Job Description

POSITION SUMMARY
Reporting to the Director, Ambulatory Services of the Martin Luther King, Jr. Los Angeles (MLK-LA) Healthcare Corporation (the “Director”), and the Site Administrator is responsible for successfully managing day to day operations of all Martin Luther King Community Medical Group (“MLK CMG” or the “Group”sites. Selects trains and evaluates all site employees (except provider personnel). Provides physicians and allied health professionals resources required to meet patient needs and meet the strategic and financial objectives of MLK CMG. Provides input into development/revision of site policies and procedures; implements policies and procedures in the assigned site. Oversees site expenditures and site financial performance/ achievement of budget goals. Ensures compliance with regulatory agencies at the site level. Provides leadership in staff MLK CMG staff development, process improvement and site business development. Assists Director in negotiating and managing MLK CMG contracts including rental and purchasing agreements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• The Site Administrator is accountable for overseeing the overall management of a Health Center (Site) in designated areas including: Strategic, Financial and Operations Management; Patient Care Coordination, Patient Satisfaction and Clinical Outcomes; Teammate Management; and Risk Management, Audit and Compliance
• Full accountability for non-clinician teammates within assigned Site, including but not limited to hiring, mentoring, professional development, annual review, compensation adjustment, corrective actions and termination. Responsible for planning, coordinating, directing and monitoring all operational and financial aspects of the site in conjunction with other clinician or non-clinician teammates. Provide effective leadership to managers, supervisors and teammates in overseeing the delivery of high-quality, cost-effective patient care.
• Strategic, Financial and Operations Management
  • Develops Site budget for overall membership growth and operational expenses, including capital budgets
  • Reports monthly on membership, operational expense, and other P&L variances to budget; Researches and monitors budget variations and mitigate unfavorable variances
  • Reviews, authorizes and monitors expenditure reports in accordance with company policies and procedures
  • Ensures adequate clinician and support staffing levels are maintained to provide appropriate and timely care to patients
  • Reviews and monitors teammate capacity and utilization and manages changes in hours or FTEs to ensure operational efficiency and compliance with appropriate company and regulatory policies
  • Develops Site level strategies to ensure membership goals are met for each line of business
  • Implement plans to continually enhance services provided by accountable departments and functions
• Patient Care Coordination, Patient Satisfaction and Clinical Outcomes
  • Works with Clinical Pod Lead Physician to resolve clinician-related issues and enhance provider satisfaction
  • Monitors patient satisfaction through various programs such as the formal complaint process, new patient survey, etc. and develops patient satisfaction improvement strategies to meet patient satisfaction goals
  • Ensures Patient Intervention Reports (PIRs) are distributed at each patient visit, evaluated for completion and cleared in the system as needed
  • Monitors current clinical outcome initiatives, such as STAR, P4P, CHAPs, to ensure that established goals are met
  • Ensures active and ongoing patient outreach through pursuit processes to support Quality Initiatives Proactively manages high risk patient lists to avoid preventable admissions or readmissions or identify other patient needs
  • Monitors daily census and discharge reports to ensure appropriate follow up is provided to all discharged inpatients
• Teammate Management
  • Guide and develop non-clinical teammates to ensure they are meeting performance expectations; mentor, coach, and counsel as needed for professional development
  • Encourages staff participation Site Huddles and solicits staff suggestions and ideas on process improvement
  • Responsible for all teammate activity such as hiring, promotions, performance evaluations, salary increases, performance evaluations, and disciplinary actions
  • Recognizes teammates for performance that achieves goals related to Patient Satisfaction, clinical outcomes and teamwork
  • Ensures that management teammates understand DMG Teammate Policies and Handbook and other regulatory requirements affecting employment in Sites
  • Ensures continuing education programs are offered and taken timely to keep staff up-to-date on nursing practices, universal precautions, worker/patient safety, and other policies and procedures as required
• Risk Management, Audits and Compliance
  • Ensures that Site meets all internal and external Standards of Conduct as well as all legal and regulatory requirements
  • Proactively ensures Site is prepared for planned or surprise DHHS, Health Plan, or internal audits
  • Ensures compliance with state Worker Compensation and OSHA safety training requirements
  • Oversees compliance with state or federal regulations of the Injury Prevention and Safety Training Program
  • Oversees compliance with DMG policies and procedures in accordance with state and federal regulations for patient care and services (Medicare or other governing agencies)
  • Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with
  • Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Ensures the creation and implementation of any corrective action needed as a result of internal or external quality assurance, Medicare, OSHA, or other governing agency audit

Job Requirements

POSITION REQUIREMENTS
A. Education

• Bachelor’s degree from required, Candidates with at least 5 years of experience can be considered and are required to obtain degree within 12 months from start date.
• Master’s degree in Healthcare Administration, Business Administration or Nursing preferred

B. Qualifications/Experience

• Minimum 5 years of work experience
• Healthcare industry experience within managed care and/or medical group operations environment preferred
• 3 or more years in healthcare management preferred

C. Special Skills/Knowledge

• Must be able to relate well to patients, clinicians, employees, and other professionals. Must be able to handle confidential issues with discretion. Must be able to understand the goals of the practice and work to obtain these goals independently as well as in collaboration with clinician partners. Must have working knowledge of managed care and other current health insurance arrangements. Bi-lingual in Spanish and English required.

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