Clinical Practice Manager
Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.
Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.
Serves as the Clinical Practice Manager for services at the practice working closely with the medical and nursing staffs. This position manages all operational aspects of providers. Acts as an information resource for administrative questions in close cooperation with the Sr. Director, Practice Management. Acts as the liaison between physicians, staff and Steward Medical Group Administrations. Maintains effective communication with staff at all levels in a timely and effective manner.
- Directly supervises all non-physician staff within the Practice. Works in concert with Steward Medical Group Human Resources staff to perform the following functions:
1. Interviewing and hiring
2. Staff training
3. Performance evaluations and
4. Corrective actions and performance improvement plans.
- Manages the re-employment of staff to provide coverage and/or arranges for emergency float coverage of office management, medical assistants, RN’s and secretaries as required. Covers nonclinical positions if coverage cannot be arranged.
- Assists in preparing and managing the operating budget for the practice. Investigates discrepancies and significant changes in monthly income and expenses. Reports discrepancies to the Practice Administrator/Director Physician Practice Management and Medical Director as required. Ensures cost containment guidelines are met for the individual practice.
- Provides information and assistance to patients to ensure effective patient relations. Investigates and proactively resolves patient complaints and concerns. Facilitates staff training in new customer service techniques and/or processes.
- Liaisons with the Central Billing office to maximize revenue associated with the patient billing process for the Practice and ensure accurate data collections. Researches specific ICD-9 and CPT codes applicable to the Practice and in conjunction with Steward Clinic.
- Responsible for training physicians and staff in Athena Billing and Steward Medical Group policies and procedures to capture accurate billable information in a timely fashion. Manages staff regarding the utilization of the Athena system to ensure efficient and accurate billing of encounters.
- Manages the day-to-day facilities management for the Practice including any repairs or remodeling, service contracts for equipment and the inventory of all capital equipment. Makes recommendations to the Practice Administrator and the Medical Director regarding office restructuring and expansion. Assists with processing the necessary documentation and managerial support.
- Authorizes the procurement of special order medical/surgical supplies and capital equipment. Assesses needs in collaboration with the clinical staff for the annual capital and expense report, coordinates trials, evaluates and negotiates with vendors in conjunction with the Purchasing Department to procure capital equipment, processes purchase orders, coordinates installation and in-servicing.
- Ensures proper invoicing and tracking of receivables and payments to vendors.
- Management of the process and office workflow using the electronic health record.
- Trains staff, (physicians, nurses, administrative and support staff), on existing programs as well as any new programs or upgrades in a timely fashion. Presents information at monthly Networking Meetings as required and disseminates information from these meetings to physicians and staff.
- Maintains an optimal physical environment for the office and reports any unsafe conditions, inoperative equipment or other adverse conditions to the Practice Administrator and the appropriate department.
- Ensures compliance with all Steward Medical Group policies and procedures. Participates in development and evaluation of departmental policies and procedures. Prepares staff to respond effectively to both internal and external disasters and comply with all departmental policies and procedures.
- Attends seminars and training sessions specific to the Athena system, CPT coding, capitation, managed care, and physician practice management.
- Uses discretion at all times to ensure patient confidentiality. Conforms to the confidentiality policy of Steward Medical Group.
- Graduate of accredited nursing program
- Bachelor’s degree of equivalent, preferred
- Two to five years of practice management experience in a private physician’s office required
- Must possess current Florida nursing license
- Cardiology experience preferred.
- Supervisory experience, billing and financial management experience required.
- Must be proficient in Microsoft Office, IDX and Athena Health. SMS experience preferred.
- Ability to speak, read and comprehend the English language fluently required
- Strong interpersonal communication, managerial and organizational skills required.
- In-depth knowledge of private practice systems, including medical practice operations and supervision.
- Experience with an electronic health record within the medical office preferred.
- Patient relations, staffing, billing systems, budget and financial reporting and patient flow and scheduling required.
- Knowledge of insurance coverage systems, including but not limited to co-payments, referrals, HMO, PPO and capitated products required.
- Ability to analyze and solve operational issues independently and creatively required.
- Strong orientation to patient care in accordance with the values of the Steward Health System
- Must have the ability to analyze, think creatively and to weigh alternatives. Good perception of people and excellent conflict resolution skill required.