Director of Clinical Operations (Director of Nursing)

Job Description

Job Description

Come grow with us!  Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place To Work!  This is a remote full-time position offering a starting annual salary of $115,000 plus up to 10% annual bonus, and a monthly $100 internet and cell phone allowance. Spanish language fluency is required. Although this is a remote role, candidates must reside between Palm Beach and Miami, FL area and will travel to local locations in this area a few times per month. This is a great opportunity for a bi-lingual Director of Nursing to join our team for this remote role utilizing their skills and advancing their career with clinical operations!

This role comes with a robust benefits package including immediate/day one health/dental/vision insurance, company funded life insurance, and 15 days of vacation, 7 paid holidays and 5 sick days and more. As well as eligibility for 401(k) with a company match after 6 months of service.

Job Summary:

The Director of Clinical Operations will be a part of our national team of operations leaders and oversee clinical operations for a specified region and participates in the development, planning, and operations for a multi-physician practice to fulfill programmatic directions and goals as well as traveling to conduct Provider introductions, customer relationship building meetings, and training. This role ensures a smooth on-boarding credentialing, training, and start of new Providers and their implementation into Skilled Nursing Facilities and other healthcare settings. The Director of Clinical Operations supervises each individual account to ensure success for all parties as well as collaborating with the client building’s administrative teams to ensure consistent, efficient, and compliant operational performance. This role also collaborates to ensure continual efficient and compliant operational performance of the Providers and buildings. You will be called upon to directly interface with our customers. This will include Physicians, Physician Extenders, Skilled Nursing Facility department heads, and other healthcare setting leaders. The Director will be asked to participate in analyzing operational and clinical performance both for client facilities and medical providers. This is a remote role, but travel is expected locally to meet facility leaders, and conduct provider introductions, onboarding and training. The Director of Clinical Operations reports to the Senior Vice President of Clinical Operations.

Essential Duties and Responsibilities:

1. Medrina Programs Implementation:

• In collaboration with Business Development, clinical leadership and other teams, implements existing operations processes, workflows, best practices and protocols for the new client buildings.
• Oversees the operational integration of various and/or new Medrina programs into Skilled Nursing Facilities (SNFs) and other healthcare settings.
• Coordinates administrative functions and assists in planning and supporting the program development as well as monitors programs and assists in developing strategies for adaptation to market changes.
• Assists in data collection for preparation of reporting related to and forecasting.
• Ensures efficient and compliant operational performance of the department and programs. Strives to streamline operations and effectively apply new concepts and techniques for positive outcomes. Identifies and implements technology to improve operations.
• Collaborates and has consistent communication with multiple departments within the organization.
• Participates in monitoring and evaluating a program’s inception and performance and routinely monitors performance for volumes, referrals, and trends.
• Establishes and maintains a working relationship with physician staff with respect to their compliance and performance related to billing, coding, and regulatory agency standards.
• Assists in initiatives that will develop relationships with ACO/MCOs in needed markets under the direction of the Vice President of Clinical Operations and Chief Medical Officer.
• Assists in implementing new programs, protocols, and methods to track quality metrics and will make adjustments as needed.
• Other responsibilities as assigned.

2. Facility Relations and Performance:

• Establishes and maintains a strong working relationship with key personnel in partnering Skilled Nursing Facilities to ensure program growth and ensure the program is making positive impact on the Skilled Nursing Facility.
• Serves as the point of contact between SNFs, healthcare facilities, and medical providers to ensure smooth implementation of Medrina programs.
• Serves as a point of contact between Skilled Nursing Facilities’ clinical staff and the physicians to ensure quality and satisfaction.
• Maintains strong relationships with key administrative and clinical personnel in partnering facilities to ensure continuous program growth and success.
• Works directly with facility administrative and clinical leadership, and providers to monitor the success of Medrina programs and improve patient outcomes.
• Monitors facilities performance ensuring that Medrina protocols are followed, and quality standards are met.
• Collaborates with Medrina Business Development and Recruitment teams in ensuring smooth operations related transitions.

3. Provider Relations and Performance:

• In collaboration with Human Resources, monitors and ensures providers complete mandatory state and federal new hire and annual training.
• Monitors providers’ performance ensuring that Medrina protocols are followed, and quality standards are met.
• Alerts and collaborates with clinical leadership and clinical training teams to improve providers’ (Physicians’ and Advance Practice Providers) performance, if necessary.
• Addresses insufficient provider performance in collaboration with clinical and operational leadership and Human Resources teams in accordance with company performance management policies.
• Approves providers schedule changes and time off requests utilizing company systems.
• Reviews and approves appropriate employee expense reports and ensures staff follow the correct procedures for continuing education and other expenses.
• Prepares and conducts providers annual performance reviews utilizing company system incorporating facility feedback, clinical and operations leadership and feedback
• Reviews and ensure Physicians’ and APPs’ supervision and practice state requirements compliance and facilitates revisions with Credentialing and Legal teams.

4. Operational Performance and Compliance Leadership:

• Maintains compliance with all regulatory and accrediting institutions and monitor program components relative to criteria determined by regulatory agencies and also internally by the organization (i.e, billing, credentialing, training, facility visits requirement & etc). Ensures compliance with Medicare and other regulatory requirements, including reporting and documentation standards.
• Coordinates activities related to growth objectives, data planning, developing goals and objectives, and desired outcomes of programs and serves as a liaison with Administration in planning, developing, implementing, and evaluating operational and clinical performance.
• Keep abreast of all billing, coding, and compliance related issues as they apply to the practice and assist in staff education in regard to these changes.
• Reviews and approves requests for release of information to agencies and members of the public as required by law.
• Coordinates and acts as project manager with planning and supporting program development as well as monitors programs, provides progress updates, and assists in developing strategies for adaptation to market changes.
• Participates in initiatives that will develop relationships with ACO/MCOs in needed markets under the direction of the Senior Vice President of Clinical Operations and Chief Clinical and Medical Officers.
• Leads efforts to streamline the operations and implement technological improvements where appropriate to improve operational efficiency.
• Fosters a culture of continuous improvement, collaboration, and innovation within the team.

5. Quality and Metrics Tracking:

• Assists in data collection for preparation of reporting related to and forecasting.
• Assists in developing and maintaining objectives and policies and procedures to ensure the efficient operation of the department.
• Regularly reviews program data and trends to identify areas for improvement in clinical performance and operational processes.
• Collaborates with clinical teams to make data-driven adjustments to care protocols and program strategies.

Job Requirements (Skills, Education, Proficiency):

• Spanish language fluency.
• Cannot be excluded from participation in any state or federal programs such as Medicare or Medicaid.
• Must have 2 years of leadership and administration experience preferably in the Skilled Nursing Facility or Hospital Rehabilitation healthcare setting (such as Director of Nursing).
• Minimum of 5 years of experience and understanding of care coordination and Medicare as well as with Medicare and Medicaid billing and reimbursement policies and proven record of leading team(s) to operational success.
• Proficiency with HIPAA and PHI compliant practices.
• Proficient in healthcare management software (EMR, HMR) and Microsoft Office Suite (Excel, Word, Outlook)
• Must be a detail-oriented, organized decision maker with the ability to work both independently and within a team structure.
• Must be able to analyze situations and make appropriate decisions based on information provided.
• Must be able to prioritize tasks to determine which should be given priority at a specific time.
• Must be able to accept responsibility with a task and ensure completion from start to end.
• Practice excellent verbal and written communication skills in remote setting and present in a professional manner to various stakeholders.
• Must be a self-starter who is disciplined, detail-oriented, organized, and able to prioritize tasks in a fast-paced environment.
• Ability to lead and work within multidisciplinary remote and on-site teams

Physical Requirements:

• This is a remote, work from home position which handles sensitive, confidential, and financial information. Work must be performed in a secure setting.
• Must have the ability to join virtual online meetings as required both with video and voicework environment, requiring reliable internet and telephone service.
• Travel for on-site visits and company meetings.
• Ability to sit, stand, and walk for extended periods. Frequently required to talk or hear
• Ability to lift and move up to 25 pounds.

EOE/M/F/Vet/Disability:
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.