicians and associates to identify revenue enhancing and cost savings opportunities
• Presents these opportunities with defined action plans to Director for consideration
• Achieves annual growth targets consistent with Practice Site goals
• Fulfills additional job-related duties based on operational needs as directed by the Director and/or VP
• Actively participates in meetings, committees and projects
• Keeps abreast of current standards via literature, educational events, internal and external resources and internal/external networking
• Participates in activities to enhance professional growth
• Maintains memberships in professional and community organizations, as applicable
• Performs other duties as assigned.

Preferred Qualifications

No preferred qualifications provided.