Fresenius Medical Care North America Manager, Clinical Services in Costa Mesa, California

PURPOSE AND SCOPE:

Provide leadership to the PCA clinical team, helping develop and communicate the vision/goals and expectations of PCA. Ensure that these expectations are met. Oversee day-to-day management of clinic staff and make necessary adjustments as circumstances warrant.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Provide direct oversight to outpatient clinics. This includes enforcing policies and procedures, as well as financial accountability, cost containment and growth.

  • OSHA Compliance Officer.

  • HIPPA Privacy and Compliance Officer duties and update office staff of changes and process paperwork in emergency cases.

  • Ensure compliance with IPA and health plan contract provisions as they apply to clinical services (e.g. access, follow-up, etc.)

  • Ensure compliance with Risk Management issues as it relates to physician medical record documentation. Arrange for chart audits and physician in-services with malpractice carrier.

  • Responsible for hiring, disciplinary actions, layoff, and termination of clinical staff. Ensure that all clinics are adequately and appropriately staffed to handle workloads. Make recommendations for promotion and staff development.

  • Planning, strategizing and implementing of new practice ideas. Assist VP of Operations in opening new outpatient centers bringing them online seamlessly and on budget.

  • Responsible for completing clinical and administrative staff evaluations. Provide recognition and acknowledge when warranted.

  • Conduct clinic staff meetings monthly at each clinic. Conduct coordinators meeting monthly to enhance communication, share ideas, discuss billing and compliance.

  • Participate in educational events for physicians and staff (e.g., Pharmaceutical, medical devices, clinic updates) that are appropriate for the services we provide.

  • Ensure that the staff receives adequate training and support necessary to perform their duties and that they are current with accepted best practices.

  • Interact with administrative and clinical staff at Monarch, other capitated payors, and various managers and Physicians’ groups to have a proactive line of communication to ensure we are meeting client and patient needs. Resolve and troubleshoot any complaints.

  • Conduct monthly audits of nursing and clinic staff to ensure regular checks are performed on crash carts.

  • Responsible for managing, troubleshooting, and resolving complaints in a collegial manner with physicians, medical directors, President, Vice-president, and staff as necessary. Handle all patient complaints that require telephone calls, letters, reviewing records, involving CAP-MPT and outside parties. Interact with administrative personnel at all hospitals and address any complaints from same.

  • Responsible for updating and when necessary composing Clinical Guidelines for outpatient cardiology services and guidelines for office staff as necessary.

  • Provide oversight and management to Anticoagulation Clinic. Work with Anticoagulation Supervisor to ensure patient and reporting compliance, manage resources and attend monthly utilization meetings at Monarch.

  • Ensure patient and referring physician satisfaction and create and conduct patient satisfaction surveys as appropriate.

  • In conjunction with Senior Management write proposals when appropriate and promote services to referring physicians.

  • Provide technical guidance to clinical staff.

  • Participate in the budget process and management of budget.

  • Other duties, as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • The work environment is a medical practice with a quiet to moderate noise level.

  • The employee must regularly lift and /or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

  • Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

  • May require some travel.

SUPERVISION:

  • May be responsible for the direct supervision of various levels of clinical staff.

EDUCATION :

  • Bachelor’s Degree required; Advance Degree preferred

  • Must possess a current active Registered Nurse (RN) License

  • Nurse Practitioner (NP)/ Physician Assistant (PA) nationally state-licensed medical professional preferred

EXPERIENCE AND REQUIRED SKILLS:

  • 5+ years’ clinical affairs experience.

  • Demonstrated experience managing one or more departments.

  • Experience in a cardiac clinical setting and/or cardiovascular management preferred

  • Strong management skills with the ability to lead cohesive and productive teams.

  • Strong interpersonal skills with the ability to communicate with all levels of management through diplomacy and tact.

  • Excellent oral and written communication skills.

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity