Work Comp and Orthopedic Service Line Manager

University of Iowa•Iowa City, IA

About The Position

The Department of Orthopedics & Rehabilitation is seeking a leader to contribute to the success of the department by providing administrative oversight of the UI Work Injury Recovery Center (WIRC) and serve as the Division Administrator for some orthopedic service lines. This position will supervise and manage day-to-day operations in the WIRC clinic, including daily provider clinical activity, all prior authorizations for Ortho Workers' Comp treatment, and all medical-legal communications, including billing and collections for medical-legal reporting and consultations. The will also work with faculty to support service line needs. Duties include: Manage daily operations of orthopedic clinical practice. Manage clinical and administrative support staff. Direct billing and collections for all medical-legal consulting work. Advise and manage billing dispute issues. Support the University of Iowa’s worker’s compensation practice, including management of thirteen physicians, and managing WIRC’s clinical practice. Integration and expansion of WIRC services across multiple hospital divisions and clinics, patient management and regular negotiations with physicians, insurers and legal counsel. Draft budgets, manage expenses and revenue, and monitor financial performance. Management of departmental fee schedule for medical-legal work. Ongoing monitoring of clinical productivity and budgets to ensure targets are met. Working with Medical Director to develop and implement incentives for increasing MD participation/productivity. Develop and execute marketing strategies for established practice and new markets for UI WIRC. Monitor patient volume, identify trends that need to be addressed with patients and third party payers, and develop strategies to manage steadily increasing growth of service line, including improving provider clinic schedules, recruiting additional providers to the WIRC, implementation of new strategies to improve patient satisfaction. Develop strategies to continue growth and space needs. Independently and in conjunction with the Medical Director, responsible for reporting of clinical productivity and revenue growth to the Department Chair, Department Administrator, Assistant VP for Strategic Planning, and UIHC Cabinet. Use financial analysis to advocate for staffing and resource needs of the WIRC. Communicate with outside entities including patients, their representatives, insurers, employers, and other "interested parties" regarding both individual patient issues and strategic partnerships and initiatives. Develop and implement policies to standardize and centralize billing and collections. Conduct and utilize research in worker’s compensation areas including cost-benefit analysis, return to work patterns, and efficacy of treatments. Serve on Clinical Management Team and other Ortho Department leadership groups as needed. Provide Division Administrator support for the faculty practice in some Orthopedic Services Lines. Related duties include: Assist with budget projections, including RVUS for current faculty and APPs as well as departing and hired faculty and APPs. Provide regular financial updates to division directors. Manage KPIs to meet goals. Identify trends and determine QA priorities and recommends QA and patient/customer satisfaction strategies. Review clinical operation activities and make recommendations for changes in, or better utilization of facilities, services and staff. Work to improve patient referral mechanism between all clinical departments. Identify needs, trends, and forecasts in order to provide quality patient care. Identify problems of health care delivery, propose innovative ways for their resolution, and successfully implement accepted proposals. Provide input into action plans for unit that meet strategic goals; provide progress reports to department director. Advocate for needs of unit with healthcare leaders; may collaborate with faculty and departmental leadership of unit regarding program development, process improvements, and equipment budgets. The new University of Iowa Health Care North Liberty Campus is a 469,000 square foot facility that is home to UI Health Care’s nationally recognized Orthopedics service line, offering comprehensive, coordinated, and accessible care across the outpatient, inpatient and surgical venues. These state-of-the-art clinical facilities include a full-service community imaging center, laboratory services, physical therapy, retail pharmacy, and emergency department as well as an array of support services. The facility has been designed to support a superior patient and staff experience; excellence across our patient care, teaching and research missions; convenient access to services; and engaging community partnerships. UI Health Care is seeking a welcoming, highly-skilled and collaborative workforce to be a part of the team for this superb new campus, and to help further our mission of: Changing Medicine. Changing Lives.

Requirements

Master’s Degree in Business, Healthcare Administration, or related field, or
Bachelor’s Degree in Business, Healthcare Administration, or related field, or equivalent experience
3-5 years of relevant experience
Excellent communication and presentation skills
Supervisory experience
Experience with Microsoft Suite (Word, Excel, Power Point)

Nice To Haves

Knowledge of worker’s Compensation claims and related administrative process
Experience working with EPIC
Experience working in a health care setting

Responsibilities

Manage daily operations of orthopedic clinical practice.
Manage clinical and administrative support staff.
Direct billing and collections for all medical-legal consulting work. Advise and manage billing dispute issues.
Support the University of Iowa’s worker’s compensation practice, including management of thirteen physicians, and managing WIRC’s clinical practice. Integration and expansion of WIRC services across multiple hospital divisions and clinics, patient management and regular negotiations with physicians, insurers and legal counsel.
Draft budgets, manage expenses and revenue, and monitor financial performance. Management of departmental fee schedule for medical-legal work. Ongoing monitoring of clinical productivity and budgets to ensure targets are met. Working with Medical Director to develop and implement incentives for increasing MD participation/productivity.
Develop and execute marketing strategies for established practice and new markets for UI WIRC.
Monitor patient volume, identify trends that need to be addressed with patients and third party payers, and develop strategies to manage steadily increasing growth of service line, including improving provider clinic schedules, recruiting additional providers to the WIRC, implementation of new strategies to improve patient satisfaction. Develop strategies to continue growth and space needs.
Independently and in conjunction with the Medical Director, responsible for reporting of clinical productivity and revenue growth to the Department Chair, Department Administrator, Assistant VP for Strategic Planning, and UIHC Cabinet. Use financial analysis to advocate for staffing and resource needs of the WIRC. Communicate with outside entities including patients, their representatives, insurers, employers, and other "interested parties" regarding both individual patient issues and strategic partnerships and initiatives.
Develop and implement policies to standardize and centralize billing and collections.
Conduct and utilize research in worker’s compensation areas including cost-benefit analysis, return to work patterns, and efficacy of treatments.
Serve on Clinical Management Team and other Ortho Department leadership groups as needed.
Assist with budget projections, including RVUS for current faculty and APPs as well as departing and hired faculty and APPs.
Provide regular financial updates to division directors.
Manage KPIs to meet goals.
Identify trends and determine QA priorities and recommends QA and patient/customer satisfaction strategies.
Review clinical operation activities and make recommendations for changes in, or better utilization of facilities, services and staff. Work to improve patient referral mechanism between all clinical departments.
Identify needs, trends, and forecasts in order to provide quality patient care.
Identify problems of health care delivery, propose innovative ways for their resolution, and successfully implement accepted proposals.
Provide input into action plans for unit that meet strategic goals; provide progress reports to department director.
Advocate for needs of unit with healthcare leaders; may collaborate with faculty and departmental leadership of unit regarding program development, process improvements, and equipment budgets.