"Clinical Practice Manager"

Overview

Reporting to the Director of the Yale Hemophilia Treatment Center, the Clinical Practice Manager oversees the coordination, organization, and day-to-day operation of our multi-faceted clinic. The Clinical Practice Manager monitors all program activities with an emphasis on ensuring seamless patient care, managing external partnerships, and serving as the primary point of contact for communication related to the HTC factor drug program among internal and external partners. The manager is responsible for daily operations of the HTC clinics, satellite offices, and applicable laboratories. This role develops, implements, and evaluates programs, systems, policies, and procedures to ensure the highest quality of patient care and satisfaction through operational efficiency, optimal staff utilization, and timely, accurate billing. The manager collaborates closely with the IBO Business Office and the external billing company to ensure claims are processed accurately and promptly. Additionally, the Clinical Practice Manager proactively identifies and communicates the status of the HTC factor program, including potential issues and risks. The role leads clinical team meetings, sets agendas, and develops, maintains, and implements management tools that support both clinical and administrative aspects of the HTC factor program.

Required Skills and Abilities

1. Demonstrated practice management background with proven expertise. Excellent communication skills, both verbally and in writing. Ability to interact positively and effectively within all levels of the organization. Capable of operating autonomously with minimal direction.
2. Ability to make reasonable & difficult decisions while under pressure that will stand up to retrospective scrutiny, combined w/ability to stay cool under pressure. Strong leadership capabilities w/ the ability to manage multi-initiatives in response to continuously & rapidly changing priorities.
3. Ability to think strategically & to see the bigger picture to establish objectives relevant to the clinical practice mission. Ability to assist in long-range planning for department needs. Ability to be a decisive, hands-on team player. Results and detail-oriented with proven organizational skills.
4. Solid ability with EHRs/EMRs, preferably Epic and Reporting/Data Management. Strong computer skills including proficiency with all Microsoft products. Thorough working knowledge of patient scheduling for either a clinic/or operation.
5. Ability to work within an organizational hierarchy, particularly an academic medical center. Ability to develop policies and procedures to improve department function. Ability to identify areas of concern in regards to workflow and ensure it is organized and staffed for quality efficiency.

Preferred Skills and Abilities

Bachelor of Science in Nursing and a minimum of 3 years experience. 7 years managerial/supervisory experience in a health care patient billing and insurance follow up activities environment; or an equivalent combination of education and experience.

Principal Responsibilities

1. Evaluates the effectiveness of operational procedures and makes immediate changes to facilitate the highest level of patient service and efficiency. Identifies issues that impede delivery of quality patient care; develops and implements short-term improvements and plans for long term process improvements. Partners with members of the leadership team to develop long term objectives for the practice related to productivity, compliance, communication and patient satisfaction.
2. Monitors and analyzes monthly productivity statistics and key financial indicators to assess accuracy and effectiveness of processes, and identifies trends or items requiring immediate corrective action. Reviews physician productivity and billing data regularly. Provides comprehensive detailed summary of findings to faculty including approaches to enhance efficiencies and overall reimbursement of clinical services.
3. Monitors and enforces compliance with YMA Policies and Procedures, Practice Standards, HIPAA regulations and Billing Compliance standards throughout all operational activities. Develops budgetary forecasts and profit and loss statements for the practice. Oversees the monitoring and enforcing of customer service standards for staff members addressing deficiencies. Resolves complicated billing, collections, and patient service issues by interfacing with YNHH, YMA management, faculty and other clinical Practice managers. Interfaces with YNHH and YMA Group-Patient Financial Services regarding clinician credentialing.
4. Oversees clinical practice operations of section by ensuring appropriate training, ongoing education, and monitoring of day-to-day activities. Works with the clinical leadership and other key departmental clinical/administrative staff on matters relating to practice performance and clinical issues in accordance with budget, goals and benchmarks. Provides leadership and direction to clinical staff where appropriate.
5. Researches and develops proposals for internal and external program initiatives and new clinical opportunities and advises leadership on the financial impact of new projects or initiatives. Prepares special analyses, reports and complex financial modeling to support the decision-making process. Negotiates contracts for consulting, physician leasing, affiliated hospital agreements and all other clinical agreements and managed care contracts. Analyzes proposals and determines cost, benefits, risks and liabilities.
6. Manages implementation of electronic medical record within the Practice. Streamlines communications between EMR team, physicians, and clinical staff. Establishes, implements and monitors medical record protocols and procedures. Ensures office compliance with Federal/state/local regulations.
7. Develops multifaceted communications via print, web and video to optimize and support the section’s mission to provide compassionate, state-of-the-art medical care for enhanced patient outcomes. Monitors patient satisfaction through surveys and other feedback plan responses to improve performance based on section specific goals. Recognizing the key drivers for marketing and communicating the mission and goals of the practice, develops and organizes initiatives for enhancing physician relations, customer satisfaction, community involvement, advertising and public relations. Ensures that all media is in compliance with guidelines established by University & YMA and that faculty/staff are aware of and abide by policies.
8. Establishes and monitors clinician work schedule assignments for best utilization of space and maximum productivity. Represents department with regard to facility concerns, maintenance and security.
9. Keeps current in practice management and process improvement concepts through involvement in professional organizations, seminar attendance, user group meetings and individual research.

Required Education and Experience

Bachelor's degree in relevant technical field and six years of related technical experience; or an equivalent combination of education and experience.