Spectrum Health Services, Inc.

Key Responsibilities

• • Function as a Clinical Provider with a minimum of 6 sessions per week and as needed to facilitate access to care.
• • Shares back-up on-call responsibilities with the CMO.
• • Supervises the Clinical Care Coordinator who provides daily care coordination, consultation and intervention to patients with one or more chronic diseases.
• • Responsible for identifying said population via provider/external health facility referral, utilization management referral, disease registry reporting mechanisms and patient self-referral.
• • Takes a leadership role in developing and implementing a continuous quality assurance program that focuses on high quality clinical care through the Patient Centered Medical Home (PCMH) care delivery model, patient satisfaction, risk management, compliance, and patient safety.
• • Reviews Center performance and effects changes as necessary to improve services, optimize resources, reduce risk, and assure compliance with regulatory requirements.
• • Develops a positive relationship with area medical providers, and other medical or behavioral health service organizations to ensure access to care for Center patients and an effective referral and consulting process.
• • Fosters a culture oriented to achieve the Center’s mission to serve the underserved in a primary care setting while maximizing the use of limited resources.
• • Assists with vendor relations, training, and in-services.
• • Manages student externships and internships, in collaboration with Human Resources.
• • Immediately investigate patient complaints and incidents.
• • Reviews and approves provider sick time and paid time off requests.
• • Ensures that the policies and procedures of the Center are followed and that the Center is prepared for surveys/inspections.
• • Oversees and ensures clinical policies are appropriate and current.
• • Assist with the oversight of Risk and Compliance related policies and procedures as directed.
• • Develops staff to achieve high quality services with a high level of patient satisfaction and efficiency.
• • Maintains and submits required data for reports, such as for the Unified Data Submission to HRSA and provider productivity report.
• • Participates in the selection, interviewing and onboarding of applicants for open positions related to clinical services and coordinates job-specific training for new hires.
• • Performs quarterly one-on-one meetings with providers and participates in annual evaluations and competency assessments for direct reports.
• • Attends required meetings and participates in committees, as directed by the CMO.
• • Other duties as assigned.