Clinical Manager - Allegheny Center for Digestive Health - Allegheny Center - Full Time

Highmark Health

$75K — $95K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience/education
  • Current PA RN licensure or multi-state licensure
  • BSN required in Oncology settings
  • Knowledge of medical terminology, insurance theory, ICD-9, and CPT coding

Responsibilities

  • Manage clinical professional services for designated sites
  • Oversee daily operations and office functions
  • Supervise staff, resolve issues, and implement disciplinary actions
  • Conduct interviews, hiring, training, and performance evaluations
  • Monitor financial metrics including staff hours and budget
  • Review reconciliation of collected and deposited funds
  • Address patient satisfaction issues and complaints
  • Implement and coordinate performance improvement programs
  • Collaborate with physicians and leadership to achieve goals
  • Ensure compliance with all regulatory requirements
  • Participate in budget preparation for clinical activities
  • Establish policies and procedures for patient care

Benefits

  • Flexible scheduling options
  • Professional development opportunities
  • Health and wellness programs
  • Supportive work environment
  • Collaborative team atmosphere
Full Job Description
GENERAL OVERVIEW:

Manages the daily operations related to clinical activities for designated sites.

ESSENTIAL RESPONSIBILITIES:
  • Responsible for the clinical professional services for designated sites.
  • Manage the day-to-day operations and office functions.
  • Supervises staff, resolves problems and implements approved disciplinary action.
  • Interviews, hires, trains and conducts performance evaluations.
  • Manages and monitors key financial and revenue cycle metrics including staff hours, resource allocation, expense budget, patient volumes and the revenue cycle process.
  • Provides primary (or secondary) review of reconciliation of monies being collected and deposited.
  • Responsible for monitoring patient satisfaction reports, identifying variances from standard, addressing and resolving patient complaints.
  • Responsible for quality and performance improvement by monitoring metrics and addressing deficiencies.
  • Implements and coordinates practice performance improvement programs.
  • Perform clinical duties necessary to support site.
  • Works collaboratively with physicians, leadership and health professionals to accomplish organization and practice goals.
  • Ensures compliance with all regulatory requirements.
  • Participates in budget preparation for clinical and operational activities.
  • Establishes policies and procedures related to patient care.


QUALIFICATIONS

Minimum
  • Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
  • Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)
  • Bachelors of Science in Nursing required if working in an Oncology setting.
  • Knowledge of medical terminology, insurance theory and ICD-9, and CPT coding required.


Preferred
  • Master's degree in nursing or related health care field preferred.
  • Professional certification in area of nursing expertise preferred.
  • 1-3 years supervisory experience preferred.


Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

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