Medicare Program Director Jobs (NOW HIRING)

The rewards at Healogics are immense, starting with the important work we do to change patients' lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide.

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships
The Clinical Program Director is responsible for the management and the strategic growth of the Wound Care Program and other wound care continuum programs for the assigned area of responsibility. This position is responsible for the complete oversight of the Wound Care Center (WCC), to include the following functions: day-to-day center operations, staff management, financial management, quality/performance improvement, community education, and clinical functions oversight. The Clinical Program Director is also responsible for maintaining collaborative and consultative client relationships within and outside the hospital organization and for creating effective working relationships between Healogics and the hospital.
All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.Essential Functions/Responsibilities: (Percentage time shown in parenthesis next to each function)

Manages the Center's Operations (20%)

• Oversees the day-to-day management of outpatient clinic(s), and other wound care continuum programs, as applicable.
• Continuously assesses current clinic flows, processes and procedures, identifies areas of improvement, and develops and implements best practices and appropriate changes to improve outcomes
• Works with hospital and company personnel to ensure availability of adequate resources, supplies, equipment and services.
• Facilitates the flow of information and maximizes effective communication throughout the program.
• Prioritizes responsibilities and directs the work of the Center's clinical staff and non- clinical staff.
• Collaborates with other health care providers across the wound care continuum, Wound Care Center (WCC) Providers, and Medical Director regarding clinic and patient needs.
• May function as a Documentation Assistant (scribe) in accordance with Healogics policy

Manages direct reports in conjunction with the company and hospital HR departments.This includes interviewing, hiring, motivating, coaching, counselling, establishing performance expectations, and conducting performance reviews. (5%)

Performs Financial Management (10%)

• Manages and coordinates the revenue cycle for Healogics and for the hospital partner, as appropriate.
• Stays current with reimbursement changes, providing physician and staff updates and education as needed.
• Reviews key financial reports, identifies key indicator trends and develops plans to implement best practices to ensure fiscal responsibility.
• Tracks and reports all ancillary revenues generated by the program.
• Manages costs through appropriate utilization and management of labor and supply across the wound care continuum.
• Works with Healogics support team to complete financial reviews and presents results to hospital leadership.

Manages Community Education/Marketing functions (20%)

• Works directly with the hospital and Healogics marketing departments to ensure that the wound care program has established strategic marketing plans and works with the same group and the hospital physician liaison to plan, coordinate, and execute activities directed toward increasing patient referrals to the Wound Care Center (WCC)(s).
• Works collaboratively, as part of a multi-functional team, to best determine key target referral sources, and develops a systematic approach to build those customer relationships and increase Wound Care Center (WCC) referrals.
• Maintains, monitors and updates the list of Physician Practices within a given radius of the hospital on an ongoing basis.
• Visits Physician Practices and interacts with key physicians to provide awareness of the Wound Care Center (WCC) program, using educational marketing materials. Also documents all physician office interactions, as well as the visits with the Physician Practices in the Healogics Customer Relationship Management (CRM) system.
• Communicates on a regular basis with the (C)DO and/or (C)VPO and the hospital executive sponsor regarding goals, targets, and other relevant referral development information, as needed.

Manages Quality/Performance Improvement functions (10%)

• Implements and manages a continuous Wound Care Center (WCC) Performance Improvement Program (PIP) and strives to meet Wound Care Center (WCC) quality indicators.Ensures program is integrated into the partner hospital's PIP program.
• Participates in hospital committees as appropriate and ensures timely and accurate documentation in the patient record and outcomes database.
• Monitors patient, referring physician and customer satisfaction.
• Ensures that Patient Safety Guidelines are followed, that Healogics employees complete all annual requirements, including compliance requirements, and creates an environment that promotes the escalation of compliance concerns as appropriate.

Manages clinical functions (20%)

• Is responsible for coordinating the clinical activities and directing the work of the clinical staff. This includes patient care assessment, patient care planning and implementation, and working on patient care quality improvement. The CPD partners with the for review of clinical practice.
• As needed, serves as case manager to a group of wound care patients, to include specific assessments and direct patient care according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management.
• Performs hyperbaric related duties, as needed, upon completion of the Healogics Hyperbaric training.
• May perform hyperbaric safety director duties after completing the required Healogics hyperbaric safety director training

Manages Relationships (15%)

• Maintains excellent relationship with hospital client and continuously seeks to understand needs, confirm goal alignment and demonstrate value proposition.Identifies the hospital strategic goals and objectives and manages the program to achieve those goals, while remaining compliant with all Healogics operations standards. Works effectively and seamlessly at all levels within the partner hospital.Participates in hospital department/management meetings and actively participates in Hospital communication activities.
• Builds and develops effective working relationships with wound care program providers, clinical and support staff.Encourages all program staff to provide excellent customer service to members of other hospital departments.

Performs other duties as required.

Required Education, Experience and Credentials:

• Current Registered Nurse (RN) license to be maintained throughout the duration of employment in this position
• Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related field preferred and 1 year of marketing/community education in the healthcare industry or clinical operations experience
• OR Associate's degree in Business Administration, Healthcare Administration, Nursing or related field preferred and 2 or more years of marketing/community education in the healthcare industry or clinical operations experience
• OR 4 years or more years of marketing/community education in the healthcare industry or clinical operations experience
• Management experience preferred

Required Knowledge, Skills and Abilities:

• Demonstrated competency in BLS (Basic Life Support)
• Demonstrated knowledge of regulatory/accrediting requirements for healthcare organizations
• Proficient in Microsoft Office Suite (Word, Excel, Outlook and PowerPoint)
• Strong interpersonal, verbal and written communication skills, to include group presentation skills
• Strong analytical and quantitative skills
• Strong customer service and follow-up skills
• Strong organization, time management skills and ability to multi-task in a fast-paced environment
• Leadership and teaching skills
• Strong relationship building and influential skills
• Strong team building and motivational skills
• Ability to work with Healogics and hospital management.
• Budget and strategic planning skills
• Ability to travel overnight

Physical Demands:

• Being in a stationary position for extended periods of time (4 hours or more)
• Viewing computer screen for extended periods of time (4 hours or more)
• Keying frequently on a computer for 4 hours or more
• Moving about
• Close, distance and peripheral vision
• Reading
• Communicating
• Writing
• Lifting/moving items up to 75 pounds with equipment assistance
• Pushing/pulling
• Bending/stooping
• Reaching/grasping/touching with hands
• Traveling distances (car, airplane, etc.)
• Detecting sounds by ear
• Color perception

Work Environment:

• Normal office environment
• Primarily indoors environment
• Patient care environment
• Exposure to Hazards (blood borne pathogens, toxic chemicals, flammable explosive gases, etc)
• Exposure to mechanical equipment
• Proximity to moving objects

The salary for this position generally ranges between $92,100.00-$122,100.00 Annually

This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law.

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