Regional Clinical Performance Advisor (RN)

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.

JOB RESPONSIBILITIES:

Clinical Services Management

• Work in collaboration with assigned facilitys Medical Director (both Emergency Medicine and Hospital Medicine) to deliver positive clinical operations outcomes which includes but not limited to LWOTs Door to Provider Time Admitted LOS etc.
• Facilitate Operational Assessments to identify opportunities for improvements and develop and establish action plans.
• Facilitate alignment of EM/HM/ICU programs to achieve shared goals.
• Accountable for resolution of patient complaints and address patient complaints that come directly to the RCPA.
• Responsible for patient satisfaction in coordination with each assigned facilitys Medical Director
• Provide guidance to clients regarding nurse staffing triage patient flow through put times fast tracks and any other types of alternatives to acute care areas.
• Identify needs and collaborate with EM/HM/CC Medical Leadership Client Administrative Teams Quality Clinical Documentation Improvement Specialist (CDIS) Risk Management Education and Hospital Medicine Partners (VPCO of HM HPM and HPS).
• Develop and maintain systems to monitor and comply with client efficiency/performance indicators/goals (Quality Patient Experience Throughput metrics Documentation).
• Assist clients with compliance with 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).
• Maintain moderate to high level of knowledge regarding Compliance Standards (EMTALA Rules and Regulations Stark Law).
• Maintain functional knowledge of IM Bills and collaborate with EMBCC for billing concerns.
• Maintain moderate to high levels of knowledge regarding Emergency Medicine and Hospital Medicine standards of care.
• Maintain moderate to high levels of functional knowledge regarding Emergency Medicine and Hospital Medicine Practice.
• Support implementation of new services including but not limited to tele-triage or tele-nocturnist programs.

Business Relationship Management

• Work in collaboration with EM HM and Critical Care Medical Directors to execute facility commitments in order to deliver world class service that exceeds client and patient expectations.

• Develop and maintain highly effective partnerships with all clients providers and nursing staff in order to meet the goals of our business partners.
  In conjunction with the Division Medical Officer (DMO) and Division Operating Office (DOO) accountable for practice management development growth and sustainability of the facilities assigned.

• Oversight and accountability for facility performance and meeting SCP established Corporate and Operational Goals.
• Maintain awareness of the facilitys financial performance and consult on financial performance accounts receivable (past dues) client invoicing management managed care non-par/par status usual and customary rate protections facility budget and provider market rate assessment.
• Attention to and participation in Hospital process improvement initiatives among facility assignments and in support of colleagues.
• Establishment of shared goals with clinicians and Hospital client representatives.
• Proactive in all problem avoidance initiatives.
• Participate in special events involving our clients.
• Attention to and cooperation with client and SCP process improvement initiatives.
• Maintain moderate to high level of knowledge regarding scribe efficiency and return on investment.
• Maintain functional knowledge of financial models of engagement value-based purchasing impact on performance managed care contracting strategy fee schedule status and related concepts UCR protections managed care non-par or par status implications SCP facility contracting standards and practices Medicaid expansion healthcare exchanges primary care parity and medical malpractice limits.
• Facilitate the establishment and execution of client action plans.
• Provide reports to clients and providers.
• Coordinate FOR/MOR/QBRs with DMO DOO and Regional NP/PA Director.

Provider Engagement and Staffing

• Participate in provider interviews as requested.
• Accountable for fostering a positive provider experience which influences provider engagement and retention within the designated territory in collaboration with Medical Director DMO DOO Regional NPPA Director Lead APP and Directors of Recruiting Scheduling and Credentialing.
• Provide RSC direction and collaboration with GMO GOO and Staffing Ops to ensure appropriate staffing of assigned facilities within territory.
• Accountable for provider satisfaction in conjunction with Medical Director and SCP Leadership.
• Ensure compliance with facility and SCP orientation processes.
• Assist with SCP facility orientation and training of new Medical Directors.

• Assist Medical Directors in orienting their physicians to SCP the practice and any other Medical Director functions. Maintain moderate to high level of knowledge of provider payroll processes provider status types HR workplace regulations.

• Maintain functional knowledge of legal and regulatory issues governing w2 labor and use of social media for recruiting.
• Provide input for Dynamic Scheduling.

Billing and Coding

• Work in collaboration with CDIS and Medical Director (both EM and HM) 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.

Knowledge Skills and Abilities

• Advanced knowledge of hospital operations
• Excellent verbal and written communication skills.
• Must be able to set priorities and demonstrate sound judgment in handling problems.
• Must be extremely organized and demonstrate exceptional time management skills.

• Knowledge of key quality metrics for clinicians and hospitals

• Knowledge of patient experience initiatives
• Knowledge of concepts as identified under responsibilities in this job description excluding SCP specific programs (training will be provided)

EDUCATION:

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

FIELD OF STUDY:

• Nursing
  

WORK EXPERIENCE/QUALIFICATIONS:

• 8 years of applicable experience in client services role.
• Minimum of five (5) years experience as an RN NP or PA in Emergency Medicine Hospital Medicine or Critical Care Medicine.
  

CERTIFICATES AND LICENSES:

• RN NP or PA required
  

TRAVEL REQUIREMENTS

• Regular travel to facility sites and corporate offices (Can be weekly travel to TX & LA)

JOB LOCATION:

• SCP Home-based (Preference of candidate based in Texas or Louisiana)