The MedElite Group · 3 months ago
Vice President of Clinical Services
The MedElite Group is dedicated to improving the standard of care in skilled nursing and long-term care facilities nationwide. The Vice President of Clinical Services will provide strategic leadership and operational oversight to ensure high standards of clinical quality, compliance, and provider performance while driving organizational success and improving healthcare outcomes.
Business DevelopmentConsultingDocument PreparationMedicalRisk Management
Responsibilities
Educate and guide providers on compliance with MIPS, HEDIS, IPCP-1, IPCP-2, and Quality Assurance project requirements
Create and implement clinical policies to standardize and improve patient care
Ensure policies align with regulatory requirements and best practices
Facilitate communication between providers, Collaborating Physicians, and Medical Directors to align with organizational goals and objectives
Act as a liaison to resolve clinical or operational challenges efficiently
Monitor providers' clinical performance metrics and compare results against quality benchmarks
Deliver actionable feedback to enhance provider outcomes and ensure high-quality care delivery
Assess the effectiveness of training sessions and workshops, implementing necessary improvements to enhance provider engagement and competency
Provide strategic oversight for subspecialty divisions, including Pulmonology, Dermatology, Endocrinology, Genitourinary, and Gastroenterology
Oversight of the providers and that they are informed of relevant changes and maintain compliance with coding guidelines
Oversight of follow-up training sessions to reinforce CPT code workshops and verify provider proficiency
Oversight of the identification and addressing gaps in clinical skills or knowledge through targeted evaluations and tailored feedback plans
Provide continuous support for providers adapting to new workflows or processes, ensuring smooth transitions
Lead the Hospital Transfer Rate (HTR) team, including preparation, analysis, and presentation of performance reports
Collaborate with cross-functional teams to align clinical operations with organizational goals
Oversee medical records requests to ensure accurate and timely submissions
Maintain comprehensive documentation for compliance and quality assurance purposes
Direct day-to-day clinical operations, ensuring efficient workflows and adherence to protocols
Develop and implement strategies to optimize resource utilization and operational efficiency
Work closely with executives, medical directors, and clinical teams to define and implement organizational strategies
Foster a culture of accountability, excellence, and continuous improvement
Prepare regular reports on clinical performance, operational metrics, and quality initiatives for senior leadership
Use data-driven insights to inform decision-making and strategic planning
Lead initiatives to improve patient outcomes and overall care delivery
Undertake additional responsibilities and special projects as assigned by executive leadership to support the evolving needs of the organization
Qualification
Required
A master's in healthcare administration, nursing (NP, ANP, DNP), medicine, or a closely related field
Proven experience in clinical operations leadership, with a strong understanding of MIPS, HEDIS, and other quality metrics
Demonstrated ability to manage teams, develop strategies, and execute initiatives that improve clinical outcomes
Strong communication and interpersonal skills, with the ability to engage and influence stakeholders across all levels
Expertise in regulatory compliance, quality assurance, and performance improvement methodologies
Proficiency in data analysis and interpretation to drive actionable insights
Benefits
Health
Dental
Vision
Company-Sponsored Life Insurance
401K
Short and Long-term Disability
Paid Time Off
Commuter Benefits
Company
The MedElite Group
MedElite understands that ensuring optimal patient care is a challenge presented to skilled nursing and long-term care facilities.