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Area Program Director- Registered Nurse

Gary, IN, USA, Hammond, IN, USA, Merrillville, IN, USA Req #664
Tuesday, May 7, 2019

The Area Program Director is responsible for the overall leadership, performance and day-to-day activities within his or her Wound Care and/or Hyperbaric treatment centers throughout the area of assigned responsibility.  Additionally, the position is responsible for ensuring the delivery of consistent, high quality patient care and service through a blended hands-on and leadership by example approach.  He or she is responsible for staff management, team-building, budgeting, revenue cycle management, clinical operations, hospital partner interaction and retention, ensuring compliance with all Company policies and procedures, physician management, and professional education/community referral development.  This role is responsible for promoting a mentorship training site for all colleagues that need training.

 

 

Primary Responsibilities:

  • Staff Management and Team Building Duties
    • Works in collaboration with RXH/Hospital Partner Human Resources Department to conduct interviews for prospective staff and determines suitability for hire.

o   Assesses, coordinates, and facilitates training and educational programs in collaboration with other support departments (Facility Implementation Team, Revenue Cycle, Human Resources, and Clinical Operations) including but not limited to:

1.    Orientation of New Staff

2.    Competencies

3.    Mandatory Requirements

4.    Developmental Needs

o   Manages center employees, both clinical and operational across:

1.    Performance Management

2.    Behavioral Management

3.    Evaluation Process

4.    Disciplinary Process

 

    • Assumes responsibility for personal growth by keeping current with Industry and/or Hospital standards.

    • Participates in continuing education meetings, committees or workgroups and identifies personal need both managerially and clinically and seeks resources as needed.
    • Leads by example and establishes performance expectations, providing regular feedback and consistently managing these expectations.
    • Completes performance appraisals, staff development, utilizing performance improvement procedures as necessary, and ensures all staff complies with hospital/RXH policies and procedures.
    • Provides and promotes a mentorship site for all Program Directors in need of training.

 

  • Clinical Operations

o   Visible in wound clinic and HBO suite demonstrating a leadership-by-example aligning supportive documentation for procedures (graft utilization, debridements) and alignment of DRG HBO components in conjunction with clinical staff.

    • Collaborates with Medical Director and staff to develop, implement and manage RXH’s Performance Improvement Plan to improve Quality Outcomes.
    • Plans, implements, evaluates and adjusts staffing patterns and clinic flow to improve efficiencies and productivity in accordance with acuity levels.
    • Completes in a timely manner all billing and utilization documentation requirements via EMR including registration, charge posting, and supporting medical documentation notes.
    • Ensures appropriate compliance with Clinical Practice Pathways and initiates, modifies and effects unit-based changes in clinical practice to maximize patient outcomes.
    • Reviews retrospectively monthly outcome report(s) and collaborates with RXH/Hospital Partner to identify improvement opportunities.
    • Serves as an advisor and communicates effectively with staff, patients, and family to monitor patient and referring physician satisfaction.
    • Ensures regulatory compliance with Joint Commission and other applicable accrediting and regulatory bodies.

 

  • Administration and Performance Management
    • Prepares, establishes and manages salary, supplies, equipment and material budgets and financial performance objectives, in coordination with RXH Regional Director.
    • Manages and/or coordinates all aspects of the revenue cycle including registration, scheduling, hyperbaric conversion, treatment authorization, documentation, coding, charge entry, billing, collections and denial processes.
    • Maximizes monthly program utilization by controlling external barriers including scheduling constraints, scope of supervision coverage, medical clearances, compliance, and chamber maintenance.
    • Meets all compliance requirements including but not limited to RXH’s compliance plan, center-specific policies and procedures, federal (Medicare) and state (Medicaid) programs, and Joint Commission.
    • Implements audit and reconciliation processes to ensure accuracy.  Regularly reviews the Charge Description Master and Superbill to ensure appropriate reimbursement.
    • Conducts chart audits to monitor and ensure documentation meets regulatory and billing requirements.  Stays current with reimbursement changes, providing physician and staff updates and education as needed.

 

  • Partner Relationship Management (partner hospital, participating physicians, referral sources)
    • Interfaces and collaborates with hospital and RXH staff and management, and upholds hospital partner reporting and operating requirements.
    • Problem solves and troubleshoots issues between the center and its physicians and hospital partners.
    • Works effectively with case managers and other disciplines to assist in the planning and implementation of strategies to improve performance and outcomes.
    • Facilitates and/or conducts individual and group educational presentations to the various referral sources and general community.
    • Reviews and analyzes key financial reports, identifies key indicator trends and develops plans to ensure best practices are implemented to appropriately maximize clinic and overall program profitability and/or address variances.
    • Tracks and reports all inpatient, outpatient, outreach, HBO and ancillary revenues generated by the program.  Works with Regional Director to complete a quarterly financial review and presents results to hospital leadership.

 

  • Total responsibility for the center, 24/7.

 

Additional Responsibilities:

·         Performs other related duties as assigned.

 

Education and Technical Skills:

    • Minimum 5 years total experience in an ambulatory setting or equivalent.
    • Bachelor’s degree in nursing, healthcare administration, business or marketing preferred.
    • Experience in medical sales, process management, leadership, marketing and referral source generation preferred.
    • Registered Nurse, Physician Assistant or Nurse Practitioner experience preferred.
    • Must have intermediate Microsoft Office Suite skills, be technologically savvy and comfortable learning and teaching new applications

    • Prior experience working with an electronic medical record system preferred.

 

Additional Eligibility Qualifications/Competencies:

    • The job is multi-facetted with multiple constituencies, so flexibility, communication and interpersonal skills are critical.
    • The job requires leadership, high energy, drive, and fortitude in order to succeed.
    • The role requires ensuring that RXH employees operate as a team, a task which requires team building experience.
    • Demonstrates exceptional listening skills.
    • Has a proven ability to effective engage and train/coach colleagues.
    • Strong prioritization and organizational skills are a must.

Other details

  • Pay Type Salary
  • Gary, IN, USA
  • Hammond, IN, USA
  • Merrillville, IN, USA