Reporting to the Chief Medical Officer, the Health Center Manager is responsible for monitoring the day to day operations of the health center, communicating and initiating clinical improvement projects related to the Health Center and promoting Interdisciplinary processes.
- Ensures the appropriate and smooth operation and flow of the Health Center and ensures participants’ care and services are in conjunction with items in the care plan.
- Assists Chief Medical Officer in the day to day operations of the Health Center.
- Supervises Health Center administrative assistant, medical assistants/CNAs, medical records clerk and medical coder.
- Assists with the establishment and achievement of clinical performance goals.
- Enforces the policies and procedures for operational directives and protocols for the Health Center and Interdisciplinary Team, ensuring compliance with quality standards, state and federal regulations.
- Assists with the resolution of participant concerns, complains, and/or grievances related to clinical care of health center operations.
- Establishes, develops, and maintains effective working relationships with vendor partners in care as it relates to clinical operations. Along with other members of CMT team, assists with problem solving.
- Monitor ongoing needs based on volume of health center. With the Chief Medical Officer, ensures competency and quality of clinical care both with internal PACE staff and partners in care.
- Assists the Chief Medical Officer in the facilitation of routine Health Center meetings to discuss on- going clinical/administrative issues.
- Coordinate with IDT members to ensure collaboration and continuity between health center activities and IDT goals of care.
- Uses utilization data on a regular basis to determine practice patterns and identify areas of improvement.
- Tracks and gathers medical information for recertification of level of care for the medical staff and communicates any changes in level of care of changes in status to the IDT.
- Oversees the medical coder to ensure the use of efficient coding practices by the medical staff and understands the proper use of coding requirements.
- Monitors the medical documentation/notes to ensure appropriate diagnostic coding, consistency, completion and timeliness.
- Attends management meetings and other meetings as requested. Functions as a member of the Clinical Management Team lending administrative support to IDT.
- Is knowledgeable about State and Federal Regulations and integrates this knowledge into the functioning of the Health Center and Interdisciplinary Team.
- Oversees medical records and ensures the on-going medical record audits to guarantee high quality care and compliance with CMS regulations.
- Conducts bi-weekly reports from Orders Tracking in the HER and distributes to department managers appropriately.
- Responds to qualitative and quantitative medical record audits related to medical care and works to institute improvements in overall quality of care.
- Protects privacy and maintains confidentiality of sensitive participant, employee, and agency information.
- Directs or participates in the recruitment, hiring, and training of personnel for support positions in the health center.
- Monitors the use of diagnostic services, hospitalizations, length of skilled inpatient stays, use of contracted facilities, and staff to ensure effective use of resources and assess the need for additional staff as well as the need for additional contracts, equipment and services.
- Bachelor’s degree; (offset combination of education and experience will be considered)
- 2-4 years of experience working in a health care setting.
- 1-3 years of supervisory management experience
- Proficiency in MS Office Suite, especially Word, Excel, PowerPoint.
- Experience with healthcare, Medicare or other regulated industry a plus.
- Proven ability to work independently, take initiative and bring projects through to completion.
- Positive and professional, with a can-do attitude.
- Ability to successfully manage and prioritize multiple tasks and deadlines.
- Excellent problem-solving skills; solution-oriented.
- Ability to maintain focus in a dynamic environment.
- Valid driver’s license and access to reliable transportation
PACE-RI offers a full benefits package which includes Medical, Dental, Vision, 403b with match, Life Insurance, AD&D Insurance, Voluntary Life Insurance, Flexible Spending Account options, 10 Paid Holidays, and Paid Time Off (including your birthday).
About the PACE Organization of Rhode Island:
With a mission to preserve and sustain the independence of older adults who have significant health needs and wish to remain in the community, the PACE Organization of Rhode Island provides Community-Based Health Care and Support Services in order to ensure the needs of our participants are fully met through a plan of care that is specific to each and every person.
PACE-RI is dedicated to the values of equal employment opportunity and strives to develop and cultivate a diverse and knowledgeable workforce dedicated to its mission to preserve and sustain the independence of older adults who have significant health needs and wish to remain in the community.
All applicants, including internal PACE-RI applicants, will be considered on the basis of their qualifications and ability to perform the job successfully.