Regional Clinical Advisor; RN

Overview

At SCP Health, What You Do Matters. As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.

Why You Will Love Working Here

• Strong track record of providing excellent work/life balance.
• Comprehensive benefits package and competitive compensation.
• Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.

Clinical Services Management

• Work in collaboration with assigned facility’s Medical Director (both Emergency Medicine and Hospital Medicine) to deliver positive clinical operations outcomes, including but not limited to LWOTs, Door to Provider Time, Admitted LOS, etc.
• Facilitate Operational Assessments to identify opportunities for improvements and develop and establish action plans.
• Facilitate alignment of EM/HM/ICU programs to achieve shared goals.
• Accountable for resolution of patient complaints and address patient complaints that come directly to the RCPA.
• Responsible for patient satisfaction in coordination with each assigned facility’s Medical Director.
• Provide guidance to clients regarding nurse staffing, triage, patient flow, throughput times, fast tracks and any other types of alternatives to acute care areas.
• Identify needs and collaborate with EM/HM/CC Medical Leadership, Client Administrative Teams, Quality, Clinical Documentation Improvement Specialist (CDIS), Risk Management, Education and Hospital Medicine Partners (VPCO of HM, HPM and HPS).
• Develop and maintain systems to monitor and comply with client efficiency/performance indicators/goals (Quality, Patient Experience, Throughput metrics, Documentation).
• Assist clients with compliance with current Standards and Competency issues, JCAHO/DNV assessment and preparation and Policy/Procedure development and reviews.
• Maintain moderate to high level of knowledge regarding Clinical Quality (MIPS, Sepsis, Throughput measures).
• Maintain moderate to high level of knowledge regarding Compliance Standards (EMTALA Rules and Regulations, Stark Law).
• Maintain functional knowledge of IM Bills and collaborate with EMBCC for billing concerns.
• Maintain moderate to high levels of knowledge regarding Emergency Medicine and Hospital Medicine standards of care.
• Maintain moderate to high levels of functional knowledge regarding Emergency Medicine and Hospital Medicine Practice.
• Support implementation of new services including but not limited to tele-triage or tele-nocturnist programs.

• Business Relationship Management
• Work in collaboration with EM, HM, and Critical Care Medical Directors to execute facility commitments in order to deliver world class service that exceeds client and patient expectations.
• Develop and maintain highly effective partnerships with all clients, providers, and nursing staff in order to meet the goals of our business partners. In conjunction with the Division Medical Officer (DMO) and Division Operating Office (DOO), accountable for practice management, development, growth, and sustainability of the facilities assigned.
• Oversight and accountability for facility performance and meeting SCP established Corporate and Operational Goals.
• Maintain awareness of the facility’s financial performance and consult on financial performance, accounts receivable (past dues), client invoicing management, managed care non-par/par status, usual and customary rate protections, facility budget and provider market rate assessment.
• Attention to and participation in Hospital process improvement initiatives among facility assignments and in support of colleagues.
• Establishment of shared goals with clinicians and Hospital client representatives.
• Proactive in all problem avoidance initiatives.
• Participate in special events involving our…