Health Services Administrator - Wellpath
Springfield, VT 05156
About the Job
JOB SUMMARY:
The Health Services Administrator (HSA) is a professional administrator who manages and evaluates the Health Care Delivery Program in accordance with State and Local Regulations; ensures medical, dental, and mental health program activities are based upon goals, objectives, aims, and policies and procedures of the company and the facility; and are compliant with ACA, NCCHC and State accreditation standards.
KEY JOB RESPONSIBILITIES:
- Monitor the implementation and effectiveness of procedures and programs.
- Evaluate financial and statistical data, program needs and problems, and makes recommendations for improvements.
- Develop, utilize, revise, interpret, and ensure compliance with company and facility policies and procedures.
- Monitor subcontracted services.
- Maintain communication and a good working relationship with facility administration, employees, correctional personnel, contracted providers, and outside agencies.
- Evaluate and recommend methods of improving operational efficiency and cost effectiveness.
- Oversee recruitment, orientation, and performance evaluations of employees.
- Provide regular staff meetings and ensure effective communication with all staff on all shifts.
- Assume responsibility for planning, providing, and monitoring staff orientation and participation in education and staff development programs.
- Assist in recruitment of contracted professional providers.
- Ensure appropriate licensure, credentialing, and insurance coverage on all medical personnel.
- Oversee services rendered by contractors and professional staff.
- Ensure reports are submitted as required in a timely and accurate manner.
- Audit weekly logs and accounts payable forms, forward them to the home office as required.
- Screen all requests for records and approve/disapprove responses as appropriate.
- Maintain confidentiality and security of health records and medical information.
- Review status of inmates with serious health problems ensuring all necessary intervention and treatment is completed.
- Monitor in-patient hospitalizations closely with utilization management to ensure early release whenever possible.
- Audit referrals to outside consultants.
- Closely monitor all potential catastrophic illnesses and explores utilizing all appropriate means of limiting both company and contractor liabilities.
- Monitor pharmacy use to ensure adherence to formulary.
- Oversee the utilization of special housing, infirmary beds, and outside inpatient and outpatient services for appropriateness and quality of services provided.
- Maintain an awareness of overall concepts of managed care and make administrative judgments to ensure care provided is compatible with these concepts.
- Function as a liaison between other professional organizations.
- Ensure, where available, NCCHC accreditation of the medical program by ensuring the presence of the required level or organizational efficiency and the provision of approved and appropriate medical services.
- Accept on-call status.
- Attend seminars, workshops, and conferences.
- Promote Quality Improvement standards by actively participating in the quality of care screen audits.
- Post Orders, if applicable, per site contract.
KNOWLEDGE, SKILLS AND ABILITIES:
- Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.
- Must be able to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations.
- Must be alert at all times; pay close attention to details.
- Must be able to work under stress on a regular or continuous basis.
LEADERSHIP ABILITIES:
EDUCATION, TRAINING, EXPERIENCE AND LICENSING:
Education:
- Bachelor’s Degree in Nursing, Health Administration, Business Administration, or health related field preferred.
Experience:
- Delivery and administration of correctional medical, dental, and mental health care recommended.
- Three years administrative, management and supervisory experience.
- Sound decision-making skills are mandatory.
- Organizational experience in operations and planning required.
- Experience in Managing budgets and analyzing contracts preferred.
Licenses/Certifications:
- CPR certification.
- Compliance.
PHYSICAL DEMANDS AND CONDITIONS:
Works in a clean well-lit environment with fluctuating temperatures. Requires substantial periods of work utilizing a computer, monitor, keyboard, and mouse. Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 75 pounds; requires walking and standing; requires sitting; requires the ability to negotiate stairs; requires the ability to lift patients in and out of bed, wheelchair, and/or stretcher; requires the ability to reach or bend frequently; requires visual acuity and manual dexterity to operate equipment. Potential for exposure to blood and/or body substances and hazardous materials requiring observance of Standard Precautions and safe handling practices.
WORK ENVIRONMENT/TRAVEL:
This job primarily operates independently in a facility. This job is performed in a correctional facility, client site or counseling center including minimum, medium or maximum security levels. Employees are exposed to some level of risk and/or harm by inmates including exposure to blood borne pathogens. Employee is expected to work in accordance with all security rules and regulations to minimize the risk of danger and/or harm to themselves or other employees. This position may require travel depending on specific needs.
Source : Wellpath
