Administrative Director - Ambulatory Surgery Center

Summit Health CityMD•Florham Park, NJ

1d•Onsite

About The Position

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical , Village Medical at Home , Summit Health , CityMD , and Starling Physicians . When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Requirements

Bachelor’s degree required
Minimum of three years in multispecialty ASC environment.
Self-starter and independent thinker.
Excellent communication skills
Strong organizational skills
Strong computer skills
Understands and practices strong group practice skills to create a positive forward-thinking environment
Strong work ethic

Nice To Haves

MBA or MHA preferred.

Responsibilities

Fulfills the organization’s goals, mission and objectives
Ensures the provision of high-quality safe care.
Ensures the business operates in an efficient, safe, complaint and ethical manner.
Ensures that all required postings including Patient Rights and Responsibilities, Grievance procedure and information on Advance Directives are clearly visible.
Documents the review and any necessary modifications/updates of the Patient Rights program annually and documents such activity in the in the Governing Body meeting Minutes.
Performs random medical chart audits to confirm patients have acknowledged receipt of the above.
Establish a patient satisfaction program including analysis of data and reports results with analysis and recommendations to the Governing Body
Confirms patient privacy practices are being followed and documented during monthly environmental rounds.
Enforces policies and procedures delegated by the Governing Body.
Takes reasonable steps to comply with all applicable Federal and State laws and regulations.
Maintains the center in ready state for regulatory inspection and accreditation.
Employs qualified personnel by following all Human Resource policies and procedures.
Maintains and updates all personnel and credentialing files by developing and managing a surveillance system for expired documents.
Ensures all annual staff performance and compensation evaluations.
Develop and maintain all contracts and ensures review and documentation of the effectiveness of the contracted services and reports the analyzed results with recommendations to the Governing Body.
Maintains all personnel and physician medical files and tracks date sensitive documents
Ensures completion of all annual mandatory education and competencies of staff.
Keeps current with the Standards of Care.
Protects all assets of the organization utilizing industry standard best practices Risk Management policies and procedures.
Monitors and ensures a functioning facility by monitoring the repair and maintenance of all facility systems and infrastructure, equipment, cleanliness.
Maintains an active, integrated, data driven, peer-based Quality Improvement program.
Conducts ongoing audits and quality improvement internal and external benchmarking studies resulting in the improvement of care.
Reports all quality improvement activities, results, and corrective actions to the Governing Body.
Develops quality indicators, sets quality improvement performance goals and supervises and analyzes the collection of data.
Maintains a secure electronic clinical records system
Periodically audits the records for completion of all required information and manages results according to Governing Board objectives.
Ensures the security and privacy of all Protected Health Information by following all HIPAA Privacy and Security Rules by ongoing surveillance and audits and reports findings with recommendations to the Governing Body.
Develop a mechanism to summarize treatment of anyone with three or more visits to ensure the continuity of care.
Develop a mechanism by which all testing results and consults are acknowledged by the physician(s).
Ensures that all required mandatory in-services are completed within the last 12 months.
Ensures and documents that all planned fire and disaster drills are completed, analyzed and corrective actions have been implemented quickly.
Ensure that one designated clinical staff member and one backup has formal education in infection control.
All reportable diseases are documented according to policy and reported to the proper authorities.
All adverse incidents are documented according to policy and reported to the Governing Body.
The medical records will be reviewed by the medical Director for quality and peer review issues.
All clinical staff are monitored for safe injection practices and ensures proper documentation.
The cleaning services are monitored to ensure all policies are met/exceeded regarding cleaning routines and the use of approved cleaning agents
Instrument cleaning and sterilization practices and staff are monitored for compliance of the CDC, APIC, AAMI, AORN Infection Control Regulations and appropriately documented.
All OSHA requirements will be continually monitored for compliance and appropriately documented.
Monitor and approve all expenditures within the set parameters.
Monitor and approve all payroll activities to stay within the predefined staff budget.
Performs financial analysis for new products and services.
Performs and provides monthly budget variance analysis / explanation.
Collaborates with service line leaders on new programs and growth initiatives.
Attends meetings and participates on committees.
Keeps current on the state of the ambulatory healthcare market.
Contributes to strategic planning initiatives.