Regional Director of Clinical Operations – Medical Specialties
University of Colorado | CU Anschutz Medical Campus
School of Medicine Community Practice Division
Associate Health Care Director (Regional Director of Clinical Operations – Medical Specialties)
Position #782441 – Requisition #20727
The ARDCO is responsible for guiding the development and implementation of philosophy and objectives congruent with University of Colorado (CU) Medicine’s mission and plan. S/he must remain current in trends, major advances, and business strategies related to healthcare and specific service lines.Financial:
- Demonstrates in-depth knowledge of healthcare economics and policy as well as the role of the governing body within the organization.
- Marries financial responsibility and clinical need practices, while articulating and modeling the importance of patient quality and safety.
- Understands and supports utilization management and case management; stresses and upholds their importance to the organization.
- Continuously reviews and adjusts business and clinical operations in order to maximize efficiency and productivity.
- Monitors and assists Practice Directors/Managers and Department Administrators in the development of the annual budgets, including projections for annual physician, procedural and ancillary visits.
- Guides and supports Practice Directors/Managers in achieving budget performance; striving to outperform the budgeted margin for the practice (revenue/visit; net income/visit).
- Guides and supports Practice Manages with managing contingency plans monthly to ensure patient access and visit volumes meet targets.
- Reviews operational reports (missing charges, late charges, open encounters, denials, etc.) to identify trends or issues and follows through on addressing any issues.
- In collaboration with the Practice Directors/Managers and Department Administrators, reviews P&L, charges, and expenses regularly to ensure accuracy and ensures operational revenues cover operational costs, especially for new services/programs.
- Ensures systems equipment and supply purchases are appropriately justified and moved through the approval process.
- Facilitates the integration of physician, staff, and ancillary practices.
- Develops strategic and operational plans involving the appropriate administrative and medical resources to address: Personnel, program development, facilities, equipment, and interdepartmental relationships/interfaces.
- Regularly assesses, revises, and oversees the following areas for accuracy, maximizing efficiencies, improving workflows and ensuring patient, provider and staff satisfaction. Identifies opportunities for improvement and, in collaboration with the Practice Directors/Managers, implements action plans as necessary.
- Patient Access Performance by means of Telephone, Referrals and MyHealthConnection statistics
- Front Desk Operations (i.e. Reception, registration, scheduling, co-pays, etc.)
- Surgery/Procedure Scheduling Operations
- Nurse Triage Operations
- Face-to-Face Clinical Operations
- Telehealth Operations
- Supply and Equipment Operations
- In collaboration with the Practice Directors/Managers, regularly assesses, revises, and oversees exam and procedural room assignments to physicians and Advanced Practice Providers (APPs) to maximize efficiency and improve workflows.
- Regularly assesses, revises and oversees an appropriate staffing/skill mix for the practice and procedural areas. Assists Practice Directors/Managers in right-sizing staffing mix according to national & local benchmarks.
- Routinely monitors wait times (patient access, time-to-appointment, exam room, waiting room, etc.) and develops plans to address issues with Medical Directors, Practice Managers, faculty, and staff.
- Routinely monitors EPIC processes for opportunities for improvement among physicians and staff; securing necessary assistance (training, optimization, billing, coding, etc.) to address issues.
- Promotes the use and implementation of telehealth and technology in the workplace in order to streamline operations, facilitate communications, and optimize work processes. Optimize growth of practices and efficient work processes through telehealth.
- Strategizes and drives process improvements focused on innovative care delivery and/or operational models designed to improve operations, outcomes, and patient safety. Implements effective, efficient, and continuously improved programs, projects and processes within the clinics. Is accountable for achieving excellence and to create measureable, sustainable results and change.
- Develops, implements, and supports a culture of continuous improvement, through professional delivery, expert advice, constant facilitation, coaching, and guidance.
- Develops strong operational leaders and teams utilizing best practices to enhance performance and support organizational success. Holds leaders accountable and promotes the use of data and information to make informed and evidenced-based decisions with management initiatives.
- Collaborates with the medical director and multidisciplinary care team to develop and foster a patient-care culture that emphasizes patient safety and excellence in all aspects of care. Regularly assesses, revises and oversees quality improvement and patient safety plans in collaboration with members of the Quality, Safety and Infection Control team.
- Provides CU SOM representation on various campus projects, teams and committees for the university.
- Maintains multi-directional communication network with clinics, departments, Community Practice leadership, and across the system.
- Oversees and maintains accountability for compliance for all regulatory standards, including Colorado Department of Public Health and Environment (CDPHE) and Centers for Medicare and Medicaid (CMS).
- Oversees and maintains accountability for compliance with all state and federal licensing requirements, including laboratory accreditation programs.
- Oversees and maintains accountability for the development, implementation, and monitoring of scope of practice and clinical standards for all clinical employees to ensure clinical competency, ongoing education and training. Ensures appropriate certifications and licensures expectations are in place for all clinical employees to support the clinical experience.
- Maintains a working knowledge of current clinical practice and subsequent regulatory requirements. Exhibits the value of continuous learning. Reviews, prepares, analyzes, and presents reports and recommendations to senior leadership regarding services to provide concise and accurate information that aids in decision-making.
- Develops partnerships, coordinates activities, reviews work, exchanges information, and resolves problems related to clinical competencies. This includes partnering with internal and external stakeholders to ensure highly effective and efficient care delivery that reduces cost, improves quality of outcomes and delivers an excellent experience.
- Oversees and maintains accountability for compliance with all organizational Quality Improvement (QI) programs.
- Oversees and maintains accountability for each QI plan for each practice and reports on the components at least quarterly.
- Critically analyzes QI data and formulates action plans as needed each quarter.
- Ensures all QI audits and ensures that these are turned in on time.
- Ensures staff knowledge and participation in QI activities.
- Regularly reviews patient satisfaction data and addresses a minimum of two area per fiscal year for targeted and significant improvement.
- Ensures that the service expectations of both internal and external customers are met and/or exceeded.
- Directs the development, implementation, and consistent application of effective organizational policies, procedures, protocols and practices. Communicates and ensures compliance with CU policies and procedures.
- Develops and supports internal controls to ensure policies and operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved.
- Develops, revises and reviews all necessary operational policies and ensures alignment with organizational policies. Follows chain of command and presents all new clinic policies to CU Medicine’s Policy and Procedure Committee.
- Oversees and supports managers in hiring, transferring, suspending, promoting, terminating, assigning and rewarding employees. Participates as needed in discipline and grievances.
- In collaboration with HR, ambulatory leadership, and with physician input, the director is the final decision maker for all non-physician/APP hires into the practice.
- In collaboration with HR, ambulatory leadership, and with physician input, the director is the final decision maker for all terminations or high-level disciplinary measures.
- Reviews and approves non-physician/APP professional performance appraisals with input from the Medical Director.
- Assures completion of organizational and site-specific annual competencies, seeking input from appropriate resources when needed to assess the professional’s business and/or clinical competence.
- Encourages and supports professional growth and/or staff activities that directly relate to the developmental needs of the practice and staff.
- Utilizes appropriate benchmarks to assess performance and stimulate change.
- Serves as a role model, mentor, and professional colleague for other members of the management team by lending support and sharing opportunities for success.
- Cultivates and environment where physicians and support staff work together as a team to improve practice operations.
- Reviews turnover statistics and regularly solicits feedback from staff and physicians on job satisfaction and addresses issues accordingly.
- Develops action plans to address priority issues in employee surveys.
- Participates in strategic planning for the practice and the division
- Coordinates the implementation and integration of new programs and physicians in the practice
- Plans and/or participates in activities in the community as appropriate
- Suggests opportunities for expansion based on patient population needs, physician referrals or community access.
- Participates in patient care as necessary.
- Utilizes current nursing practices to provide patient care while focusing on the needs of the patient.
- Functions as a patient advocate by being in the position of initial contract for patient-related issues.
- Serves as a champion for patient safety.
- Communicates in a competent and effective manner to meet patient and/or family needs and regulatory requirements. Documents appropriately in EPIC and within the patient’s plan of care.
- Serves as a mentor and preceptor for new staff and as a constant resource to all staff, including all non-licensed or non-nursing personnel.
- Ensures that practice facility meets regulatory and infection control standards.
- Works with appropriate management, department, contractors, or supplier of services when facility services are interrupted.
- Ensures that all personnel at the facility follow safety policies and procedures.
- Complex project management
- Data collection, evaluation, management and analysis
- Analyze and select appropriate data and analytics to present to the department/division
- As assigned
Jobs in this career family are responsible for performing a wide range of professional duties to support the university's teaching, research and/or service missions through the provision of health and wellness services, dealing with general, indirect patient care operations and management of healthcare services. Functions include healthcare administration, healthcare regulatory compliance, patient relations, operational services, admissions, and medical records. Includes professional assignments in medicine, dentistry, nursing, pharmacy, counseling and behavioral health, public health, dietetics and nutrition, other allied health fields, alternative medicine and therapies, and related disciplines. ARDCOs are responsible for working closely with the Director to manage a department or specific areas of a department. These positions recommend strategy, have responsibility for fiscal and/or human resources and have the authority to act on the Director's behalf. Supervision Received:
This position reports directly to the Associate Dean of Community PracticeSupervision Exercised:
Direct supervisory responsibility for all clinical and non-clinical staff in office and procedural areas.Minimum Qualifications:
- Bachelor’s Degree in Nursing or a closely related field
- Registered Nurse (RN), State of Colorado
- Basic Life Support (BLS) Caregiver certification
- 5-7 years job-related/clinic experience
- 3+ years clinic management experience
- Management of budgets, supplies, equipment
- Master’s Degree in Nursing, Business, or Healthcare Administration
- Ambulatory RN experience
- Experience using of registry data and quality systems
- Experience using EPIC
- Strong organizational and communication skills with ability to effectively communicate at all levels, including physicians, leadership, and staff within the various affiliate organizations (UCH, Children’s Colorado, CU Medicine, CUSOM)
- Ability to work within large, complex healthcare systems
- Ability to maintain confidentiality
- Ability to work as an effective team member
- Ability to lead teams and deal with stressful situations
- Ability to deal calmly and courteously with people
- Ability to negotiate, persuade and establish direction
- Ability to function independently and manage own time and work tasks
- Ability to maintain accuracy and consistency while finishing tasks in a timely manner
- Ability to analyze and interpret data and compile complex reports
- Ability to develop presentations/reports, compose letters and memorandums
- Ability to follow oral and written instructions and established procedures
- Ability to organize workflows; plan, coordinate and develop multiple projects
Job Category: Health Care
Primary Location: Aurora
Posting Date: Apr 1, 2021
Unposting Date: Ongoing