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Immanuel Clinical Practice Manager - Full Time - Immanuel Pathways Central Iowa in Windsor Heights, Iowa

The overall purpose of this job is to be responsible for the clinical services of Immanuel Pathways PACE Center including all nursing, clinic and in-home operations. Ensures high quality care in accordance with professional practice standards, cost effectiveness, and adherence to appropriate state and federal regulations. Manages the coordination of all clinical services provided to participants in the home, clinic, and participant center. This includes, but is not limited to the provision of clinical care, participant satisfaction, timely responsiveness to care requests, administrative supervision of department staff, and problem solving issues that may arise. Facilitates communication with Pathways clinical departments, participants, family and/or caregivers, and vendors involved with participant care. Responsible for the oversight and management of the participant electronic health record compliance for all interactions, assessments and documentation. Supports and lives out Immanuel’s Mission and CHRIST Promises.

Key Areas

Key Responsibilities and Duties of the Job

Administration and Clinic Services

55%

  • Oversees the day-to-day operations of the departments related to clinical care.

  • Responsible for the coordination of successful nursing home care and clinical operations utilizing his/her leadership to create a culture of excellence in the areas of mission and participant centered care.

  • Works with the clinical team to continuously evaluate participant’s changing needs and make necessary adjustments to meet those needs.

  • Attends meetings with assisted living/long-term care teams, contracted in-home service providers, and other specialty contractors to continue building strong relationships and to ensure compliance with contract requirements.

  • Actively participates in the Quality Improvement program, including work groups, auditing and committee participation. Promotes a culture of excellence and continuous improvement.

  • Supports coordination and management of participant care in all settings with particular emphasis on acute care and skilled care admissions.

  • Proactively plans and implements systems that promote optimal participant care in the community and that prevent unnecessary acute and long term care utilization.

  • Manages the participant grievance process within all responsible departments, reporting all major issues to the Quality Manager and Executive Director.

  • Implements and monitors all operational and workflow changes within their responsible departments.

  • Reviews, researches and approves all clinic and in-home services claims that deviate from established best practices. The goal is to ensure appropriate authorization processes are in place to minimize claim deviations.

  • Trend payment amounts for PACE participants, identifies abnormalities and works with the clinical team to resolve issues. Areas include outpatient specialists, in-home services, clinic services, hospitalizations, etc.

  • Collaborates with Executive Director in the development of budgets related to responsible departments and identifies capital budget items.

  • Assures proper maintenance of all medical equipment. Orders new equipment within budgetary guidelines.

  • Actively participates and leads inter-department meetings, and provides follow up and reporting to the ED as needed.

  • Evaluates the overall effectiveness of the inter-department coordination and implements change and quality improvement, as needed.

  • Works closely with leadership to tap skills and experience for the growth and quality improvement of the clinic.

  • For the State of Nebraska: serve as the Administrator of the Clinic and Home Health License and report and hold direct responsibility to the governing authority for all matters related to the maintenance, operation, and management of the license. The Chief Operating Officer and Vice President of Home and Community Resources are the Governing Authority.

Staffing

25%

  • Ensures that direct reports have assessed competencies, and adequately supervised and evaluated the performance of their team.

  • Ensures the job responsibilities, authorities and accountability of direct reports are defined and understood. Ensures that staff work within their scope of practice.

  • Implements the onboarding and training program for new and existing staff.

  • Provides leadership, coaching and mentoring to direct reports

  • Ensures that clinical staff work within their scope of practice.

Compliance

15%

  • In conjunction with the Medical Director, implements the Infection Control Plan to ensure a safe and sanitary environment.

  • Follows all Immanuel Pathways policies and procedures and OSHA safety guidelines.

  • Protects privacy and maintain confidentiality of all company procedures, results and information about employees, participants and families.

  • Participates in and support quality improvement initiatives to include medication errors and trends.

  • Acts within the scope of his or her authority to practice.

Other 5%

  • Participates in continuing education classes and any required staff and training meetings.

  • Maintains professional affiliations and any required certifications.

  • Performs other duties as assigned or requested.

Education-

  • RN licensure required. A Bachelor’s degree in health care administration, business administration or a Master’s of Nurse Practitioner or Physician Assistant degree preferred.

Experience-

  • Three (3) years management experience in the administration of a health care organization.

  • One (1) year of experience working with the frail or elderly population required, or completion of job specific training related to working with the elderly population must be completed within the first six months of hire.

  • Equivalent years of education may substitute for experience requirement.

Other Requirements –

  • Agree to abide by the philosophy, practices and protocols of the PACE organization.

  • Ability to perform Basic Life Support (BLS) i.e. Health Care Level Cardiopulmonary Resuscitation (CPR), Automated External Defibrillator (AED),

  • Must have medical clearance for communicable disease and up-to-date immunizations before having direct participant contact.

  • Be legally authorized to practice the job’s functions in the state in which he/she is employed.

  • Only act within the scope of his or her authority to practice in the respective state in which he/she is employed.

  • Reliable transportation is required as this position will require travel between locations and participant locations.

KSA- Knowledge Skills and Abilities-

  • Knowledge of principles and practices of health care planning and management sufficient to manage, direct, and coordinate the operation of a health clinic and in-home services.

  • Knowledge of the PACE policies and procedures sufficient to direct its operations and to provide effective participant care.

  • Skill in exercising a high degree of initiative, judgement, discretion, and decision-making to achieve organization objectives.

  • Skill in analyzing situations accurately and taking effective action.

  • Skill in establishing and maintaining effective working relationships with employees, care communities, vendors, and participants.

  • Skill in organizing work, making assignments, and achieving goals and objectives.

  • Skilled in exercising judgement and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures.

  • Ability to assume responsibility and exercise authority over assigned work functions.

  • Ability to establish and maintain quality control standards.

  • Ability to organize and integrate organizational priorities and deadlines.

: MPI500J

Posting Title: Clinical Practice Manager - Full Time - Immanuel Pathways Central Iowa

Job ID: 2022-5574

External Company URL: www.immanuel.com

Street: 7700 Hickman Road

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