EM Clinical Performance Manager

At SCP Health what you do matters

As part of the SCP Health team you have an opportunity to make a difference. At our core we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients 7500 providers 30 states and 400 healthcare facilities SCP Health is a leader in clinical practice management spanning the entire continuum of care including emergency medicine hospital medicine wellness telemedicine intensive care and ambulatory care.

Why you will love working here:

- Strong track record of providing excellent work/life balance.

- Comprehensive benefits package and competitive compensation.

- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration courage agility and respect.

RESPONSIBILIITES:

Clinical Services Management

• Work in collaboration with the assigned facility Medical Director to deliver positive clinical operations outcomes including but not limited to: LWOTs Door to Provider Time Admitted LOS (length of stay) etc.
• Facilitate Operational Assessments to identify opportunities for improvements create and execute action planning.
• Accountable for resolution of provider-related patient complaints
• Responsible for patient satisfaction in coordination with each assigned facilitys Medical Director
• Provide guidance and communication to clients regarding nursing staffing triage patient flow throughput times fast tracks and different alternatives or options to acute care areas.
• Identify client needs and collaborate with Medical Leadership Client Administrative Teams Quality Clinical Documentation Improvement Specialist (CDIS) Risk Management Education and Client Services Vice President to create and execute action planning to solve for.
• Develop and maintain systems to monitor and comply with client efficiency/performance indicators/goals (Quality Patient Experience Throughput metrics Documentation).
• Assist clients to meet compliance measures regarding current Standards and Competency issues JCAHO/DNV assessment and preparation and Policy/Procedure development and reviews.
• Maintain moderate to high level of knowledge regarding Clinical Quality (MIPS Sepsis Throughput measures) and Compliance Standards (EMTALA Rules and Regulations Stark Law).
• Collaborate with EMBCC regarding billing concerns.
• Maintain moderate to high level of functional knowledge regarding Emergency Medicine and Hospital Medicine standards of care.

Business Relationship Management

• Actively partner with the Emergency Medicine Medical Director to ensure seamless implementation of facility commitments consistently delivering exceptional patient care that surpasses client and patient expectations.
• Develop and maintain partnerships with clients providers and nursing staff to meet the goals of our business partners.
• Responsible foroverseeing the day-to-day operations expansion and long-term viability of assigned healthcare facilities working closely with the Regional Medical Officer (RMO) Vice President of Operations (VPO) and Client Services Vice President (CSVP) to achieve these goals.
• Oversight and accountability for facility performance and meeting SCP established Corporate and Operational Goals.
• Attention to and participation in Hospital process improvement initiatives among facility assignment and in support of colleagues.
• Heavy involvement resolving patient complaints.
• Proactiverisk management by identifying and mitigating problems and risks before they occur.
• Participate in special events involving our clients.
• Generate and provide integral timely and analytical performance reporting for clients and providers.
• Coordinate meeting agendas with RMO VPO CSVP Regional NPPA Director Medical Director and clients.
• Provide daily and monthly patient and provider statistical data reporting to Medical Director.

Provider Engagement and Staffing

• Participate in provider interviews as requested.
• In collaboration with Medical Director RMO VPO Regional CSVP NPPA Director Lead APP and Directors of Recruiting Scheduling and Credentialing foster a positive provider engagement and satisfaction to increase retention within a designated territory.
• Ensure compliance procedures and guidelines within the facility in conjunction with SCP orientation processes are followed.
• Assist and support SCP facility orientation and training of new Medical Directors.
• Assist and support Medical Directors in orienting their providers to SCP the practice and any other Medical Director related functions to include development of Orientation Manuals and Introduction Flyers for new providers.
• Maintain moderate to high level of knowledge of provider payroll processes provider status types HR workplace regulations.
• Coach and guide providers where necessary.
• Coordinate completion of provider schedules at least 60 days in advance.

Billing and Coding

• Work in collaboration with CDIS and Medical Director to ensure provider documentation compliance.
• Maintain contact with SCP Billing/EMBCC management representatives.
• Maintain functional level of knowledge of patient billing and collection process coding ADT fees Hospital quality-based payment initiatives and hospital payment methodologies.

QUALIFICATIONS:

Knowledge Skills and Abilities:

• Business Development: The ability to anticipate the needs of our internal and external partners make recommendations and be responsive.
• Communication:The ability to effectively and consistently communicate both verbally and in writing in clinical and non-clinical environments.
• Change Capable:The ability to inspire others to navigate and progress through change by providing vision the why and feedback mechanisms.
• Critical Thinking: The ability to be proactive; anticipate needs; evaluate incomplete ambiguous information using good judgement to make decisions.
• Executive Presence:The ability to inspire confidence and be a courageous leader others want to follow. Set a personal example of optimism poise partnership and professionalism.
• Negotiating:Reach consensus through credibility and collaborative partnerships.
• Relationship Building:The ability to create and maintain strong and effective relationships among hospital partners dyad/triad partners and team members at all levels (C-Suite Sound and Team).
• Teamwork:The ability to collaborate pull people together into highly effective teams.
• Knowledge of relevant state and federal healthcare regulations.
• Intermediate knowledge of healthcare informatics including clinical quality measures.
• Experience working in a matrixed organization.
• Understanding of financial and budgeting processes and principles.
• Intermediate Microsoft Office proficiency (i.e. Outlook Excel and PowerPoint)
• Builds strategic alliances and partnerships within the organization to collaboratively execute business strategies.

EDUCATION:

• Bachelor of Science in Nursing or healthcare relevant field
• Masters Degree preferred

FIELD OF STUDY:

• Nursing
  

WORK EXPERIENCE/QUALIFICATIONS:

• 5 years of experience working in a clinical setting (emergency medicine preferred) directly liaising with clinicians and clients to manage processes.
• Must have critical thinking and healthcare analytics experience.
• Ability to work both independently and as part of a team with minimal supervision.
• Experience with hospital-based and outpatient clinical quality measures strategies and reporting.
• Experience with process optimization problem solving strategic and analytic skills.
• Experience working with cross-functional teams organizing and managing multiple priorities and projects.
• Proficient or advanced skills in Word Excel PowerPoint Outlook virtual communication platforms and data warehouse/large data analysis
• Effective oral and written communication skills and proficiency in basic computer skills required.
• Working knowledge of staff development and the educational process quality improvement continuous process/performance improvement methodology preferred.
• Demonstrated ability to plan coordinate and evaluate Quality Assurance (QA) and Performance Improvement (PI) activities preferred.
  

CERTIFICATES AND LICENSES:

• RN required

PRIMARY LOCATION:

• Assigned facility