Working in conjunction with the Administrative Director of Nursing and the VP of Patient Services, the Director of PRSC provides planning, direction, organization and leadership in the delivery of services within the department. Acts as a liaison between other hospital departments and the medical staff to assure effective communication in the planning of quality patient care. Practices within the framework of the nursing process, hospital and department policies and procedures, the Wyoming Nurse Practice Act and AORN Standards.Provides leadership, direction and administration of all Powder River Surgery Center�s activities to insure accomplishment of the organization�s goals and objectives.
PRIMARY JOB DUTIES
Informs the VP of Patient services about current trends, problems, and activities in the medical field to facilitate policy making.
Recommends policy positions regarding administrative and legislative matters.
Participates and coordinates selection and training of new management team members.
Coordinates, with the, Medical Staff and other center personnel, the monitoring of activities to ensure fulfillment of the community's needs for quality health care. Coordinates the marketing plan and public relations programs.
Coordinates the long range financial development and management of the center.
Prepare monthly financials, for management purposes only to CCH�s accounting department.
Coordinates the provision of health care services by the acquisition, utilization, retention and organization of resources (human, financial and physical). Develops improved management techniques and practices.
Coordinates, with members of the management team, compliance with all regulatory agencies governing health care delivery and the rules of accrediting bodies. Continually monitors operations, programs, physical properties. Initiates appropriate changes.
Coordinates, with members of the management team, the center�s philosophy and objectives related to staff performance standards, policies and procedures, job classifications, and compliance with government regulations.
Coordinates, with other members of the management team, resolution of any medical� or administrative problems and keeps lines of communication open with staff to ensure high employee morale and a professional, healthy atmosphere.
Enhances professional growth and development to keep current in the latest trends in surgery center administration.
Maintains strictest confidentiality.
Ensures communication between staff, management and shareholders.
Maintains facility State, CLIA, and DEA licensure
Oversee the operations of the business office:
Maintains facility fee schedule
Accounts payable management
Manage business office staff
Manage clinical staff
Oversee accurate and proper posting of payments and adjustments to accounts
Conduct monthly EOB audits
Quarterly chart audits to ensure PRSC is compliant with HCFA, state and federal regulations
Ensure the center is compliant with all HIPAA regulations
Management of medical records
Oversee verification of medical benefits in a timely fashion
Management of Accounts Receivable
Ensure proper methods of receiving, recording and deposit of patient and other receipts
Enforce for enforcing proper internal controls required for cash management
Processing and reconciling the month end reports including but not limited to billing, payments, clinical logs and patient cost sheets.
Security of computer system and software updates
Assumes responsibility in the absence of the coder, patient account rep and receptionist.
Evaluates ongoing patient care and reports significant patient problems to other members of management team.
Serves as resources and role model for clinical staff.
Medical record review
Adverse drug log: Adverse drug reaction is defined as and undesired side effect or toxicity caused by the administration of drug.
Patient satisfaction data review
Patient complaint log
Unplanned transfer log
Pathology specimen log
Quality improvement studies for both business office and clinical
Potential claim log
Risk management review
Prepare and present comprehensive reports
Develops ways to enhance utilization methodology to measure and continually improve customer/patient satisfaction
Ensure that all clinical processes meet and/or exceed all regulatory agency guidelines (AAAHC and CMS)
Infection control officer
Oversee safety officer
Working conditions: protect staff against occupational exposure
Policies in place for Universal precautions
Update and maintain all forms
Department of PRSC meetings;
Maintain all physicians and allied professionals credentialing
Present QIC minutes and recommendations
Maintain meeting minutes
Responsible for all mandatory year in-services
Human resource management:
Ensures licensure and certifications are up to date
Develops and promotes cross training staff
Responsible for recruiting, interviewing, hiring, training, orientating and Counseling staff
Employee evaluations (6 month and annual)
As part of administrative management team, plans, recommends, initiates, implements and evaluates new initiatives.
With the Department Chair, coordinates and maintains development and maintenance of all activities related to clinical recordkeeping. Assigns responsibility for maintenance of a medical records systems which insures:
a unique identification of each patient�s records
timely retrieval of individual records upon request
supervision of the collection, processing, maintenance, storage, retrieval, and distribution of records
Maintenance of a pre-determined secured and organized record format.
Assume responsibility in the absence of pre-op, post op, circulating nurse or scrub tech.
Willing to perform other duties as needed to meet organizational goals and objectives.
Responsible for the management of Accounts Receivable.
Responsible for ensuring the proper methods of receiving, recording and deposit of patient and other receipts. The Director of PRSC will be responsible for enforcing the internal controls required for cash management.
Responsible for maintaining the petty cash. The Director of PRSC will be custodian of the petty cash; and, will be responsible for its proper use.
Responsible for the processing and reconciling the month end reports. The Director of PRSC will be responsible for ensuring the completeness of billing, payments, clinical logs and patient cost sheets.
Director of PRSC is responsible for completing the monthly board financial packet and forwarding it to the centers accountant for approval.
Must be free from governmental sanctions involving health care and/or financial practices.
Complies with the hospital�s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.
Performs other duties as assigned.
Knowledge of the principles and practices of health care planning and management sufficient to lead a management team in the coordination of operations for a health care organization.
Knowledge of the policies and procedures of the surgery center sufficient to direct its operations and to provide effective patient care.
Knowledge of computer programs and applications.
Ability to exercise a high degree of initiative, judgment, discretion and decision making to achieve organizational objectives.
Ability to analyze situations accurately and take effective action.
Ability to establish and maintain effective working relationships with employees, policy-making bodies, third party payers, patients and the public.
Ability to exercise judgment and discretion in developing, applying, interpreting and coordinating policies and procedures, including quality issues.
Ability to prepare and present comprehensive reports.