UnityPoint Health

  • Director Support Services

    Requisition ID
    2018-48443
    Category
    Leadership - Non-Nursing
    Location
    US-IL-Moline
    Address
    4600 3rd St
    Affiliate
    6020 UnityPoint Health QC Trinity
    City
    Moline
    Department
    RYC Support Services- RYC
    State
    IL
    FTE
    1.0
    FLSA
    Exempt
    Scheduled Hours/Shift
    Days
  • Overview

    Responsible for the overall management, coordination, leadership, and direction for both the Robert Young Center (RYC) and Center for Alcohol and Drug Services (CADS) support services which include:  Medical Records, Registration, Centralized Scheduling, Revenue Cycle to include charge master and coding, posting analysis, state reporting, Payee Services, Provider Credentialing / Payor Contract analysis, development and Informatics for Electronic Medical Records (EMR’s) VisionWorks, Avatar and CMHC. Director is responsible for quality assurance and process improvement for RYC and CADS; working through hospital leadership to develop and oversee all quality initiatives for the two organizations while maintaining regulatory compliance. The director plans, organizes and leads through clinical data analytics and maintains both Joint and CARF accreditation. Director oversees the Substance Abuse Prevention Services program to include grant research and writing.  Director will also serve as a council leader on the Eastern Iowa Advisory Council for the Eastern Iowa MH/DS Region.  This position also serves as an advisor and coordinator of integration and business expansion initiatives.

    Responsibilities

    Service Quality Indicators

    • Works with leadership in the organization; developing and implementing a quality program that leads to conformance with standards set by local, state, and federal agencies (DMH rule 132, Chapter 24, DASA rule 2060, Federal Probation guidelines, DEA, CARF, IAC, and Joint Commission standards)
    • Ensure accuracy and timely compliance with local, state and federal quality reporting requirements.
    • Develops and oversees quality data systems to track and obtain performance improvement initiatives at both a program and individual level.
    • Coordinates and maintains internal/external audits, complaints, and investigations and helps develop action plans using performance improvement, patient safety and risk management methodologies.
    • Member of the Corporate Compliance Committee ensuring regulatory compliance and measures are accomplished through continuous process improvement.
    • Partners with hospital leaders, medical providers, service line directors and ancillary services (e.g. Quality, Revenue Cycle, IT) on developing and implementing changes to VisionWorks EMR in support of patient care, process improvement and regulatory compliance.
    • Manages and develops VisionWorks and Avatar EMR(s) for clinical, financial and administrative capabilities. Works with Trinity Regional Health System (TRHS) in aligning initiatives with Epic EMR to create and build efficiencies and interoperability.  
    • Represents VisonWorks EMR for TRHS and RYC at local & regional UnityPoint Health (UPH) domains, governance committees, & other system, regional, or national workgroups.
    • Develops and produces systems for quality and financial data analytics using various platforms that optimize department’s ability to achieve and measure quality outcomes.  
    • Ensures compliance with administrative, legal and regulatory requirements as they relate to VisionWorks and Avatar EMR(s). .
    • Oversees the Revenue Cycle for RYC and CADS and works with both UPH TRHS and corporate Centralized Billing Office (CBO) on initiatives process improvement.
    • Comprehensive understanding and oversight of the charge master for compliance with applicable rules and regulations and appropriate assignment of CPT/HCPCS codes and charges for procedures/ services provided, to include various regulations on methodologies for service (e.g. telepsych and health home services)
    • Works closely with Payor Contracting and Credentialing to ensure UPH payor strategies and financial goals are inline.
    • Represents as Behavioral Health Revenue Cycle liaison for regional and local payors; facilitating accurate and timely payment methodologies for TRHS.
    • Responsible for Revenue Cycle metrics and Financial Quality Review (FQR) plan. Communicates findings and action plans to leadership and committees (e.g. Corporate Compliance, Quality Cost of Care).
    • Oversees patient flow throughout the RYC and CADS continuum, and maintains a thorough understanding of hospital and clinic registration processes.
    • Establishes and maintains communication with regional UPH Clinics on patient flow and integration initiatives. Uses process improvement when necessary to improve efficiencies and meet patient needs.
    • Ensures all HIPAA, state and federal regulatory requirements are met with medical records and distribution. Works with Risk Management though process improvement to mitigate and resolve any legal findings.
    • Has oversight on centralized scheduling; maintaining adequate provider availability and working with leadership to address issues.
    • Oversees quality and financial regulatory requirements for Payee Program to include periodic audits and inspections from the state.
    • Develops and oversees Prevention Services program; establishes financial and productivity standards to be in line with strategic initiatives and UPH Roadmap.
    • Works collaboratively with leadership on grant research and writing, and oversees adequacy of reporting mechanisms for both state and third party organizations.

    Resource Enhancement

    • Lead strategically prioritized grant writing efforts and new funding proposals
    • Ensure all quality committee’s and meetings are in line with UPH Roadmap and initiatives are meeting regulatory requirements
    • Oversee and provide FQR metrics to leadership and committees and develop action plans to obtain financial sustainability
    • Develop and manage quality data analytics for RYC and CADS scorecards. Work with departments and leaders to identify and improve metrics to include Process Improvement Quality Initiatives (PIQI)
    • As a Council Leader for the Eastern Iowa Advisory Council, will help oversee and provide quality and analytics for crisis services within the five counties in Eastern Iowa.

    Technology Activities

    • Oversees Information Technology activities (e.g. EMR’s, state and grant reporting, telepsych, data analytics)
    • Oversees and approves statistical and clinical data through trend analysis

     

     

    Talent Development

    • Provides supervision for programs and services to individuals in treatment.
    • Maintains knowledge of current trends in the field of healthcare, behavioral healthcare and quality improvement, Revenue Cycle, and Informatics
    • Assist in the development and implementation of a training program to meet the needs of staff.
    • Provide consistent direct and indirect supervision to all staff within assigned departments

    Qualifications

     

    Minimum Requirements

     

    Preferred or Specialized

     

    Education:

     

     

     

    Minimum of a Master’s degree in a healthcare related field, health information management or business

     

     

    Experience:

     

     

     

     

    Five years management experience and experience in behavioral health preferred; or any equivalent combination of training and experience that provides the following knowledge, abilities, and skills.

    ·        Five years experience in management

    ·        Three to five years progressive  quality management experience

    ·        Five to seven years of EMR experience

    License(s)/Certification(s):

     

     

     

     

    Valid driver’s license when driving any vehicle for work-related reasons.

     

     

    Certification as a Registered Health Information Administrator

    Knowledge/Skills/Abilities:

     

     

     

     

    ·        Must have considerable knowledge of informatics and EMR systems

    ·        Must have demonstrated skills with audits and reimbursement regulations

    ·        Must have demonstrated practice with performance improvement

    ·        Must have the ability to effectively supervise and direct other staff members.

    ·        Have experience working with grants and other federal programs

    ·        Must have thorough knowledge of human behavior and performance for the assessment and treatment of behavioral health disorders to include pharmacological factors. 

    ·        Must demonstrate thorough knowledge of Illinois Mental Health Code, 42 CFR Part 2, TJC and CARF accreditation requirements

    ·        Must have considerable knowledge of the Diagnostic and Statistical Manual and current American Society of Addiction Medicine patient placement criteria and the as it relates to both mental health and substance-related disorders or able to acquire the knowledge.

    ·        Must have considerable knowledge of substance use disorder prevention services.

    ·        Must have the ability to work with a diverse population.

    ·        Demonstrated knowledge of clinical education requirements, standards, and practices

    ·        Must have the ability to communicate effectively, orally and in writing.

    ·        Have the ability to establish and maintain effective working relationships with other employees, clients, outside professionals and the general public.

    ·        Must have skills in the operations of computer word processing applications.

     

    Other:

     

     

     

    Use of usual and customary equipment used to perform essential functions of the position.

     

     

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