RestorixHealth · 23 hours ago
Program Manager - RN- South Lake Tahoe
Reno, NV, USA
Full-time
Onsite
Senior Level
$57/hr - $67/hr
5+ years expRestorixHealth is seeking a Program Manager responsible for the overall leadership and performance of assigned Wound Care and Hyperbaric treatment centers. The role involves staff management, budgeting, clinical operations, and ensuring compliance with company policies while delivering high-quality patient care.
Health CareMedicalMedical Device
Responsibilities
Lead by example and model ideal behaviors while performing all duties and in interactions with staff and patients
Work in collaboration with RXH/hospital Partner Human Resources Department to conduct interviews for prospective staff and determine suitability for hire
Establish performance expectations, provide regular feedback, including completing performance appraisals, and consistently manage these expectations
Participate in continuing education meetings, committees or workgroups and identify needs, both managerially and clinically, and seed resources as needed
Coordinate or facilitate training and educational programs in collaboration with other support departments (facility Implementation Team, Revenue Cycle, Human Resources, and Clinical Operations) including but not limited to orientation of new staff, mandatory requirements, developmental needs, and competencies training
Maintain and ensure all staff meet all compliance requirements including but not limited to RXH’s compliance plan, center-specific policies, and procedures, federal (Medicare) and state (Medicaid) programs, and Joint Commission
Comply with all the HIPAA Privacy and Confidentiality Policy and Procedures outlined in the “Privacy, Security and Confidentiality Agreement.”
Administer and uphold all the Company’s values and policies and procedures
Continuously work towards the Company’s goal and vision
Performs other duties as assigned
Be visible in wound clinic aligning supportive documentation for procedures (graft utilization, debridement) in conjunction with clinical staff
Collaborate with Medical Director and staff to develop, implement and manage RXH’s Performance Improvement Plan to improve Quality Outcomes
Plan, implement, evaluate, and adjust staffing patterns and clinic flow to improve efficiencies and productivity in accordance with acuity levels
Complete in a timely manner all billing and utilization documentation requirements via EMR including registration, charge posting, and supporting medical documentation notes
Ensure appropriate compliance with Clinical Practice Pathways and initiates, modify and effect unit-based changes in clinical practice to maximize patient outcomes
Review retrospectively monthly outcome report(s) and collaborate with RXH RD/Hospital Partner to identify improvement opportunities
Serve as an advisor and communicate effectively with staff, patients, and family to monitor patient and referring physician satisfaction
Responsible for preparing and submitting the quarterly safety survey, for reporting, investigating, and taking preventative measures for safety incidents and performing any other reporting required by the business
Authorize purchase of supplies and equipment in collaboration with supervisor
Provides professional nursing care by utilizing all elements of nursing processes
Develops patient specific wound care plan and regularly reviews wound progress
Measures and photographs wound progress and provides updates to physician on an ongoing basis as changes occur
Assists providers and is present for specialized wound care procedures within the wound clinic
Follows up with lab and diagnosis results, communicates to provider and patient, and documents accurately in the medical record
Adhere to all local facility regulations, patient safety initiatives and infection control regulations
Adheres to RXH and host facility regulatory and accrediting standards policies/procedures
Establishes weekly contacts with the center’s administration and medical staff
Educates referral sources on RXH benefits, referral process, and clinic specific information
Establish and ensure compliance with all RXH policies and procedures in cooperation with the hospital
Attends and conducts local medical community functions, such as conventions and in-service training
Completes strategic marketing plans and completes local onsite marketing strategies timely in addition to virtual marketing strategies
Actively participates in all Quality Management measures (i.e., survey preparation, documentation, audits, patient satisfaction survey completion, and hygiene observations
Facilitates coordination of care
Ensures completion of the pre-and post-clinic checklist tasks
Provides ongoing patient education relevant to disease processes, mediations, nutrition, vitamin therapy, and pressure reduction
Ensures accuracy, legibility, and completion of all staff documentation and adheres to daily chart check and correction policy
Prepare, establish, and manage salary, supplies, equipment and material budgets and financial performance objectives, in coordination with RXH Regional Director
Manage and/or coordinate all aspects of the revenue cycle including registration, scheduling, hyperbaric conversion, treatment authorization, documentation, coding, charge entry, billing, collections, and denial processes
Maximize monthly program utilization by controlling external barriers including scheduling constraints, scope of supervision coverage, medical clearances, compliance, and chamber maintenance
Implement audit and reconciliation processes to ensure accuracy. Regularly review the Charge Description Master and Superbill to ensure appropriate reimbursement
Conduct chart audits to monitor and ensure documentation meets regulatory and billing requirements. Stay current with reimbursement changes, providing physician and staff updates and education as needed
Review and analyze key financial reports, identify key indicator trends, and develop plans to ensure best practices are implemented to appropriately maximize clinic and overall program profitability and/or address variances
Interface and collaborate with hospital and RXH staff and management and uphold hospital partner reporting and operating requirements
Problem solve and troubleshoot issues between the center and its physicians and hospital partners
Work effectively with case managers and other disciplines to assist in the planning and implantation of strategies to improve performance and outcomes
Facilitate and/or conduct individual and group educational presentations to the various referral sources and general community
Track and report all inpatient, outpatient, outreach, HBO, and ancillary revenues generated by the program. Work with Regional Director to complete a quarterly financial review and present results to hospital leadership
Qualification
Required
Minimum of 5 years of experience in an ambulatory or equivalent setting
Registered Nurse Graduate of an accredited school of professional nursing. Holding current license with appropriate State Board of Nursing without restriction. Maintains full knowledge and works within their scope of practice
Possesses a thorough knowledge of evidence based wound healing standards and demonstrates expertise regarding wound etiology assessment, wound bed preparation, and related wound management strategies
Demonstrates proficiency to assess patients' wound care needs and assists to formulate individual wound management plans. Must be knowledgeable of the policies and procedures governing RestorixHealth
Must have intermediate Microsoft Office Suite skills, be technologically savvy and comfortable learning and teaching new applications
Possesses and maintains current BLS from the American Heart Association. Must have and maintain a valid ACLS certification through the American heart Association if the hospital requires it
Strong leadership skills with focus on leading by example, team building, engaging and coaching colleagues and flexibility
Strong organizational and problem-solving skills
Excellent collaboration skills to foster relationships with all key departments such as: Revenue Cycle, Clinical Education, Human Resources, Finance and Compliance to accomplish key initiatives as directed by Regional Director
Exceptional communication skills, both oral and written, as well as interpersonal skills to enable communication and collaboration with physicians, patients, families, and ancillary staff
Excellent critical thinking skills and ability to make sound, independent clinical judgements
Ability to prioritize and multi-task while working in a fast-paced team environment
Display drive and fortitude
Work in a fast-paced clinical environment
Exhibit critical thinking
Exhibit the ability to make sound nursing judgement
Embrace and thrive in a team environment; fosters a sense of teamwork
Willing to continue coordination of care efforts even during non-clinic hours
Act professionally as a representative of RXH
Diversity – Demonstrates knowledge of Equal Employment Opportunity (EEO) policy; shows respect and sensitivity for cultural differences; educates others on the value of diversity; promotes a harassment-free environment; builds a diverse workforce
Ethics – Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and principles; upholds organizational values
Ability to work effectively in a team environment
Intermediate Microsoft Outlook, Excel, and Word skills
Must have full range of body motion, be able to lift a minimum of 50 lbs., and can stand, sit, walk, bend, lean, and squat for long periods of time with hindrance
Vision abilities required include close vision, distance vision and color vision
Must be able to speak and hear clearly
Must be able to maintain dexterity when pulling, pushing, and gripping emergency carts and stretchers
Must be physically able to perform CPR
Preferred
Bachelor's degree in nursing, preferred
Preferred wound care clinic experience, graduated from an accredited nursing program and holds an active license in the state(s) working in
Experience in medical sales, process management, leadership, marketing, and referral source generation preferred
Company
RestorixHealth
RestorixHealth develops and manages comprehensive wound care centers of excellence. Chronic wounds are a significant health problem
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$17.5MKey Investors
Bison Capital Asset Management
2015-09-02Acquired
2008-03-31Series Unknown· $17.5M
Leadership Team
Ben Dunford
Chief Executive Officer
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