POSITION SUMMARY  Under the supervision of the Medical Director, the Physician in this position provides direct and appropriate clinical care and treatment to patients in specialty areas as assigned. The employee in this position is responsible for and held accountable for maintaining patient/client confidentiality. PRIMARY ACCOUNTABILTIES Achieve Results

1. Directly affect improvements in patient well-being through accurate and timely diagnosis and delivery of relevant, high quality medical care.  Ensure the delivery of competent, accurate, medical care and treatment to all patients as assigned.
2. Provide leadership and direction to non-physician clinic staff.  Effect overall clinic results.  Meet or exceed all measurable standards of care, including overall clinical, quality, and productivity goals.
3. Ensure accuracy, efficiency, and appropriate confidentiality with patient charting and related recordkeeping and administrative functions as assigned.
4. Participates in the organization’s quality improvement initiatives.  Collaborates to ensure metrics for clinical outcomes are consistently reviewed, and that the organization is provided clear guidance and direction affecting ongoing improvements in the quality of care.  Preforms various duties to support patient centered medical home transformation.

Operational Excellence

1. Ensure the delivery of all medical treatment and care is consistent with all regulatory, accreditation, and professional standards, including clinical policies and quality initiatives.
2. Understand and ensure all practices and procedures related to the delivery of medical services are consistent with contracted protocols and procedures.

Relationship Management

1. Develop and ensure favorable relationships with all patients and their families.  Achieve commitments from patients to adhere to an effective plan of care, and ensure all patient services are delivered in a caring and professional manner.
2. Develop and ensure favorable relationships with vendors, contractors and payor sources.
3. Develop and ensure ongoing, positive relationships and collaboration with other physicians, nurses, administrative and clinic operations staff.  Ensure the success of each clinic operation through collaborative support and working relationships with all clinic operations staff.

Professionalism & Stewardship

1. Ensure all actions, job performance, personal conduct and communications represent the organization in a highly professional manner at all times.
2. Uphold and ensure compliance and attention to all corporate policies and procedures as well as the overall mission and values of the organization.

 PRIMARY TASKS & DUTIES

1. Comprehensive physical assessment; evaluating, diagnosing, and treating new and existing patient’s medical conditions.
2. Initiating and interpreting labs and x-ray studies including CTs & MRIs.
3. Performing medical procedures.
4. Prescribing and referring patients for specialized consultation.
5. Write/Dictate progress notes on patients’ charts indicating patient status and treatment procedures performed.
6. Conducting follow-up patient care.
7. Providing health education to patients and families.
8. Supervising and/or coordinating the activities of patient care and support staff within the clinic.
9. Teaching and training illness prevention.
10. Actively participate in community health education.
11. Performing emergency life-saving procedures in cases such as cardiac arrest, respiratory arrest, massive hemorrhage, or similar emergencies.
12. Are among front line medical providers in emergency disaster services.

 ESSENTIAL FUNCTIONS/KEY COMPETENCIES

• Demonstrate a high level of skill at building relationships and customer service.
• Demonstrate interpersonal savvy and influence skills in managing difficult clients and patients.
• Demonstrate high degree of knowledge and competency in the practice of medicine and associated charting requirements.
• Requisite skills and ability to perform certain medical tasks as assigned
• Demonstrate a high level of problem solving skill to better serve patients and staff.
• Strong attention to detail and accuracy.
• Ability to utilize computers for data entry and information retrieval.
• Excellent verbal and written communication skills.
• Ability to implement, and evaluate operational and administrative processes.

POSITION REQUIREMENTS Education

• M.D. or D.O. from an accredited educational institution.
• Licensed to practice medicine in Kansas as assigned.

Professional

• Demonstrated expertise in relevant medical practices, protocol, trends and best practices in clinical areas assigned.
• Demonstrated knowledge and success in effecting overall clinical operations.
• Experience/Knowledge of JCAHO accreditation process and requirements, as well as all federal, state and local regulations and standards associated with the delivery of care in a community health center environment.
• Ability to manage multiple responsibilities and emergency situations successfully
• Proficiency in knowledge of office management, use of computer, software packages, and office machines

Physical/Environmental

• Occasional lifting of 40 – 50 lbs and pushing of 5-20 lbs
• Sitting, standing and walking approximately 80% of the time
• A medium to high level of manual dexterity required
• Bending and reaching approximately 20% of the time
• Normal accessibility and mobility throughout the region required
• Normal overtime/extended work hours

Additional Requirements Additional Requirements

• Valid Kansas Driver’s License; use of personal automobile and certificate of liability insurance from automobile insurer.

POSITION SUMMARY

Under the supervision of the Chief Operations Officer the Registered Nurse in this position performs duties in various programs and provides direct and virtual clinical support to the Physician and PA/NP. The nurse in this position is distinguished by the level of responsibility assumed, complexity of duties assigned and by the independence of action taken. Employees at this level are required to be fully trained in all procedures related to assigned clinical and telehealth duties. The primary purpose of this position is to provide telemedicine and remote monitoring nursing care and leadership, working collaboratively with physicians and multidisciplinary team members including social workers and community health workers. The R.N. will promote and restore patient’s health as they prescribe, provide, delegate, evaluate and coordinate comprehensive professional nursing care through the use of the nursing process for patients of all ages, gender, cultures, and background; provide physical and psycho-social support to patients, friends, and families. The nurse may be from time to time responsible for the coordination of student nursing staff and clinic volunteers. The employee in this position is responsible for and held accountable for maintaining patient/client confidentiality

EXAMPLES OF WORK (ESSENTIAL FUNCTIONS – NOT ALL ITEMS MAY BE PERFORMED BY ANY GIVEN INCUMBENT)

• Demonstrates competency in knowledge and skills of Telemedicine Nurse Case Manager and site coordinator roles: Evaluates appropriateness of referrals and provides feedback to physicians; Establishes contact with patient/proxy. Assesses willingness, ability to use Telemedicine; Evaluates patient and family for social needs and makes appropriate referrals to community resources.
• Provides electronic health record site with relevant information: Follows and expedites referral process; Informs providers and support staff and patient/proxy of referral sources.
• Coordinates appointment time with the primary physician or provider, patient and clinic schedules.
• Facilitates equipment set-up and indicated quality control activities in preparation for appointment. Obtains additional pertinent patient information at time of appointment.
• Develops forms and questionnaires to facilitate exchange of information
• Provides follow up: Sees that requested lab/tests are ordered, and results are sent to specialist. Schedules follow-up appointments.
• Informs and updates physicians and staff of services available through Telemedicine.
• Encourages the use of the video-conferencing equipment for other than specialty consults. Provides equipment set up, distribution of materials to attendees, return of forms to electronic health record site, and maintains records for CME classes. Provides site coordination of community service programs available from electronic health record.
• Provides remote patient chronic disease monitoring and case management.
• Occasionally participates in health clinics; KAN Be Healthy Assessments, Prenatal Risk Reduction Assessments, school screening services; coordinates the prevention and control of communicable disease,; perform diagnostic screening tests including collection of lab specimens; give prescribed treatments and immunizations; lead assessments; chart patient information; maintain clinic log; make referrals; provide breast feeding education and promotion; assist individuals and families in carrying out recommendations made by their physicians.
• Schedules and directs the activities of student nursing staff.
• Reviews, evaluates, and recommends Quality Assurance program policy and procedures to Quality Assurance Coordinator
• Assists in assuring that all standing orders are kept current;
• Assess, plan, direct and evaluate total nursing care as determined by the patient’s age related physical, psychosocial, and cultural needs in accordance with established standards, policies and procedures of the Community Health Center.
• Provides case management by being a patient advocate, resource and contact person for patients.
• Provides basic education information to patients and family, focusing on self-care appropriate to their age and identified learning considerations and needs.
• Performs assessment data collection and documents subjective data (chief complaint and allergies) and objective data (vital signs/weight/etc.). Reviews basic health history information for patients; focusing on environmental, self-care and clinic discharge planning.
• Administers medications and intravenous solutions skillfully and correctly, and performs lab/diagnostic testing as ordered by provider and reports all critical lab values immediately.
• Demonstrates an ability to remain calm, perform effectively and professionally during peak periods of activity and emergency situations.
• Anticipates and prepares examination room with equipment and supplies required for virtual and on-site visits. Assists provider with examination and procedures per request.
• Utilizes universal precautions in obtaining specimens (venipuncture, cultures, etc.) and in delivery of patient care. Performs lab testing (i.e. urine dip, pregnancy test, strep screen, hemacue) including quality controls and maintains all laboratory/diagnostic test logs.
• Performs efficiently in stressful situations, seeking guidance, informing appropriate persons and documenting events.
• Assures all clinic equipment is maintained in a safe and functioning manner;
• Assures safety of biologicals by maintaining temperature logs on refrigerator;
• Assure accuracy of test results by running appropriate controls as needed;
• Assists in assuring compliance with OSHA’s Occupational Exposure to Bloodborne pathogen standards;
• Assures adequate supply of nursing supplies, lab supplies, and clean linens are all on hand for delivery of services; informs the Chief Financial Officer of supply needs;
• Serves as liaison to the public health department for reportable communicable diseases;
• Participates in educational activities by attending conferences, meetings and workshops to keep informed in all FQHC programs and procedures with the approval of the  Chief Medical Officer; when appropriate;
• Provides up-dated information received at meetings and workshops to all applicable staff (not attending) as soon as possible;
• Participates in the hiring of nursing staff; performs training and evaluation of nursing staff per agency policies and procedures.
• Performs duties in various programs including participation in quality assurance and improvement program, and patient centered medical home transformation.
• Performs other duties as assigned.

STAFF NURSE, POSITION REQUIREMENTS

Experience

• Previous appropriate experience is a factor in selection of the Registered Nurse. Employee is expected to have acquired the necessary information and skills to perform the job satisfactorily after probationary period.

Education

• A Registered Nurse with a Bachelors of Nursing (BSN) degree or academic public health preparation is preferred, however, prior experience may be considered.

Skills

• Thorough knowledge of all program operations and procedures. Good management skills. Excellent oral, written and interpersonal communication skills. Ability to manage emotions and anxiety. Ability to operate all equipment used in performing nursing services. Bilingual in Spanish and English preferred.

Problem Solving

• Problem solving is a factor in this position. Problems include student nursing staff management and scheduling, recommending program policies and procedures for student nursing staff guidance and equipment malfunctions.

Decision Making

• Decision making is a factor in this position. Decisions include determine program policies and procedures, student nursing staff scheduling and making decision of referral to help with client needs.

Accountability

• Responsible to assess nursing supply and equipment needs and bring them to the attention of the Chief Medical Officer and Chief Financial Officer. Employee is responsible for reading, knowing and following policies, procedures and protocols for the Health Center and guidelines in manuals dealing with specific programs as assigned.

Private Health Information

• Protected Health Information or PHI means any information (including demographic information collected from an individual), whether oral or recorded in any form or medium.

• This position requires regular access to protected health information. The Registered Nurse in this position requires complete access to all PHI that is necessary to carry out vital job functions as outlined in this description. The nurse is obligated to divulge the minimum necessary PHI to carry out essential functions of the position.

• This position requires the employee to sign a confidentiality agreement as all programs under the Community Health Center are required to be HIPAA compliant.

Professional Relations

• Continual contact with other county agencies, state health department staff, local medical professionals, and the general public. Must be able to establish and maintain effective working relationships within the community and fellow employees.

Working Conditions

• Adverse weather, infectious wastes and possible exposure to communicable diseases are factors in this position. Physical effort is required. The employee in this position must be able to meet deadlines under excess pressure.

Physical Ability

• Moving:  Moves in and out of waiting room, front office, hallways, doorways and exam rooms during clinic hours.  Spends the majority of the day sitting at a computer.
• Body:  Some bending and stooping required.  Ability to sit for prolonged periods of time.  Requires lifting up to 50 lbs.; over 50 lbs. requires assistance.  Requires manual dexterity to maneuver around office equipment. Ability to operate personal automobile, due to services being provided at various sites in the county, as well as, the need to attend job-related in-services and workshops held throughout the state.
• Reading / Seeing:  Visual acuity required to read and type at the computer for prolonged periods of time, respond and react to client observations and to physical changes while assisting with clinic tasks.  Eye hand coordination and finger dexterity needed to perform nursing procedures, entering data and reviewing software for lab/x-ray results.  Must be able to read and generate accurate, concise, and professional written communication and documentation.
• Speaking / Hearing: Pleasant phone voice with articulate speech and excellent customer service.  Ability to communicate effectively with staff, clients, physicians, peers, supervisors, and other collaborative community agencies.  Must be able to use appropriate grammar, vocabulary and word usage.  Auditory acuity is necessary to respond and react to emergency situations in the clinic and to report to supervisors and other regulatory agencies.
• Ability to operate personal automobile, due to services being provided at various sites in the county, as well as, the need to attend job-related in-services and workshops held throughout the state.

OTHER REQUIREMENTS

• Valid Kansas Drivers License, use of personal automobile and certificate of liability insurance from automobile insurer.

 

POSITION SUMMARY

Under the direction of the Chief Medical Officer, and in partnership with the clinical management RN (telemedicine & case management); and as a part of a specific multidisciplinary team including psychiatrist, social worker, community health worker and navigator, will provide direct services to patients, including assessments, treatment plans and discharge planning. This position also serves as the program manager for integrated clinical and community-based behavioral health services team.

JOB PURPOSE

The primary function of the Integrated Behavioral Health Manager (IBHM) is to provide clinical behavioral health services consistent with our integrated care model with the goal of improving patient health outcomes and increasing wellness. The Integrated Behavioral Health Manager works under the administrative supervision of the Chief Operations Officer but performs all functions of their duties and responsibilities within the patient’s primary care pods, via telehealth and in exam rooms. They will work in support of both the primary care providers and the overall health of patients. The Integrated Behavioral Health Manager works to integrate and embed behavioral health into a patient’s medical care. Performs “warm hand-offs”. The IBHM is easily accessible and prompt in responding when primary care providers request behavioral health consult. Provides clinical consultation to providers and staff regarding mental and behavioral health of the patient and that supports the patient’s medical care and treatment. Provides brief (15-30 minute) solution focused behavioral interventions with the development of behavior change plan using evidence-based practices including Motivational Interviewing. Provides on-site availability for crisis, triage and intervention. IBHM will be available to the clinic staff during working hours in the event of a behavioral health emergency. Provides follow up appointments to track and measure behavior changes and impact on overall health. Provides clinical judgment and promotes collaborative and coordinated transitions when referring patients to specialized services such as Community Mental Health Centers or Substance Abuse Treatment. Collaborates and coordinates the patient’s behavioral health care with consistent and timely feedback to referring providers Documents the clinical behavioral health diagnosis and supporting treatment plan that is behavioral and measurable.

This non-exempt position is responsible for and held accountable for maintaining patient/client confidentiality.

GENERAL RESPONSIBILITIES

The Community Health Center Integrated Behavioral Health Manager is responsible for providing brief intervention integrated behavioral health services and program management within the scope of their license; and providing consultation services to individuals and organizations in the community. Behavioral Health services are NOT co-located specialty mental health services.  Patients needing specialty mental health services should be referred to mental health providers in the community.  The Integrated Behavioral Health Manager is expected to adhere to the ethical principles and guidelines set forth by the organizations governing his/her profession and to comply with professional guidelines established by the Kansas Behavioral Sciences Regulatory Board.

RESPONSIBILITITES (Include the following)

• Provide comprehensive assessment and diagnosis of behavioral health clients.
• Provide effective treatment planning and assisting clients in successfully achieving goals.
• Evaluate crisis situations and apply appropriate interventions.
• Actively participate in meetings that support the Community Health Center in Cowley County’s integrated health care model to provide comprehensive care for clients.
• Assist in the detection of “at risk” patients and development of plans to prevent further psychological or physical deterioration.
• Assist the primary care and behavioral health team in developing care management processes such as the use of guidelines, disease management techniques, case management, and patient education to improve self-management of chronic disease.
• Provide assessment, consultation, and brief intervention for psychological/psychiatric problems and/or disorders.
• Preforms duties in various programs including participation in quality assurance and improvement program, and patient centered medical home transformation.
• Teach patients, families, and staff care, prevention, and treatment enhancement techniques.
• Monitor the site’s behavioral health program, identifying problems related to patient services and making recommendations for improvement.
• Performs duties in various improvement programs including participation in quality assurance and improvement program, and patient centered medical home transformation.
• Other duties as assigned.

ESSENTIAL DUTIES

• • • • Addresses referrals from providers including referrals via warm hand-offs
      • Participates and daily huddles to assess needs and coordinate services
      • Maintains weekly scheduled appointments in our electronic records systems (eClinicalWorks)
      • Provide therapeutic services to patients and their families
      • Work in collaboration with multidisciplinary team members including external partners
      • Completes required documentation and paperwork including biopsychosocial assessments and treatment planning and implementation in a timely manner
      • Participate in SBIRT program
      • Demonstrates cultural competency and commitment to patients
      • Demonstrates commitment to the philosophy of the agency
      • Maintain case load of 15 to 20 patients weekly, and minimum of 5 patients a day
      • Other duties as assigned

KEY COMPETENCIES

• Excellent working knowledge of behavioral medicine and evidence-based treatments for medical and mental health conditions.
• Ability to work through brief patient contacts as well as to make quick and accurate clinical assessments of mental and behavioral conditions.
• Should be comfortable with the pace of primary care, working with an interdisciplinary team, and have strong communication skills.
• Good knowledge of psychopharmacology
• Demonstrate a high level of skill at building relationships and customer service.
• Demonstrate interpersonal savvy and influence skills in managing difficult clients and patients.
• Demonstrate a high level of problem-solving skill to better serve patients and staff.
• Ability to utilize computers for data entry and information retrieval.
• Excellent verbal and written communication skills.
• Ability to implement and evaluate operational and administrative processes.

EXPERIENCE/KNOWLEDGE

To perform effectively in this position, the incumbent should have/be:

Education

• Licensed Clinical Social Worker or PhD in Clinical Psychology in the State of Kansas

Professional

• Experience supervising unlicensed staff.
• Knowledge and experience with evidence-based practices, including trauma informed care framework.
• Knowledge and experience working with co-occurring populations (chronic health conditions, mental health and substance use).
• Strong clerical/administrative skills including personal computer skills (Microsoft Office software). Proficiency in knowledge of office management, use of computer, software packages, and office machines
• Ability to make routine decisions and determine proper action based on experience within the limits of policy and procedures.
• Demonstrated oral/written skills.
• Ability to work effectively with people of diverse cultures, ages and economic backgrounds a cultural competent and sensitive manner.
• Demonstrated expertise in relevant practices, protocol, trends and best practices in areas assigned.
• Demonstrated knowledge and success in effecting overall operations.
• Experience/Knowledge of federal, state and local regulations and standards associated with the delivery of care in a community health center environment.     
• Ability to manage multiple responsibilities and emergency situations successfully 

Physical/Environmental

• Occasional lifting of 40 – 50 lbs and pushing of 5-20 lbs
• Sitting, standing and walking approximately 80% of the time
• A medium to high level of manual dexterity required
• Bending and reaching approximately 20% of the time
• Normal accessibility and mobility throughout the region required

Additional Requirements

• Valid Kansas Driver’s License; use of personal automobile and certificate of liability insurance from automobile insurer.

ADDITIONAL DETAILS

• Job Type: Full-Time Schedule: Monday-Friday, 8AM-5PM.
• Benefits: Health, Dental and Vision insurance, Vacation and Sick time, 403b retirement with match, Life insurance, annual incentive program bonus!
• Experience: Prior experience as a Clinical Social Worker in a medical setting or clinical behavioral health setting (Preferred).
• Why the Community Health Center in Cowley County: Clinic is a federally qualified health center that provides care to all members of the community regardless of socioeconomic or insurance status. Services clinic-wide are provided using sliding fee scales to make healthcare affordable to patients without insurance. We believe that integrated healthcare serves to treat the whole person and not just the symptoms. This is why we offer our patients behavioral health, primary medical care, laboratory, imaging, and pharmaceutical services all under one roof with the addition of dental care a short drive away. If you want to be part of a caring close-knit team that provides care for our ever-growing population of patients, please apply.
• Masks are required by all persons who enter our facilities and PPE is provided to all employees. All employees are required to self-monitor.

CLASSIFICATION

Full-Time, Non-exempt

POSITION SUMMARY

Under the supervision of the Integrated Care Manager – Clinical Social Worker the Behavioral Health Consultant in this position provides direct and appropriate care and safety-net supports to patients in specialty areas as assigned. This non-exempt position is responsible for and held accountable for maintaining patient/client confidentiality.

GENERAL RESPONSIBILITIES

The Community Health Center Behavioral Health Consultant is responsible for providing integrated behavioral health services within the scope of their license; and providing consultation services to individuals and organizations in the community. Behavioral Health services are NOT co-located specialty mental health services.  Patients needing specialty mental health services should be referred to mental health providers in the community.  The Behavioral Health Consultant is expected to adhere to the ethical principles and guidelines set forth by the organizations governing his/her profession and to comply with professional guidelines established by the Kansas Behavioral Sciences Regulatory Board.

RESPONSIBILITITES (Include the following)

• Support integrated care model and brief interventions in a primary care setting.
• Engage community-based safety-net referral support system to provide behavioral health services to underserved consumers.
• Provide brief intervention assessment of behavioral health clients.
• Provide effective support planning and assisting clients in successfully achieving goals.
• Evaluate crisis situations and apply appropriate interventions.
• Actively participate in meetings that support the Community Health Center in Cowley County’s integrated health care model to provide comprehensive care for clients.
• Assist in the detection of “at risk” patients and development of plans to prevent further psychological or physical deterioration.
• Assist the primary care team in developing care management processes such as the use of guidelines, disease management techniques, case management, and patient education to improve self-management of chronic disease.
• Provide assessment, consultation, and brief intervention for psychological/psychiatric problems and/or disorders.
• Preforms duties in various programs including participation in quality assurance and improvement program, and patient centered medical home transformation.
• Teach patients, families, and staff care, prevention, and treatment enhancement techniques.
• Monitor the site’s behavioral health program, identifying problems related to patient services and making recommendations for improvement.
• Performs duties in various improvement programs including participation in quality assurance and improvement program, and patient centered medical home transformation.
• Other duties as assigned. 

ESSENTIAL FUNCTIONS/KEY COMPETENCIES

• • • Excellent working knowledge of behavioral medicine and evidence-based treatments for medical and mental health conditions.
    • Ability to work through brief patient contacts as well as to make quick and accurate clinical assessments of mental and behavioral conditions.
    • Should be comfortable with the pace of primary care, working with an interdisciplinary team, and have strong communication skills.
    • Good knowledge of psycho-pharmacology
    • Demonstrate a high level of skill at building relationships and customer service.
    • Demonstrate interpersonal savvy and influence skills in managing difficult clients and patients.
    • Demonstrate a high level of problem-solving skill to better serve patients and staff.
    • Ability to utilize computers for data entry and information retrieval.
    • Excellent verbal and written communication skills.
    • Ability to implement, and evaluate operational and administrative processes.

POSITION REQUIREMENTS

Education

• Masters Degree in Social Work or Clinical Psychology in the State of Kansas

Professional

• Demonstrated expertise in relevant practices, protocol, trends and best practices in areas assigned.
• Demonstrated knowledge and success in effecting overall operations.
• Experience/Knowledge of federal, state and local regulations and standards associated with the delivery of care in a community health center environment.     
• Ability to manage multiple responsibilities and emergency situations successfully 
• Proficiency in knowledge of office management, use of computer, software packages, and office machines

Physical/Environmental

• Occasional lifting of 40 – 50 lbs and pushing of 5-20 lbs
• Sitting, standing and walking approximately 80% of the time
• A medium to high level of manual dexterity required
• Bending and reaching approximately 20% of the time
• Normal accessibility and mobility throughout the region required
• Normal overtime/extended work hours

Additional Requirements

• Valid Kansas Driver’s License; use of personal automobile and certificate of liability insurance from automobile insurer.

CLASSIFICATION

Full-Time, Non-exempt

POSITION SUMMARY

Under the supervision of the Clinical Manager, the Outreach Navigator is responsible for consumer Medicaid enrollment, marketplace insurance enrollment, patient telehealth access/use education, and off-site special events. This position is primarily dedicated to providing trained navigation and/or certified application counseling to: increase consumer insurance access, increase consumer awareness of safety-net resources, and to increase community awareness of insurance marketplace eligibility. This position also serves in the capacity of a telehealth access educator, as well as tracking any non-medical resources. This non-exempt position is responsible for and held accountable for maintaining patient/client confidentiality.

EXAMPLES OF WORK (ESSENTIAL FUNCTIONS)

• • • Provides patient telehealth and chronic disease management digital access education;
      • Under the direction of the Clinical Manager, develops, coordinates and participates in off-site navigation enrollment sessions, presentations and assistance classes,
      • Under the direction of the Clinical Manager, develops, coordinates and participates in other off-site special navigation events including: small-group presentations, health fairs, job fairs and faith-based events;
      • Provides clinical translation services when/if appropriate;
      • Serves as a marketplace and navigation liaison between the center and partner/community organizations including: other health providers, assistance providers, small businesses and faith-based organizations;
      • Participates in patient enrollment operations and training,
      • Reviews, evaluates, and recommends navigation and enrollment policies and procedures as appropriate;
      • Assures document accuracy;
      • Participates in educational activities by attending conferences, meetings and workshops to keep informed of related navigation programs and procedures with the approval of the Chief Executive Officer; when appropriate;
      • Act as a non-clinical Resource Case Manager including tracking non-medical resources for broad community safety-net;
      • Performs duties in various programs including participation in quality assurance and improvement program, and patient centered medical home transformation.
      • Performs other duties as assigned.
      • Utilizes promotion resources including: traditional media, internet, social media, written education and promotion materials to increase community awareness of health center navigation programs;

POSITION REQUIREMENTS

Experience

• Previous independent experience in related field is a factor in selection of the Outreach Navigator. Employee is expected to have acquired the necessary information and skills to perform the job satisfactorily after probationary period. Must be able to successfully complete on-line Navigator Certification Class.

Education

• A Bachelor’s degree is preferred but not required. Coursework in communications, marketing, health promotion, social services, or a related field is preferred. Must complete continuing education requirements.

Skills

• Excellent oral, written and interpersonal communication skills; must be able to effectively communicate. Must be able to present a professional, enthusiastic attitude when working with general public and partner agencies. The ability to work with limited supervision in a self-initiating and self-directing manner is required. Basic computer skills required; including keyboarding skills. Good attention to detail. Ability to manage emotions and anxiety. Bilingual in Spanish preferred.

Decision Making

• Decision making is a limited factor in this position. Decisions include application of appropriate program policies and implementation of enrollment procedures, and making decision of referral to help with consumer needs.

Accountability

• Responsible to all navigation activity and to report to Chief Executive Officer. Employee is responsible for reading, knowing and following policies, procedures and protocols for the FQHC Program; and guidelines in manuals dealing with specific programs as assigned.

Private Health Information

• Protected Health Information or PHI means any information (including demographic information collected from an individual), whether oral or recorded in any form or medium. This position does not require access to protected health information (PHI). This position requires the employee to sign a confidentiality agreement as all programs under the Community Health Center in Cowley County, Inc. are required to be HIPAA compliant.

Professional Relations

• Continual contact with other agencies, state primary care agencies, staff, local medical professionals, and the general public. Must be able to establish and maintain effective working relationships within the community.

Working Conditions

• Adverse weather, infectious wastes and possible exposure to communicable diseases are factors in this position. Physical effort is required. The employee in this position must be able to meet deadlines under excess pressure.

Physical Ability

• Ability to walk, bend, stoop, reach, lift fifty (50) pounds and access steps when providing outreach services to consumers of all ages in the community. Ability to express or exchange thoughts and ideas by means of verbal communication. Conveying and receiving detailed important verbal instruction to and from other workers and the general public. Ability to operate personal automobile, due to services being provided at various sites in the county, as well as, the need to attend job-related in-services and workshops held throughout the state.

Other Requirements

• Valid State Drivers License and certificate of liability insurance from automobile insurer.

WORKING RELATIONSHIPS

Reports to:  Clinical Team Manager   

Works with: Clinical Manager, Community Health Workers, Chief Operations Officer, Chief Executive Officer, In-Reach Navigator, and Reception Manager

POSITION SUMMARY

Under the supervision of the Clinical Management Nurse, is responsible for helping patients and their families to navigate and access telehealth, community services, other resources, and adopt healthy behaviors. The CHW supports providers and the Case Managers through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of patients and their family. CHW provides social support and informal counseling, advocates for individuals and community health needs, and provides services such as health education and health system navigation support, community outreach and marketplace insurance enrollment support, and off-site special events. The employee in this position assists the Clinical Management Nurse and Outreach Navigator in the delivery of agency programs and services. This position provides essential outreach and education to increase community awareness of safety-net resources. This non-exempt position is responsible for and held accountable for maintaining patient/client confidentiality.

EXAMPLES OF WORK (ESSENTIAL FUNCTIONS)

• • Responsible for establishing trusting relationships with patients and their families while providing general support and encouragement.
  • Provide ongoing follow-up, basic motivational interviewing and goal setting with patients/families.
  • Follow – up with patients via phone calls, home visits and visits to other settings where patients can be found.
  • Help patients set personal health related goals and attend appointments.
  • Provide referrals for services to community agencies as appropriate.
  • Help patients connect with transportation resources and provide appointment reminders in special circumstances. Transporting patients based on van policy.
  • Exhibit excellent working relations with patients, visitors and staff,
  • Effectively communicating the health center’s mission.
  • Work closely with medical providers to help ensure that patients have comprehensive and coordinated care plans.
  • Work collaboratively with other clinical personnel assigned to the same patient.
  • Knowledgeable about community resources appropriate to needs of patients/families.
  • Responsible for providing consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress.
  • Act as a patient advocate and liaison between the patient/family and community service agencies.
  • Record patient care management information in the EMR and other software no later than 24 hours after patient contact.
  • Attend regular staff meetings, trainings and other meetings, as requested.
  • Manage assigned caseload of patients.
  • Maintain HIPPA compliance at all times.
  • Assists in development of off-site special events including: health fairs, job fairs, commodity distribution and faith-based events;
  • Participates in “out-reach” and “in-reach” enrollment operations and training;
  • Reviews, evaluates, and recommends navigation and enrollment policies and procedures as appropriate;
  • Assures document accuracy;
  • Participates in educational activities by attending conferences, meetings and workshops to keep informed of related programs and procedures when appropriate;
  • Performs other duties as assigned. 

POSITION REQUIREMENTS

Experience

• Previous independent experience in related field is a factor in selection of the CHW. Employee is expected to have acquired the necessary information and skills to perform the job satisfactorily after probationary period. Must be able to successfully complete CHW Certification Class.

Education

• A Bachelor’s degree is preferred. Coursework in communications, marketing, health promotion, social services, or a related field is preferred. Must complete continuing education requirements.

Skills

• Excellent oral, written and interpersonal communication skills; must be able to effectively communicate. Must be able to present a professional, enthusiastic attitude when working with general public and partner agencies. The ability to work with limited supervision in a self-initiating and self-directing manner is required. Basic computer skills required; including keyboarding skills. Good attention to detail. Ability to manage emotions and anxiety. Bilingual in Spanish is preferred.

Decision Making

• Decision making is a limited factor in this position. Decisions include application of appropriate program policies and implementation of enrollment procedures, and making decision of referral to help with consumer needs.

Accountability

• Responsible to all related activity and to report to the Clinical Management Nurse. Employee is responsible for reading, knowing and following policies, procedures and protocols for the FQHC Program; and guidelines in manuals dealing with specific programs as assigned.

Private Health Information

• Protected Health Information or PHI means any information (including demographic information collected from an individual), whether oral or recorded in any form or medium. This position does not require access to protected health information (PHI). This position requires the employee to sign a confidentiality agreement as all programs under the Community Health Center in Cowley County, Inc. are required to be HIPAA compliant.

Professional Relations

• Continual contact with other agencies, state primary care agencies, staff, local medical professionals, and the general public. Must be able to establish and maintain effective working relationships within the community.

Working Conditions

• Adverse weather, infectious wastes and possible exposure to communicable diseases are factors in this position. Physical effort is required. The employee in this position must be able to meet deadlines under excess pressure.

Physical Ability

• Ability to walk, bend, stoop, reach, lift fifty (50) pounds and access steps when providing outreach services to consumers of all ages in the community. Ability to express or exchange thoughts and ideas by means of verbal communication. Conveying and receiving detailed important verbal instruction to and from other workers and the general public. Ability to operate personal automobile, due to services being provided at various sites in the county, as well as, the need to attend job-related in-services and workshops held throughout the state.

Other Requirements

• Valid State Drivers License and certificate of liability insurance from automobile insurer.

WORKING RELATIONSHIPS

Reports to:       Clinical Management Nurse

Works with:    Navigator, other CHWs, Reception Manager (translation services), Counselor

POSITION SUMMARY

Under the supervision of the Chief Financial Officer, the Revenue & Data Quality Manager serves in multiple capacities to optimize revenue. The employee in this position assists the Chief Executive Officer, Chief Financial Officer, and Chief Operations Officer in the administration and processes associated with medical revenue functions. The employee in this position is responsible for ensuring the accurate, and complete coding of encounters for timely submission of all service claims. The employee in this position ensures the organizational maintenance of Medicaid, Medicare, Managed Care Organizations and third-party payer contracts for services, including the 340B Pharmacy Program. This employee is the designated Revenue Manager and in consultation with the CEO, CFO and COO, this position is responsible for all related daily revenue activity and operations. This position works closely with senior management in development of policies related to reimbursements, collections, and the sliding fee discount program. When applicable, this employee specifically works closely with insurance companies and Billing Manager for reimbursements. This is highly specialized administrative and financial support work. An employee in this class is responsible as liaison between senior management members. The employee in this position is responsible for and held accountable for maintaining patient/client and sensitive organizational management information confidentiality.

ESSENTIAL FUNCTIONS & KEY COMPETENCIES

• Demonstrates a strong business acumen as well as substantial knowledge and expertise in claims and billing procedures. Analyze, synthesize and communicate complex data, clinical information, business needs and related issues in an accurate, objective and straightforward manner.
• Demonstrates a high level of problem-solving skill.
• Demonstrates the ability to make critical billing decisions supported by substantial financial analysis and critical data-based decision making.
• Provides assistance, but not supervision, of staff responsible for billing process’. Effectively manages conflict and change.
• Demonstrates interpersonal savvy and influence skills in all dealings with regulatory agencies, government entities, network providers, and related concerns.
• Demonstrate and engage in the use and development of technology to provide information and analysis of departmental outcomes and process improvement.
• Reviews, evaluates, and recommends related fiscal policies and procedures as appropriate, including the Sliding Fee Discount Policy.
• Assures document accuracy.
• Ensures organizational maintenance of Medicaid, Medicare, Managed Care Organizations and third-party payer contracts for services; including the 340B Pharmacy.
• Maintains accounts and assists in preparation of agency specific reports including, but not limited to accounts receivable, patient revenue, collections and accounts aging.
• Assists in the preparation of program specific reports including, but not limited to annual UDS reports to HRSA, and other reports required by State and federal funding and regulatory agencies; specifically assists the Chief Executive Officer.
• Participates in educational activities by attending conferences, meetings and workshops to keep informed of related programs and procedures with the approval of the Chief Executive Officer; when appropriate.
• Manages 340B Program in consultation with the CFO, COO and CEO.
• Creates, implements, analyzes and monitors patient satisfaction surveys to determine and report trends and areas of improvement.
• Performs other duties as assigned.

 PRIMARY TASKS & DUTIES

• Maintains accounts for revenue collections
• Ensures the accurate and complete coding of encounters for timely submission of all service claims
• Reviews all denials for complexity and assists to make corrections and resubmit claims within 30 days of the denial received date.
• Maintains credentialing and re-credentialing of all facilities and providers.
• Verify insurance benefits.
• Recommend related staff training and supports.
• Responsible for running all billing reports and maintaining report books by funding source.
• Develop and provide routine and committee reports for presentations, dashboards, and operational improvement activities
• Maintain, monitor and report Patient Centered Medical Home status and requirements, increasing levels appropriately for PCMH
• Complete monthly 340B audits to check for accuracy with patient usage.
• Maintain, monitor and report patient satisfaction surveys.

 PRIMARY ACCOUNTABILITIES 

Achieve Results

• Ensure timely and accurate coding, billing and collection of claims. Ensure that the billing and collection processes meet or exceed the organization’s financial and operational goals.
• Develop and implement systems, mechanisms and controls to monitor and ensure all billing and collection efforts are functioning in the most efficient and effect manner possible. Research new technologies and tools, recommend improvements to existing processes, and support ongoing improvement of the organization’s billing and collection efforts.
• Ensure timely and accurate problem resolution between the organization and its patients, payor sources, as well as vendors, contractors, and other related business entities.
• Monitor productivity, and manage work assignment and process improvement. Develop and implement reporting tools and mechanisms which result in the continuous awareness of the organizational financial results related to billing, collection, denials, and all related performance metrics.

Operational Excellence

• Ensure the billing processes and collection mechanisms meet or exceed all requirements for internal controls as well as those from all third party payors.
• Ensure all billing processes and collection functions are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices.
• Ensure all billing and collection efforts contribute to a positive patient experience.

Relationships

• Develop and ensure effective, positive relationships within and among the billing staff, as well as with other disciplines within the organization.
• Develop and ensure positive working relationships with patients, contractors, vendors, third party payor resources and related entities.

Leadership & Stewardship

• Uphold and consistently represent the values, mission, and policies of the organization at all times. 

POSITION REQUIREMENTS

Experience

• Previous appropriate experience is a significant factor in selection of the Revenue & Data Quality Manager. Demonstrated “skilled” experience and expertise in billing and record keeping. Demonstrated experience and significant knowledge of contract insurance, HMO’s, PPO’s, Medicare, etc.  Significant computer/spreadsheet experience and demonstrated knowledge of PC files and data base use required. Demonstrated analytical skills and aptitude for solving problems. Demonstrated experience with providing quality customer service in difficult situations. Demonstrated high level of communication and customer service skills. Preferred experience in Patient Centered Medical Home and Quality Measures.

Education

• A bachelor’s degree from an accredited university or college is preferred. Advanced education in accounting, business, or related field strongly preferred. Certification in professional coding (CPC) preferred. Prior experience may be considered. Must complete continuing education requirements.

Skills

• Thorough knowledge of all program operations and procedures. Good management skills. Excellent oral, written and interpersonal communication skills. Ability to manage emotions and anxiety. Ability to operate all equipment used in performing office services. Knowledge of medical terminology, ICD-10, and CPT coding. Knowledge of CLIA standards.

Problem Solving

• Problem solving is a factor in this position.

Decision Making

• Decision making is a factor in this position.

Accountability

• Responsible to maintain collections and receivables and bring issues to the attention of the Chief Operations Officer and Chief Financial Officer. Employee is responsible for reading, knowing and following policies, procedures and protocols from Centers for Medicare & Medicaid Services and guidelines in manuals dealing with specific programs as assigned. Capable of working with minimal supervision.

Private Health Information

• Protected Health Information or PHI means any information (including demographic information collected from an individual), whether oral or recorded in any form or medium. This position requires regular access to protected health information. The Revenue & Data Quality Manager position requires complete access to all PHI that is necessary to carry out vital job functions as outlined in this description. The Revenue & Data Quality Manager is obligated to divulge the minimum necessary PHI to carry out essential functions of the position.
• This position requires the employee to sign a confidentiality agreement as all programs under the Community Health Center in Cowley County, Inc. are required to be HIPAA compliant.

Working Conditions

• Physical effort is required. The employee in this position must be able to meet deadlines under excess pressure.

Physical Ability

• While performing the duties of this job, the employee is regularly required to sit, stand, walk, stoop, kneel, or crouch. Ability to interact with computer screen for up to four hours at a time (visual acuity required). Must have manual dexterity for use of keyboard.  Ability to remain stationary for periods of up to four hours.  Ability to communicate via phone, mail and in person to resolve disputes, solve problems, etc. Cognitive skills to analyze, calculate, problem solve issues related to invoices, billing, and other relevant matters associated with the invoicing and billing processes. Normal overtime/extended work hours. The employee frequently is required to reach with hands and arms; use hands to handle or feel; and talk or hear. Ability to walk, bend, stoop, reach, and lift fifty (50) pounds is required. Ability to express or exchange thoughts and ideas by means of written and verbal communication is required. Conveying and receiving detailed important verbal instruction to and from other workers and senior management is necessary. Ability to operate personal automobile, due to services being provided at various sites in the county, as well as the need to attend job-related in-services and workshops held throughout the state. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervisory Responsibilities

• This position does not directly supervise other staff, but indirectly may provide process guidance. The position collaborates closely with the CEO, CFO, and COO.

Attendance Standards

• Consistently be at work and communicate appropriately any attendance issues with the CFO as per policy. Consistently at their workstation at the appropriately scheduled time. Does not abuse breaks and/or departure times.

Language Skill

• Has the ability to read and comprehend simple instructions, short correspondence, and memos. Has the ability to write simple correspondence. Has the ability to effectively present information in one-on-one and small group situations to senior management and other employees of the organization.

Mathematical Skills

• Has the ability to add, subtract, multiply, divide, and calculate figures. Has the ability to analyze financial results from operations, complete financial and cash flow forecasts.

Reasoning Ability

• Has the ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Personal Relations

• Continual contact with fellow employees, contractors, other local agencies, local medical professionals, consultants and the general public. Must be able to establish and maintain effective working relationships with all of the above.

Other Requirements

• Valid Kansas Drivers License, use of personal automobile and certificate of liability insurance from automobile insurer.

Working Relationships

• Reports to: Chief Financial Officer

CLASSIFICATION

Full-Time, Non-exempt