Clinical RN Manager

The Clinical Service Line Manager is responsible for administering, directing, planning, and coordinating business and clinical activities for service line initiatives across multiple medical offices/departments in an ACO/Medical Home setting.  Works collaboratively with the physicians within the service line, to ensure high quality, cost effective and accessible patient care services in an ACO/ medical home model. 

Collaborates with the Clinical Director, Senior Director of Clinical Operations, VP of Clinical Operations, Chief Operating Officer, and or Service Line Chair/Chief for designated service lines. 

Directs compliance with Clinical Quality Requirements required for ACO/PCMH/HEDIS/AAAHC/AAAASF/ICAL at Summit Health in conjunction with the Chief Operating Officer, VP of Clinical Operations and Clinical Director.  Oversees the quality outcomes and dashboards to assure that evidence based best practices are implemented timely for patients.  Develops and implements continuous training and staff education to ensure compliance of quality measures relating to the dashboard metrics and externally reported measurements. Collaborates with Nursing leadership on the planning and implementation of interventions to ensure evidence-based practices are followed (i.e. Preventive Measures for colorectal screening, Time Out, etc.). Works closely with providers, support staff and other members of the organization by demonstrating effective communications, teaching, and negotiating skills. Is accountable for quality assessment and efficient coordinated care.  Responsible for the oversight and maintenance of HIPPA and Patient Satisfaction requirement.  Responsible for oversight and administering of patient/nursing services for selected medical offices / departments. They hold collaborative responsibility for staff with Clinical Director, and or Senior Director of Clinical Operations. 

Responsibilities: 

• Oversees the service line management of daily operations and program development for Medical Offices including compliance with Clinical Quality Requirements required for ACO/PCMH/HEDIS/AAAHC/ AAAASF/ICAL. 

• Collaborates with personnel and/or activities at the Medical Office including, but not limited to, interviewing, hiring, training, counseling, evaluation, disciplining and terminating in conformance with organizational policies and procedures.   

• Monitors quality improvement, including identification and dissemination of best practices: Reviews data and trends from service line reports generated by Summit Health to determine system performance related to patient outcomes and then suggest areas for improvement. For example, monitors adherence with ACO, NCQA and contractual reporting requirements compared with dashboards.  Identifies education, workflow, process or documentation/template enhancements.   

• Meets with Clinical Director to analyze service line clinical performance issues and/or determine whether a system-wide performance improvement initiative is warranted. Identifies best practices for implementation. 

• Ensures appropriate service line is in accordance with governmental and other regulatory/accreditation standards.  

• Ensures nursing care essential to the assessment, promotion, maintenance and restoration of patients’ health and wellness.  

• Develops, Collaborates and ensures accurate and timely adherence to patient outreach on quality measures tracked via dashboards, Disease Management, Preventive Care, Screening and Diagnostic. 

• Develops service line policies and procedures in a consistent and timely manner.  

• Develops and implements clinical service line policies and procedures.  

• Develops guidelines and best practice for prioritizing work activities, evaluating effectiveness and modifying activities as necessary.   

• Identifies, analyzes and resolves service line related problems and issues. 

• Coordinates the development and review of operating and capital equipment budgets for selected medical offices / departments. Monitors compliance with established approved budgets, ensuring effective staff and resource utilization.  

• Manages relationships with outside vendors to ensure contract compliance and effective levels of support. 

• Works collaboratively and actively communicates with other Executive, Operations Managers and administrative personnel to ensure maximum organizational efficiency and productivity.  

• Responds to patient concerns. Promotes quality patient care and service. 

• Collects data, prepares reports, analyzes statistics and budget reports, and answers correspondence as needed. 

• Serves on organizational committees and attends management meetings as requested.  

• Participates in professional development activities. 

• Ensures the development and delivery of Nursing Education to clinical staff.   

• Adheres to all Summit Health Compliance Program Policies and Procedures including all regulatory financial and OSHA requirements.  Participates in and contributes to help achieve a total compliance program. 

• Manages assigned projects as directed.  Performs other duties as requested.  

Requirements: 

Education/Certifications/Licenses:  

• Bachelor’s degree in nursing, Health Care or Business Administration preferred.  

• NYS RN license required. 

• Minimum of 3 years management experience in a health care environment 

• Active ACLS certification 

Performance Standards for Specialty Knowledge, Skills & Abilities: 

• Knowledge of current Nursing Practice and clinical state-of- the- art guidelines 

• Knowledge of medical safety practices and requirement to evaluate existing standards and implement new procedures. 

• Skill in applying and modifying the principles, methods, and techniques of professional nursing. 

• Knowledge of organizational policies, procedures, and systems 

• Knowledge of medical office procedures 

• Knowledge of fiscal management systems and techniques 

• Knowledge of Human Resource management practices 

• Knowledge of computer systems and applications 

• Skill in planning, organizing, delegating, and supervising. 

• Ability to communicate clearly and effectively. 

• Demonstrated interpersonal skills necessary to build staff, administrative, physician and community relationships