Astrana Health

Clinic Manager

Astrana Health Las Vegas, NV

Description

Title: Clinic Manager

Department: Clinic Operations

About the role:

The responsibility of the Clinic Manager involves managing both the medical and administrative aspects of an assigned satellite clinic. The Clinic Manager ensures that policies and procedures, as established by Valley Oaks Medical Group senior leadership, are enforced in a fair and equitable manner. Possessing extensive back-office experience, the Clinic Manager functions in the capacity of a working position while on duty and is expected to functionally understand all aspects of the positions reporting to them. The Clinic Manager is instrumental in defining the mission, goals, budget, and performance standards for the clinic and communicating it to staff. The Clinic Manager must work effectively with physicians, staff, patients, public and external agencies and must possess the ability to take initiative and to exercise independent judgment, decision-making and problem-solving expertise. The Clinic Managers contribute to VOMG’s continued success by passionately executing the company’s business model and promoting the company’s service model.

What You’ll Do:

  • Demonstrated management, leadership, and inter-personal skills with ability to interact effectively and professionally with providers, staff, patients, and vendors.
  • Rounding frequently with providers and staff throughout the day to ensure that the medical operation at the designated location is running as smoothly as possible.
  • Performs quality tasks
    • Ensuring all new patients have an AWV/APE scheduled
    • Ensuring all applicable quality gaps are addressed by provider
    • Run quality eBO reports
    • Optum Attestation: Portal pull, complete, submit and track
    • Humana ADP form: Complete, outreach and schedule the pt
    • HPN form: Portal, Inovalon complete online and tracking
    • Silver Summit attestations
    • Transition of Care/Hospital Follow-Up: Obtain Hospital records OR Unable to Contact outreach for scheduling
    • Quality Gaps in Care Pursuit List
    • Data mine, place global alerts, outreach pts to help schedule
  • Supervises staff and provides ongoing support and motivation. Performs routine audits to ensure accuracy and quality measures for each position are being met.
  • Sets consistent standards for staff performance and development; holds staff accountable for their performance.
  • Communicates with employees to provide exchange, verify, and answer inquiries, and helps as needed to complete daily tasks.
  • Strives to improve the overall quality of patient encounters throughout the patient journey at Valley Oaks Medical Group.
  • Must possess demonstrated skill in conflict resolution. Consults and addresses difficult issues in a professional manner. Resolve complaints from customers or employees whenever possible and escalate unresolved issues to the Administrator in a timely manner.
  • Develops and implements staffing standards for clinic programs with effective, economical use of resources. Proposes options for solving staffing problems that are within acceptable parameters and utilizes appropriate resources.
  • Monitors staffing, and attendance in compliance with company standards.
  • Assists in developing clinic standards, and monitors staff for adherence to those standards.
  • Oversees the assignment of work, workflow, and project deadlines.
  • This position has the authority to supervise, coach and counsel employees of the assigned clinic according to VOMG policies and procedures in collaboration with VOMG Administrator.
  • Hiring, evaluating, disciplining, and terminating staff must be approved by the Administrator and/or Senior Leadership of VOMG Medical Center

Qualifications:

  • High school or GED equivalent. AA or BS highly desired.
  • Previous management skills required.
  • Must be willing to travel between clinics in Las Vegas.
  • Experience in managing a healthcare facility or clinic.
  • Ability to supervise and motivate clinic staff to perform their duties efficiently.
  • Exceptional organizational and Time management skills to ensure that quality services are provided.
  • Strong computer literacy.
  • Excellent Communication Skills
  • eCW Experience a plus
  • Knowledge of medical terminology
  • Social perceptiveness and service oriented
  • Excellent customer service skills
  • A high level of professionalism
  • Excellent oral and written communication skills
  • Proficient in MS Office and patient management software

You’re great for the role if:

  • Ability to work effectively as a team member with Providers and other staff.
  • Ability to flexibly respond to changing demands.
  • Ability to plan, organize, prioritize, and direct the work of others.
  • Ability to identify claims problems and recommend solutions.
  • Ability to sort and file materials correctly by alphabetic or numeric systems.
  • Ability to interpret and understand insurance benefits and reimbursement.
  • Ability to communicate clearly and concisely.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public.
  • Knowledge of government regulations: OSHA, Labor code and HIPAA.
  • Strong knowledge of quality (Gaps of care, attestations, transition of care, AWV/APE)
  • Knowledge of medical terminology and insurance practices. . Knowledge required of ICD-10 and CPT coding and how it affects reimbursement from third party payors.
  • Knowledge of clinic policies and procedures.
  • Knowledge of computer programs and applications.
  • Knowledge of managed care, Medicare, and Medicaid guidelines.

Who We Are:

Valley Oaks Medical Group is now Astrana Care of Nevada.

At Valley Oaks, we strive to redefine the way healthcare is administered through community driven preventative care and proactive treatment. By centering care around the patient, we can improve health and wellbeing instead of treating symptoms. Our passionate providers prioritize the wellness of each of our patients with the necessary tools and resources to improve the quality of life for all of our patients.

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare company accelerating the path towards a future where high-quality, coordinated healthcare is available to all. We are building and operating an integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner, especially patients who are traditionally underserved and those most vulnerable.

Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide and is growing revenue over 40% a year. We have demonstrably improved patient outcomes: seniors on our platform spend 54% fewer days in the hospital than the national average and are readmitted 63% less often, and serve an extremely diverse community, with over 75% of our patients identifying as BIPOC and over 80% enrolled in Medicare or Medicaid.

Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Be Innovative
  • Operate With Integrity & Excellence
  • Work As One Team

Environmental Job Requirements and Working Conditions:

  • This position is based in our Centennial clinic location in the Las Vegas Metropolitan Area.
  • The annual total compensation target pay range for this role is: $60,000 - $70,000. This salary range represents our national target range for this role.

Additional Information:

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin,

gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request accommodation.

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
  • Seniority level

    Mid-Senior level
  • Employment type

    Full-time
  • Job function

    Health Care Provider
  • Industries

    Hospitals and Health Care

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