Opening

Full Time 40 hours Range URG 112 Psychiatry SMH MIPS

Schedule

8 AM-4:30 PM

Responsibilities

GENERAL PURPOSE:

Under the general direction and direct supervision of the Sr Administrator, serves as a member of the leadership team in the MIPS Division. Works in collaboration with the Clinical leaders and Sr Administrator to develop systems/processes that will assure that standards are met and efficient operations are achieved. Carries out strategic goals as set by the Division's leadership for MIPS and IMIPS. Supervises, coordinates, and monitors the work activity of OAR staff. Oversees scheduling for providers, develops goals and objectives, and is responsible for collaborating on annual operating budgets.

Builds/edits and reviews reports in eRecord and Tableau. Carries out responsibilities with considerable latitude for independent judgment. Fosters and enables a positive work environment by modeling the I CARE values.

RESPONSIBILITIES:

Quality Controls/Process Improvement

• Patient Centered Medical Home (PCMH)
  • Implements medical office policies and procedures aligned with PCMH.
  • Serves as the main contact between the MIPS-PC Clinic and PCMH site coordinator/committee
  • Maintains documentation regarding PCMH in BOX
  • Maintains and updates Q-PASS for NCQA
  • Coordinates meeting between Medical Director, Nurse Manager, and PCMH consult team
• Ensures compliance with standards of care, HIPAA, OSHA and TJC policies. Oversees clinical compliance for quality assurance, documentation, and reporting.
  • Changes regulatory compliance signs as needed. Participates in Audit Pro Audits
  • Runs PDSA Reports quarterly, sharing information at Performance Improvement Team monthly meeting and adding updated information to the visual management board quarterly
  • Generates productivity reports, clinic volume reports, AQUA metrics reports for quarterly presentation to MIPS-PC leadership team
  • Maintains MIPS-PC Suboxone reports for spot check DEA visits
• Emergency Preparedness
  • Maintains practice emergency and disaster planning protocols, Go-Kits, Downtime Totes, and emergency Red Folder.
  • Responsible for provider prescription handling. Updates front end emergency binders.
  • Coordinates fire drills, active shooter drills, and emergency preparedness drills with BHC leadership. Completes downtime computer testing when prompted

Fiscal/Data Management Billing and Reports

• Collaborates with Dept. Billing Manager regarding billing operations procedures
• Analyzes, reviews and distributes monthly billing and financial reports.
• Ensures insurance pre-verification protocols are followed.
• Responsible for Pay for Performance initiatives and tracking (United Health Care)
• Completes and processes expense reports.
• Reviews Psych reports weekly. Works with staff on resolving discrepancies.
• Reviews DAR monthly for straight Medicare if scheduled for a physical to change to H&P
• Audits Wellness visits. Reviews reports and audits completed visits.
• Utilizes Tableau reports for PCMH and compliance of front-end operations, utilization, and clinic revenues.
• Builds/edits and reviews reports for various needs as needed.
• Tracks readmission reports monthly
• Works with MIPS-PC Medical Director on emerging 10 year 'Making Care Primary' initiative.

Ordering

• Processes pharmaceutical, supply and other types of orders timely and accurately from approved vendor lists.
• Orders technology supplies and requests quotes. Pays invoices, 312 Reqs
• Works with facilities and places orders for repairs.
• Ensures invoices are sent to Psych backup for reconciliation.
• Utilizes P2P system for payment and completing receipts.
• Management and tracking of purchase orders.

Budget

• Assists Sr. Administrator in development of annual budgets.
• Effectively manages within budgeted parameters.
• Prepares justifications for capital purchases.
• Completes annual asset review, tracking changes throughout the year for the following year
• Develops cost reduction and expense management initiatives in collaboration with management. Holds staff accountable for target achievement.

Operations Management

• Implements strategies to grow practice services provided and census while maintaining levels of service and quality.
  • Develops marketing materials (brochures, for broadcast on lobby televisions)
  • Collaborates with URMC practice managers to promote MIPS-PC clinic services and appropriate referrals
  • Monitors MIPS dashboard for quality improvement and to ensure that clinic is meeting its targets

• Patient access and schedule builds
  • Responsible for building and monitoring provider schedules to ensure adequate visit volumes for patient access and financial performance.
    • Reviews monthly bump rate with a goal to maintain 2% or below
    • Completes on-call calendar monthly and as needed and update Action Telephone
    • Opens additional patient slots per provider request (communicated by nursing or OAR)
    • Blocks slots as needed for clinicians
  • Provider time off requests:
    • Accepts vacation requests and verifying on call schedule
    • Blocks schedule in Epic, and add time off to the provider schedule
    • Obtains Medical Director signature on all requests and then submit to the faculty support office
• Demonstrates skill in resolving complaints, safety or quality concerns.
  • Documents and tracks to ensure safety and appropriate resolution of issues to improve quality of patient care.
  • Monitors RL solutions, DPS reports monthly

• Attends monthly meetings as scheduled/required, standing weekly meeting with OAR staff.
• Attends in-service and other mandatory training sessions.
• Routine written and phone communication with patients and staff.
• Serves as primary point contact and liaison with Action Telephone.
• Works with Medical Director on building schedules for medical trainees (residents, medical students, NP students, nursing students), Gatekeeper access.
• Updates EScreenz as needed.
• Participates with MIPS and IMIPS leadership teams to implement and update policies and procedures.
• Develops agenda for and leads monthly Performance Improvement Team meeting.
• Attends practice manager related meetings and communicates updates to the leadership team at MIPS.

Staff Supervision/Orientation

• Responsible for recruiting, hiring, orientation, training, development and evaluation and management of non-clinical staff. Maintains compliance with employment law.
• Maintains required documentation related to disciplinary action, staff files, terminations, and other status changes.
• Ensures annual staff mandatories are completed.
• Ensures adherence to policies and procedures.
• Manages time off requests and payroll for OAR
• Monitors daily productivity reports to assess OAR performance

Other duties as assigned

QUALIFICATIONS:

• Bachelor's degree required.
• 3 years relevant experience required.
• 5 years relevant experience, including at least 2 years at a managerial level (personnel, fiscal and resource management) preferred;
• or equivalent related supervisory and administrative experience required.
• Demonstrated ability to be flexible and responsive in rapidly evolving health care environments preferred.
• Excellent organizational and communication skills preferred. Ability to lead in a positive, goal-directed manner preferred.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University's mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law. This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

Pay Range

Pay Range: $68,765 - $103,147 Annually

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined byconsidering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.