JOB TITLE:
Executive Director of Clinical Services
REPORTS TO:
REGIONAL VICE PRESIDENT
CATEGORY:
EXEMPT
GENERAL DESCRIPTION
The role of the Executive Director of Clinical Services encompasses various responsibilities. The primary objective is to ensure that patients receive timely and appropriate visits from the appropriate healthcare providers. The Executive Director of Clinical Services also focuses on maximizing staff productivity and utilizing effective tools to facilitate proactive healthcare. Additionally, the position is responsible for maintaining optimal staffing levels within the care teams. This involves overseeing and promoting the proper utilization of tools such as chronic care management, transitional care management, advanced care planning, cognitive behavior screening, laboratory tests, X-rays, and other screening tools. Overall, the Executive Director of Clinical Services plays a crucial role in optimizing patient care, ensuring efficient utilization of resources, facilitating interdisciplinary teamwork and care coordination amongst the region care teams, and maintaining compliance with regulatory standards.
AREAS OF RESPONSIBILITY
A successful Director of Nursing will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
- Leadership and Administration: Provide strategic direction and leadership to the regional staff, setting goals, developing policies and procedures, performance management, and ensuring adherence to regulatory standards.
- Develop and implement effective case management policies, procedures, and workflows to optimize patient care, staff productivity, and proactive healthcare practices.
- Oversee the operations of the case management program, including managing patient visit schedules, maximizing provider availability, and ensuring visits are warranted.
- Supervise the Director of Clinical Services, who oversees the care teams consisting of case managers, clinical coordinators, and providers.
- Ensure adequate staffing levels within care teams to meet the needs of patients.
- Contribute to strategic planning and goal setting initiatives for the organization.
- Foster a culture of collaboration, innovation, and continuous improvement within the organization.
- Continuous Improvement: Actively seek opportunities to improve scheduling process and propose innovative solutions to enhance patient outcomes, productivity, and patient satisfaction/experience.
- Utilize the company’s software systems to enhance patient care and staff productivity.
- Care Coordination: Oversee the coordination of patient care and collaborate with physicians, nurses, and other healthcare professionals to develop comprehensive care plans and facilitate effective communication among the care team.
- Monitor and encourage the appropriate utilization of proactive healthcare tools, such as chronic care management, advanced care planning, and various screening methods (e.g., cognitive behavior screening, labs, x-rays).
- Quality Improvement: Implement quality improvement initiatives to enhance patient experience, outcomes, and satisfaction.
- Utilization Management: Oversee utilization review processes to ensure appropriate and efficient use of healthcare resources.
- Training, Supervision, and Staff Development: Provide leadership and support to regional staff, including training, mentoring, oversight, and professional development opportunities.
- Monitor and evaluate the performance of case managers and assess the overall effectiveness of the case management program.
- Provide ongoing training and education opportunities for case managers, clinical coordinators, and providers.
- Customer Service: Provide exceptional customer service to patients, addressing patient concerns, inquiries, and complaints professionally and promptly.
- Collaboration and Coordination: Collaborate with various departments and leadership to facilitate seamless operations.
- Perform other duties as requested or required.
MISSION EXPECTATIONS
- Take responsibility for own work in completing tasks.
- Communicate, endorse, and demonstrate the Company’s mission, vision, and values.
- Prompt and regular attendance.
- Adhere to standards of behavior, dress code, and company policies.
- Attend in-services and meetings on a regular basis.
- Promote a culture of outstanding customer service.
- Must be available during normal work hours; additional hours may be required.
- Must possess the ability to deal tactfully with patients and maintain an open-door policy for all employees.
- Must possess the ability to make independent decisions when circumstances warrant.
WORK ENVIRONMENT
- May be exposed to cleaning agents, humidity, hot equipment, and/or noise.
- May be exposed to infections, communicable diseases, and hazardous materials.
COMPLIANCE WITH POLICIES AND PROCEDURES
- Comply with all federal, state, and local laws and regulations.
- Knowledge of and compliance with Patient’s Bill of Rights.
- Must be knowledgeable of Medicare guidelines and applicable laws.
- Adhere to the Company’s Code of Conduct / Ethics.
- Must exercise a high degree of confidentiality regarding patients and personnel.
- HIPAA compliant.
- Promote a culture of compliance.
PHYSICAL DEMANDS
- Must be able to lift, reach, bend, push, pull, and use repetitive hand motions.
- Must be able to withstand physical demands such as bending, kneeling, and standing for periods of time.
- Must be in good general health and demonstrate emotional stability.
QUALIFICATIONS
- Degree Requirements: bachelor’s degree in healthcare administration/management, social work, nursing, or related field required. Master’s degree preferred.
- Experience Requirements: Minimum of 7 years in case management or related field and a minimum of 3 years in leadership.
- Demonstrated success in developing and implementing case management programs.
- Strong organizational and time management skills.
- Ability to manage and demonstrate effective leadership skills.
- Strong interpersonal and communication skills.
- Ability to foster a cooperative work environment.
- Strong analytical and problem-solving skills.
- Demonstrated commitment to quality improvement and patient-centered care.
- Team player with ability to manage multiple responsibilities.
- Basic computer knowledge.
- Must be able to work flexible hours and travel between offices.
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