Member Certification Manager jobs in North Carolina

ECU Health

About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children's Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

Provide leadership, direction and administration to aspects of clinic activities to ensure accomplishment of its objectives. Supervise staff and oversee the activities of Clinic Staff and Providers of ECU Health Physicians.

Responsibilities

1. Participate with Regional Administrator in charting and implementing the clinic services mission in response to the changing needs of the community.

Recommend, assist in development and update strategic long-range plans to support clinic services philosophy and goals.
Inform Administrator about current trends, problems and activities in the medial field to facilitate policy making.
Recommend clinic policy positions regarding administrative and legislative matters.

2. Coordinate with the Administrator, medical staff, administrative team and other clinic personnel the monitoring of medical activities to ensure the availability of the community s needs for quality care.

Consult with relevant staff and departments prior to recommending and establishing new policies to ensure the availability of support and resources.

3. Coordinate efforts to medical staff, Regional Director and administrative staff in the recruitment, development, evaluation and retention of medical personnel.

Coordinate the long-range financial development and management of the organization.

4. Ensure the provision of affordable health care services by the acquisition of resources (human, financial and physical). Develop improved management techniques and practices.

Ensure compliance with regulatory agencies governing health care delivery and the rules of accrediting bodies. Continually monitor operations, programs, and physical properties. Initiate appropriate change.

Encourage the integration of the Clinic services with community through effective communication and public relations programs.

5. Represent the hospitals clinic services in its relationship with other health organizations, government agencies and third party payors.

Direct and supervise clinic activities through department heads and administrative support staff. Consult with and advise department heads on a regular basis.
Provide assistance to supervisory personnel in establishing department philosophy and objectives related to staffing and performance standards, policies and procedures, job classifications, compliance with government regulations.

6. Serve as a liaison and channel of communication between the hospital and its committees, the medical and administrative staff.

Resolve any medical-administrative problems and keep lines of communication open with staff to ensure high employee moral and a professional, healthful clinic atmosphere.

Prepare monthly clinic performance reports for the Regional Director.

a. Distribute to and meet with the Providers.
b. Discuss individual provider productivity.
c. Maintain professional affiliations and enhance professional growth and development to keep current in the latest trends in clinic administration.
d. Maintain strictest confidentiality.
e. Perform related work as require.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.