Physician - Family Practice

Clinical Compliance Manager

Responsibilities and duties: Oversee Clinical Compliance Ensure quality patient care and fiscal compliance by confirming that the facility/ies is in compliance with state and federal regulations. Collaborate with the medical board to update, amend, and replace medical policies. Provide clinical oversight to ancillary services such as radiology, lab, pharmacy, Represent clinical specialty in issues such as risk, HIPAA, and strategic management. Maintain Quality of Patient Care Provide high-quality customer service to the diversity of patients. Intervene and mediate in difficult situations involving patients. Direct a team of physicians and ensure that workforce is complying with Our Facility and LMG standards in providing care. Create work groups and participate in leadership committees that are designed to improve patient care. Educate Medical Personnel Maintain the professional development of other medical personnel at the facility/ies through clinical practices. Work directly with providers to educate them on our care process and determine what can be done to improve overall care quality. Provider Engagement Facilitate and plan the agenda for All Provider meetings, round with providers, and conduct peer mentoring to reinforce provider engagement. Assist providers in meeting financial, coding, quality, risk, and patient satisfaction goals. Collaborate with the clinic director or human resources on issues related to conflict resolution, disciplinary issues, recruitment and retention. Act as the clinical ambassador for provider onboarding and departure. Healthcare System Development Remain apprised of the needs of the healthcare system as they relate to Specialty (growth, emergency preparedness, development of new initiatives). Work with specialty and Hospitalists group to reinforce beneficial medical group relationships. Serve as Specialty voting member for Pharmacy and Therapeutics Committee. Work with CMO, COO, and CFO as well as Directors and Managers to facilitate contracting and compensation. Professional Requirements Medical degree with board certification and valid license to practice medicine 5 years of clinical medicine experience. 3 years of medical management experience or an administrative role are preferred. Proficient with computers, web-based programs, and electronic medical records Knowledge of current principles, methods, and procedures for the delivery of medical evaluation, diagnosis, and treatment in the area of expertise. Comprehensive knowledge of modern principles and techniques of general medicine and public health, as traditionally practiced. Knowledge of legal and ethical standards for the delivery of medical care. Knowledge of accreditation and certification requirements and standards. Willing to travel between clinics. Additional skills and abilities Three-dimensional, broad mind, thinking globally and applying locally in order to improve medical practice even when some tools are not always available in a good but less than perfect medical domain. Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse ecosystem. Effective verbal and written communication skills. Ability to study and understand KPIs as they apply to providers. Ability to interact with students, providers, and staff in a team environment. Ability to supervise, advise, and train clinical professionals in areas of expertise. Ability to develop and present educational programs and/or workshops.