Address
Form of workShift: Full time, Days, Rotating Weekends, 40 hrs/week
1. Oversees the daily operations of the assigned site(s) including the management of reception functions- scheduling patient appointments, facilitating the referral process, insurance verification, medical records administration and compliance with all billing protocols. Oversight of all clinical staff related activities in conjunction with Clinical Supervisor ( if applicable) and Physicians. Determines staffing levels based on patient care needs, patient flow, procedures scheduled, staff skills mix, clinic needs, customer satisfaction and productivity benchmarks. Develops a staffing schedule for provision of care within the budget established for the practice.
2. Achieves quality patient outcomes by managing day-to-day care coordination and clinical management activities. Models and facilitates collaboration among the interdisciplinary team, i.e., physician, therapies, clinical nurse specialists, utilization coordinators, and other departments. Collaborates with interdisciplinary team to identify and resolve issues that impact team performance and the delivery of patient care services. Communicates and collaborates with others to provide continuous, smooth transition of care and day-to-day operations. Coordinates patient plan of care, based on area of service and role expectations, to assure interventions are consistent, safe, timely and appropriate. Assesses continuity of care and evaluates coordination of interventions by the interdisciplinary team to ensure consistency and compliance within the plan of care recommendations.
3. Develops and demonstrates expertise with the EMR system. In conjunction with the Physicians develops and optimizes physician templates for appropriate patient scheduling. Coordinates effective use of the building and rooms for maximum patient throughput. Monitors and manages telephone systems and staff response times. Completes monthly operational dashboard for identification and execution of operational improvements. Supports and executes policies and procedures.
4. Establishes strong leadership and credibility at the site(s) by modeling behaviors that demonstrate service excellence to build a partnership between staff, physicians, patients and their families and ancillary NCH departments. Facilitates cooperative working relations ship between site staff, Physicians, all other Medical Group and ancillary Northwest Community Healthcare departments. Collaborates with the Director, Physicians and site staff, using open dialogue to identify and resolve customer service issues and complaints through the use of appropriate communication techniques. Responsible for optimizing staff roles and productivity to meet all site performance expectations and patient experience goals.
5. Oversees management of the site(s) financial and capital budget administration. Assists in the development of the annual site(s) budget. Evaluates, specifies and recommends equipment for the site(s). Manages site's ongoing financial performance, reviews financial reports, identifies variances and analyzes trends, and formulates corrective action plans in collaboration with the Director, Physicians and staff to optimize site success. Works with Revenue Cycle and the billing office through workflows to maximize billing turnaround and accuracy. Routes billing questions to the appropriate department and handles patients concerns utilizing established workflows. Provides assistance and direction to staff on managed care program requirements.
6. Interacts with and contributes to professional development of peers and other health care providers as colleagues. Shares knowledge and provides feedback to contribute to an environment supportive of clinical education. Assigns or delegates tasks as defined by State Practice Act according to knowledge and skills of designated caregiver. Collaborates with physicians, care management and interdisciplinary team using open dialogue for the provision of patient care.
7. Involved with NCH MG new hire processes. Interviews, hires, orients, provide ongoing education, coaching and discipline when necessary for subordinate team members. Relays performance expectations for all staff and regularly evaluates the performance of the team in accordance with NCH performance management system. Collaborates with Clinical Supervisor ( if applicable), physicians and leadership to develop accurate performance measures.
8. Supports development of team member's knowledge and skills through regular feedback, recognition of positive accomplishments and coaching opportunities. Conducts regularly scheduled physician and staff meetings and effectively communicates changes in policies, procedures and operations in a timely manner. Participates in leadership development by attending Leadership Training programs and coordinating and leading Managers team meetings when applicable.
9. Responsible for oversight of patient electronic medical record (EMR) documentation. Reviews clinical documentation for completeness and accuracy.
10. Demonstrates the knowledge and skills necessary to assess, treat, and provide care appropriate to the age(s) of the patients served. Maintains clinical competencies as established by areas of practice.
11. Under the guidance of the Directors assists in developing strategic operational goals, initiatives and programs that are aligned with the Medical Group, hospital objectives and business development plans. Reviews various quality and productivity related management reports to monitor operational performance on an ongoing basis. Analyzes data regularly, identifies potential problem areas, and actively supports site (s) and Medical group performance improvement activities. Implements and monitors clinical and service related quality control activities. Seeks out creative solutions to identify areas to foster quality improvement and patient satisfaction. Assists with proactive interdepartmental problem solving and policy development.
12. Delegates and oversees activities of staff assigned to functions in coordination with QI efforts and the QI Coordinator for the site.
13. Demonstrates knowledge and understanding of patient privacy rights and maintains confidentiality of all medical, financial and other sensitive materials in printed, verbal or electronic form.
14. Adheres to all Northwest Community Hospital standards, policies, and procedures.
Qualifications
1. Successful completion of an Associate’s degree, diploma, or BSN from an accredited school of nursing.
The level of knowledge normally obtained through the completion of a Bachelor’s degree in a business-related or health administration field. Bachelor’s degree in business or healthcare administration strongly preferred.
2. Knowledge of managed care models financial reimbursement systems, clinical case management processes and utilization management issues required.
3. Current licensure to practice nursing in the State of Illinois.
4. Minimum of 3 years recent staff nurse experience preferably in an outpatient or ambulatory care setting.
5. Minimum of 3 years recent experience required working in a physician’s office, or healthcare /managed care related operations or similar environment, with an emphasis on operational oversight of registration processes, reimbursement and customer service preferably at a management level.
6. Minimum 1 year recent management experience with emphasis on Healthcare.
7. Current CPR certification from American Health Association.
8. Proficiency using a personal computer to create and manage documents, reports and presentations in Microsoft Word, Excel, and Power point is required.
9. The interpersonal skills necessary to interact effectively with all levels of staff, physicians, external contacts and patients.
10. The verbal and written skills necessary to prepare, develop and present information in a clear and concise manner.
11. The leadership skills necessary to delegate appropriately and direct the activity in provision of patient care and to effectively motivate and maximize staff performance.
12. The mathematical and business analysis skills necessary to research topics and regulations, collect, analyze, interpret and audit financial data, federal regulations, define problems, draw valid conclusions and make meaningful recommendations.
13. The organizational skills necessary to effectively develop and implement new processes and procedures.
PHYSICAL REQUIREMENTS:
1. Requires light physical effort. May require periods of standing or walking. May require frequent lifting or moving of lightweight material, occasional moving of average weight items, and rare lift of heavy weight material. (Most materials would be related to paper goods.)
2. The flow of work and character of duties involves normal mental and visual attention much or all of the time.
WORKING CONDITIONS: (Describe any unfavorable working conditions or hazards.)
1. Conditions are acceptable. At least one disagreeable element or hazard is frequently present in the environment, i.e. infectious disease, while several disagreeable elements of hazards are occasionally present.
About Northwest Community Healthcare
In January 2021, Northwest Community Healthcare (NCH) joined NorthShore University HealthSystem, which is now NorthShore – Edward-Elmhurst Health. The NCH Arlington Heights campus features a 509-bed hospital with a Level II Trauma Center, Level III Neonatal Intensive Care Unit and a dedicated pediatric acute care center. Throughout the northwest suburbs, NCH has 23 doctor’s offices; five immediate care centers; seven physical rehabilitation sites; and 13 lab locations.
NorthShore – Edward-Elmhurst Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit NorthShore.org , SwedishCovenant.org , NCH.org and EEHealth.org .
1. Oversees the daily operations of the assigned site(s) including the management of reception functions- scheduling patient appointments, facilitating the referral process, insurance verification, medical records administration and compliance with all billing protocols. Oversight of all clinical staff related activities in conjunction with Clinical Supervisor ( if applicable) and Physicians. Determines staffing levels based on patient care needs, patient flow, procedures scheduled, staff skills mix, clinic needs, customer satisfaction and productivity benchmarks. Develops a staffing schedule for provision of care within the budget established for the practice.
2. Achieves quality patient outcomes by managing day-to-day care coordination and clinical management activities. Models and facilitates collaboration among the interdisciplinary team, i.e., physician, therapies, clinical nurse specialists, utilization coordinators, and other departments. Collaborates with interdisciplinary team to identify and resolve issues that impact team performance and the delivery of patient care services. Communicates and collaborates with others to provide continuous, smooth transition of care and day-to-day operations. Coordinates patient plan of care, based on area of service and role expectations, to assure interventions are consistent, safe, timely and appropriate. Assesses continuity of care and evaluates coordination of interventions by the interdisciplinary team to ensure consistency and compliance within the plan of care recommendations.
3. Develops and demonstrates expertise with the EMR system. In conjunction with the Physicians develops and optimizes physician templates for appropriate patient scheduling. Coordinates effective use of the building and rooms for maximum patient throughput. Monitors and manages telephone systems and staff response times. Completes monthly operational dashboard for identification and execution of operational improvements. Supports and executes policies and procedures.
4. Establishes strong leadership and credibility at the site(s) by modeling behaviors that demonstrate service excellence to build a partnership between staff, physicians, patients and their families and ancillary NCH departments. Facilitates cooperative working relations ship between site staff, Physicians, all other Medical Group and ancillary Northwest Community Healthcare departments. Collaborates with the Director, Physicians and site staff, using open dialogue to identify and resolve customer service issues and complaints through the use of appropriate communication techniques. Responsible for optimizing staff roles and productivity to meet all site performance expectations and patient experience goals.
5. Oversees management of the site(s) financial and capital budget administration. Assists in the development of the annual site(s) budget. Evaluates, specifies and recommends equipment for the site(s). Manages site's ongoing financial performance, reviews financial reports, identifies variances and analyzes trends, and formulates corrective action plans in collaboration with the Director, Physicians and staff to optimize site success. Works with Revenue Cycle and the billing office through workflows to maximize billing turnaround and accuracy. Routes billing questions to the appropriate department and handles patients concerns utilizing established workflows. Provides assistance and direction to staff on managed care program requirements.
6. Interacts with and contributes to professional development of peers and other health care providers as colleagues. Shares knowledge and provides feedback to contribute to an environment supportive of clinical education. Assigns or delegates tasks as defined by State Practice Act according to knowledge and skills of designated caregiver. Collaborates with physicians, care management and interdisciplinary team using open dialogue for the provision of patient care.
7. Involved with NCH MG new hire processes. Interviews, hires, orients, provide ongoing education, coaching and discipline when necessary for subordinate team members. Relays performance expectations for all staff and regularly evaluates the performance of the team in accordance with NCH performance management system. Collaborates with Clinical Supervisor ( if applicable), physicians and leadership to develop accurate performance measures.
8. Supports development of team member's knowledge and skills through regular feedback, recognition of positive accomplishments and coaching opportunities. Conducts regularly scheduled physician and staff meetings and effectively communicates changes in policies, procedures and operations in a timely manner. Participates in leadership development by attending Leadership Training programs and coordinating and leading Managers team meetings when applicable.
9. Responsible for oversight of patient electronic medical record (EMR) documentation. Reviews clinical documentation for completeness and accuracy.
10. Demonstrates the knowledge and skills necessary to assess, treat, and provide care appropriate to the age(s) of the patients served. Maintains clinical competencies as established by areas of practice.
11. Under the guidance of the Directors assists in developing strategic operational goals, initiatives and programs that are aligned with the Medical Group, hospital objectives and business development plans. Reviews various quality and productivity related management reports to monitor operational performance on an ongoing basis. Analyzes data regularly, identifies potential problem areas, and actively supports site (s) and Medical group performance improvement activities. Implements and monitors clinical and service related quality control activities. Seeks out creative solutions to identify areas to foster quality improvement and patient satisfaction. Assists with proactive interdepartmental problem solving and policy development.
12. Delegates and oversees activities of staff assigned to functions in coordination with QI efforts and the QI Coordinator for the site.
13. Demonstrates knowledge and understanding of patient privacy rights and maintains confidentiality of all medical, financial and other sensitive materials in printed, verbal or electronic form.
14. Adheres to all Northwest Community Hospital standards, policies, and procedures.
Qualifications
1. Successful completion of an Associate’s degree, diploma, or BSN from an accredited school of nursing.
The level of knowledge normally obtained through the completion of a Bachelor’s degree in a business-related or health administration field. Bachelor’s degree in business or healthcare administration strongly preferred.
2. Knowledge of managed care models financial reimbursement systems, clinical case management processes and utilization management issues required.
3. Current licensure to practice nursing in the State of Illinois.
4. Minimum of 3 years recent staff nurse experience preferably in an outpatient or ambulatory care setting.
5. Minimum of 3 years recent experience required working in a physician’s office, or healthcare /managed care related operations or similar environment, with an emphasis on operational oversight of registration processes, reimbursement and customer service preferably at a management level.
6. Minimum 1 year recent management experience with emphasis on Healthcare.
7. Current CPR certification from American Health Association.
8. Proficiency using a personal computer to create and manage documents, reports and presentations in Microsoft Word, Excel, and Power point is required.
9. The interpersonal skills necessary to interact effectively with all levels of staff, physicians, external contacts and patients.
10. The verbal and written skills necessary to prepare, develop and present information in a clear and concise manner.
11. The leadership skills necessary to delegate appropriately and direct the activity in provision of patient care and to effectively motivate and maximize staff performance.
12. The mathematical and business analysis skills necessary to research topics and regulations, collect, analyze, interpret and audit financial data, federal regulations, define problems, draw valid conclusions and make meaningful recommendations.
13. The organizational skills necessary to effectively develop and implement new processes and procedures.
PHYSICAL REQUIREMENTS:
1. Requires light physical effort. May require periods of standing or walking. May require frequent lifting or moving of lightweight material, occasional moving of average weight items, and rare lift of heavy weight material. (Most materials would be related to paper goods.)
2. The flow of work and character of duties involves normal mental and visual attention much or all of the time.
WORKING CONDITIONS: (Describe any unfavorable working conditions or hazards.)
1. Conditions are acceptable. At least one disagreeable element or hazard is frequently present in the environment, i.e. infectious disease, while several disagreeable elements of hazards are occasionally present.
About Northwest Community Healthcare
In January 2021, Northwest Community Healthcare (NCH) joined NorthShore University HealthSystem, which is now NorthShore – Edward-Elmhurst Health. The NCH Arlington Heights campus features a 509-bed hospital with a Level II Trauma Center, Level III Neonatal Intensive Care Unit and a dedicated pediatric acute care center. Throughout the northwest suburbs, NCH has 23 doctor’s offices; five immediate care centers; seven physical rehabilitation sites; and 13 lab locations.
NorthShore – Edward-Elmhurst Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit NorthShore.org , SwedishCovenant.org , NCH.org and EEHealth.org .
