Claims Processing Manager jobs in Cleveland, OH

Position Summary

Responsible for managing Central Sterile Processing (CSP)/HLD support services workflow and operations for assigned area

Essential Functions

• Directly oversees staff responsible for ensuring their work output is satisfactory and their concerns are resolved. Is responsible for all hiring and related personnel decisions, completing routine performance review evaluations, training, scheduling, team development and the like.
• Provides workflow oversight of all staff on assigned shifts. This includes overseeing work-flow to assure successful outcomes to customers, coordinating orientation/training and assisting with the development and scheduling of staff, and routinely inspecting staff’s work to assure quality.
• Stays current and serves as resource for all regulatory compliance entities.
• Responsible for assuring thorough and consistent resource management, verification of production data/indicators, daily inspections and accurate record keeping on QA and CQI projects.
• Monitors daily workloads, surgical schedule, and production requirements.
• Maintains an individual anecdotal log for all CPT errors and successes for use in education and performance evaluations.
• Assesses and provides ongoing education to staff as appropriate
• Tracks and produces data for the CSP/HLD Quality measures.
• Collects, verifies and maintains permanent data/archives of all QA tests, records and documents.
• Develops and implements performance improvement and/or quality improvement initiatives.
• Develops strong relationships with other leaders with in organization and share best practices.
• Manages high-dollar OR asset inventory. Coordinates with Purchasing for efficient ordering of supplies for CSP/HLD.
• Writes and implements procedures to support CSP operations in the ORs, Enforces hospital and departmental policy.
• Represents CSP on VAC (Value Analysis Committee) and provides material information.
• Responsible for planning of specific annual goals and objectives for CSP.
• Participates in budget preparations and cost savings/reduction initiatives.
• Performs other job duties as required.

Required For All Jobs

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.