Rn Program Manager Jobs

Reporting to the Chief Nursing Officer (CNO), the RN Program Manager is responsible for developing, in collaboration with CUC data teams, nursing services data dashboard and data reports to ensure effective care delivery by the nursing services department. The RN Program Manager will utilize nursing practice to support building reports and dashboards. Responsible for the effective data development principles supporting management of nursing service dashboard, data analysis, data display and use of statistical tools to ensure integrity of the information. Supports programs priorities for nursing service. Supports nursing services leadership with oversight of the nursing peer review process.

Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations)

Duties/Responsibilities

• Supports Nursing Peer Review Committee activities and committee assignments. Supports clinical review of process variances, including investigation, and timelines. Reports findings to the Director of Nursing.
• Collaborates with CUC data teams for more effective data collection, data analytics, and other strategies to optimize the efficiency and quality of the data being collected
• Assists in tracking and trending data to include comparisons to goals and benchmarks, pointing out anomalies, and using effective tools to develop presentations to internal and external stakeholders.
• Establishes mechanisms for reporting of outcomes data for the purpose of identification improvement opportunities for nursing services priorities and program plans.
• Ensures timely and accurate reporting of data.
• Provides oversight of processes to ensure application of evidence-based nursing practice initiatives to achieve best practices/benchmarking.
• Performs other duties as assigned.
• Implements programs supporting clinical interpretation of data and interventions into nursing services practice.
• Supports oversight of program implementation.
• Coordinates appropriate data collection with appropriate software applications.
• Supports nursing services with needed data for investigations of unexpected outcomes and facilitates the development of action plans for correction. Assists in completing and/or creating action plans as needed.
• Maintains strong computer skills required on an intermediate to advanced level.
• Implements and maintains an effective and ongoing program to measure, monitor and oversees and improves the quality and appropriateness of nursing and clinical team care, treatment and services delivered to patients.
• Supports the preparation of annual reports and presentation of data to CNO, nursing services leadership, appropriate committees, and external partnership as directed by CUC leadership.
• Maintains knowledge of regulatory agency standards, nursing practice, and Joint Commission.
• Assists in the development and implementation of nursing services program monitoring plans.
• Maintains and updates definitions, benchmarks, goals, and parameters relevant to each project in easily accessible and readable files.
• Develops project presentations supporting the nursing service interventions.
• Assists in the development of appropriate forms for data collection and analysis.
• Develops concurrent record review programs and improvement activities that evaluate the effectiveness of nursing and clinical support staff.

Knowledge/Skills/Abilities

• Demonstrated proficiency in the use of Windows operating system, Windows Office products, and electronic health records.
• Experience/knowledge of Joint Commission accreditation process and requirements, as well as all federal, state and local regulations and standards associated with the delivery of care in a FQHC.
• Demonstrate understanding and/or experience working in a PCMH environment.
• Strong attention to detail andaccuracy.
• High level of problem-solving abilitiesto betterserve patients and staff.
• Experience with use and data management in an electronic health record environment.
• Work collaboratively with all members of the organization to resolve challenges, economically, professionally, and with minimum disruption to the organization.
• Experience with statistical software and all Microsoft office products such as Excel, Teams, and PowerPoint.
• Demonstrate knowledge and competency prioritization and timemanagement.
• Excellent verbal and written communication skills.
• Knowledge of local, state, and federal regulations and laws governing health and human servicesactivities.
• Ability to work independently and within a team to accomplish goals as per established timelines.

MINIMUM EDUCATION Associate degree in nursing from an accredited school of nursing

MINIMUM EXPERIENCE

• Three (3) years experience as a registered nurse.
• Experience in oversight of performance metrics.

PREFERRED EXPERIENCE

• Three (3) years experience as a nurse or in a healthcare related field.
• Experience with the Joint Commission accreditation process and requirements, working in a FQHC, and/or working in a PCMH environment.

REQUIRED CERTIFICATIONS/LICENSURE Unrestricted State of Texas Registered Nurse License

Responsible for being the first point of contact for patients, staff, and guests presenting at the clinic, and performing all the administrative tasks associated with patient check in.

DUTIES AND RESPONSIBILITIES

• Notify appropriate personnel of emergencies, messages, patient arrivals, etc.
• Work closely with the nursing, provider, medical assistant, and extended care teams to ensure smooth patient flow and reduce cycle time.
• Register all patients by accurately entering the patient demographic and insurance information in the electronic medical system.
• Utilize the numerous software systems in the clinic, including but not limited to, i2i, Tableau, Vital Interactions, Patient Portal, check in kiosks, etc.
• Maintains confidentiality of all patient, clinical, and company information and data. Adheres to HIPAA guidelines.
• Responsible for closing and/or end of day processes, including but not limited to, daily posting of collected monies into the electronic medical system and balancing the drawer for end of day deposit.
• Responsible for opening front office and all duties associated with this function.
• Verify and ensure completeness of patient registration documentation. Verify and enter patient data into the electronic medical system.
• Participates in appropriate meetings and trainings, as well as adheres to all company policies and procedures.
• As directed, responsible for running Vital Interaction reports and following‐up on appointments needing to be confirmed and no shows.
• Act as subject matter expert in insurance regarding eligibility and coverage.
• Welcome, greet, and assist patients in a courteous and professional manner.
• Review and verify patient coverage of insurance information using online resources.
• As directed, schedule patient appointments accurately and efficiently utilizing the computer system.
• Ability to work assigned hours, and as needed outside regularly scheduled hours including weekends.
• Performs all duties in an ethical manner consistent with the I Promise statement.
• May serve as a back‐up support for the administrative supervisor, as requested.
• Working with the Administrative Supervisor, responsible for overseeing the training of new front office staff members, including checking off new staff members on front office compentencies.
• Participate in investigating/researching complex patient issues, scheduling and potential billing issues.
• Perform other job‐related duties as assigned.
• Work with the HIM department to properly scan medical documents into the EMR system.
• Accurately document and communicate patient concerns to the site triad leadership team.
• Responsible for end of day processing and documentation, including deposit.
• Answer all incoming telephone calls and provide information as necessary or route the calls as needed.
• Explain payment options, including sliding scale fees, Medicare, Medicaid, and other forms of payment assistance.
• Collects deposits or co‐payments/deductibles prior to the patient being seen by the provider per company policies.

KNOWLEDGE/SKILLS/ABILITIES

Knowledge of

• Effective problem solving techniques
• Microsoft Office Applications (Word, Excel, Outlook)
• Working independently in a fast‐paced, multi‐task clinical environment, as well as part of a team
• HIPAA and Joint Commission guidelines and regulations
• Insurance verification procedures
• Verbal and written communications, including telephone and email etiquette and documentation
• Providing exceptional customer service
• Skilled in
• Healthcare office concepts, practices, policies, and procedures

Ability to

• Work in a self‐directed, organized manner
• Demonstrate flexibility and ingenuity in response to change
• Multitask while maintaining a strong attention to detail and accuracy
• Develop and maintain effective working relationships across the organization at various levels, as well as with external customers
• Present information in a consistent, organized, and accurate manner
• Maintain confidentiality

MINIMUM EDUCATION High School Diploma or Equivalent

MINIMUM EXPERIENCE At least two years’ experience in registration or front office duties in a physician’s office, hospital emergency department, and/or urgent care setting.

Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations)

Duties/Responsibilities

• Develops concurrent record review programs and improvement activities that evaluate the effectiveness of nursing and clinical support staff.
• Develops project presentations supporting the nursing service interventions.
• Supports oversight of program implementation.
• Assists in the development and implementation of nursing services program monitoring plans.
• Implements and maintains an effective and ongoing program to measure, monitor and oversees and improves the quality and appropriateness of nursing and clinical team care, treatment and services delivered to patients.
• Supports nursing services with needed data for investigations of unexpec 5442
• Supports Nursing Peer Review Committee activities and committee assignments. Supports clinical review of process variances, including investigation, and timelines. Reports findings to the Director of Nursing.