Emergency Department Registration Supervisor (Weekend 12 Hour 7P-7A)

The Emergency Department Registration Supervisor is responsible for the efficient, orderly, and expeditious registration of emergency department patients. Provides supervisory oversight and direction to the emergency department, OB, Trauma and additional outpatients. Implements and coordinates strategic initiatives of the department.

• Responsible for departmental productivity.
• Remains current with Managed Care affiliations.
• Manages front-line operations of the area of accountability related to meeting/exceeding departmental goals, 5 keys of excellence, DCH Mission and Vision.
• Executes progressive discipline policies in coordination with the departmental manager.
• Conducts monthly audits on a sampling of all staff Registrations to ensure accuracy.
• Ensures forms are completed on each patient and works with the coordinator and manager on employee audits.
• Responsible for the availability of supplies and for supply replacement
• Ensures appropriate signatures and copies of insurance coverage are obtained.
• Provides supervisory oversight to all registration personnel.
• Ensures proper staffing levels for departmental operations are maintained.
• Ability to communicate orally and in writing effectively with staff, patients, physicians, hospital personnel, and other customers
• Manages personnel performance through evaluations, training sessions, meetings, and ongoing monitoring.
• Ensures orientation and training for employees.
• Interviews, selects, hires, and retains employees.
• Responsible for working with the manager on the staff schedule.
• Coordinates directly with clinical Directors and all nurse managers to ensure proper departmental coordination and segregation of duties.
• Manages the front desk to ensure proper customer service standards and the waiting room is monitored by the front desk representative.
• Conducts staff meetings and daily huddles to ensure changes and communications are ongoing.
• Verifies and documents insurance benefits and coverage. Communicates this information and financial responsibility to the Patient/Guarantor
• Ensures account checks and clearinghouse edits are worked and education provides on the information being missed.
• Responsibility for all policies and procedures for compliance in registration.
• Works with third-party outsourcing to identify possible insurance.
• Ensures patient financial and personal demographic information is recorded in an accurate and timely manner.

DCH Standards

• Must adhere to all DCH Health System policies and procedures.
• Requires use of electronic mail, time and attendance software, learning management software, and intranet.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues, and with self.
• Maintains performance, patient and employee satisfaction, and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• All other duties as assigned.

High School Diploma or equivalent is required.

Minimum two years of previous supervisory experience is required. Healthcare supervisory experience preferred

Must be able to communicate (orally and in writing) effectively with patients, doctors, and other departments in the hospital. Must be able to interpret third-party, private insurance coverage, and hospital rates to patients. Must be able to read, write legibly, speak, and comprehend English. Knowledge of health care reimbursement and the use of effective point-of-service collections is required. Knowledge of medical terminology is required. Must be able to interpret third-party, private insurance coverages and hospital rates to patients.

Must be able to read, write legibly, speak, and comprehend English.

WORK CONTEXT

Communication through talking, expressing, and exchanging ideas using the spoken word. Hearing; perceiving the nature of sounds by the ear to communicate. Seeing; use of vision to determine characteristics of objects, depth perception, color vision with the ability to distinguish color, coding on ledgers, near/far activity 100% daily.

Ability to figure complex computations and communicate these figures to the public.

Mental capability to maintain patient confidentiality 100% of the time.

PHYSICAL FACTORS

Working indoors in a cubical area, sitting 80% of the time, standing 5%, kneeling 2.5%, squatting/crouching 2.5%, stooping 5%, and walking 5%. Activities include lifting of 35 lbs maximum which would be a two (2) man lift, frequent lifting, and/or carrying 20 lbs. occasionally. Ability to push or pull over carpet floors, concrete ramps, and on varied surfaces, a four-wheel cart with 50 lbs. of paperwork.

Filing ledgers or finding ledgers requires reaching, pushing, pulling, and extending the hands and arms in any direction. Stooping and bending the body forward by bending the spine at the waist. Reaching lower areas requires kneeling by bending the legs at the knee or crouching by bending the body downward and/or forward by bending the legs and spine. This is 50% of daily work.

Must be able to perform the duties with or without reasonable accommodation.

Hearing and vision must be normal or corrected to within normal range.

Physical presence onsite is essential.

The Team Leader functions as the unit-based clinical leader with responsibility for staff supervision, patient flow, patient safety, efficient resource utilization, mentoring of unit staff, especially recent hires, shift assignments and overall quality of care delivered. The Team Leader plans, coordinates and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. The Team Leader, under the supervision of the Nurse Manager, provides and coordinates in-services and continuing education programs for the clinical staff when indicated. Participates in PI activities; collects data to assess employee performance and participates in staff evaluation process. The Team Leader must be available to work weekends and holidays as per unit needs. Shifts may include 12hr and/or 8hr shift patterns with the goal of providing ongoing Team Leader support each day of the week.

The Team Leader is responsible for the following leadership and management duties

• Communicates information verbally and in writing to appropriate persons.
• Demonstrates knowledge of documentation and down-time procedures.
• Ensures care is delivered appropriately by orienting staff in accordance with Standards of Practice, review of clinical record for appropriate documentation, and review of documentation of appropriate plan of care. Leads staff huddles to communicate important, “just in time” information to all staff on duty.
• Interviews, selects, hires, and retains employees
• Participates in PI programs.
• Effectively implements current techniques and/or programs to improve patient care processes.
• Provides direct patient care when needed.
• Directs activities toward support of DCH Mission and achievement of Department and Unit goals and objectives.
• Maintains records related to orientation in-service and unit competency assessments.
• Adheres to productivity, revenue and expense goals.
• Serves as clinical resource for staff, especially for new employees and during complex patient care situations.
• Manages performance
• Consistently demonstrates the ability to utilize clinical data from Order/Entry/and PCI when collaborating with other health care professionals.
• Rounds with physicians.
• Coordinates unit activities and provides leadership for unit staffing and patient assignments and responds to and provides leadership during crisis and emergency situations.
• Observes and practices DCH policy concerning patient confidentiality including on-line information and the Medical Record on file.
• Maintains effective interdepartmental relationships by working with other unit leaders and departments to define and work toward common goals
• Maintains exemplary attendance and availability according to department need and rotates management duty.
• Regularly rounds on patients, physicians, and employees with focus on clinical safety, quality compliance, patient experience, satisfaction, physician and employee satisfaction and staff performance.
• Assesses, plans, implements, and evaluates programs for in-service and orientation.
• Assures compliance with various quality standards and regulatory agency requirements (The Joint Commission, CMS, Standards of Nursing Practice, PI process, value-based purchasing, Structural Indicators etc.)
• Promotes efficient patient flow including timely discharges and admissions.
• Manages front line operations of area of accountability related to meeting/exceeding departmental goals, 5 keys of excellence, DCH Mission and Vision.
• Executes progressive discipline up to and including termination
• Responsible for assessing and meeting own professional education needs.
• Regularly prepares and presents staffing and outcomes metrics with action plans.
• Ensures orientation and training for employees
• Performs initial and annual competency per job class.
• Displays sound judgment and critical thinking skills in areas of decision-making and problem-solving.
• Encourages a safe environment by promoting adherence to established protocols, policies and procedures.
• Assures compliance with policies and procedures

DCH Standards

• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• All other duties as assigned.
• Must adhere to all DCH Health System policies and procedures.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Performs compliance requirements as outlined in the Employee Handbook
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.

Current Alabama RN license required. One (1) year of experience as a registered nurse required. Bachelor’s degree in Nursing or Healthcare related field preferred. Current American Heart Association (AHA) Basic Life Support (BLS) Provider training required. Customer service abilities including effective listening skills, critical thinking skills, decisive judgment and the ability to work with the minimal supervision in a fast paced environment. Must be able to read, write legibly, speak, and comprehend English.

WORKING CONDITIONS

WORK CONTEXT

• Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.
• Communicate with different personalities and engage in face to face discussion
• Must be able to perform structured and unstructured work
• Requires decision making that will affect others
• Address conflict and stressful situation
• Must be able to use electronic mail, telephone and texting
• Dealing with unpleasant or physically aggressive personalities
• Must be meet time pressure and time lines
• Must be able to communicate clearly and accurately
• Demonstrate leadership skills
• Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
• Responsible to achieve outcomes
• Must be able to work in groups
• Ability to delegate to team members and students

PHYSICAL FACTORS

• Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
• Must be able to reach reasonable distances in any direction
• Must be able to stand, walk, kneel, bend, sit and stoop
• Hearing and vision must be normal or corrected to within normal range.
• Must be able to move fingers in a coordinated manner and must be able to feel and perceive temperature, texture, shape and size with fingertips
• Must have the ability to exert maximum muscle force to lift, push, pull and carry objects
• Must possess stamina to work prolonged shifts
• Must be able to tolerate prolonged periods of standing and walking
• Must be able to perform the duties with or without reasonable accommodation
• Must be able to run in an emergency
• Physical presence onsite is essential.

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