Essential Duties and Responsibilities:

• Assists the Director in researching and learning new emerging technologies and trends.
• Supports the maintenance of appropriate non-provider clinical staffing levels and may assume primary responsibility as directed.
• Assists in developing and implementing strategies to ensure operational integrity between clinical and non-clinical departments.
• Keeps staff informed of changes affecting the organization under the guidance of the Director.
• Assures staff compliance with all clinical and non-clinical policies.
• In collaboration with the Compliance and Quality teams and under the direction of the Director, ensures compliance with legislative, legal and regulatory body requirements.
• Monitors outside professional and non-professional services (i.e.: legal, accounting, radiology, laboratory, occupational health, housekeeping, etc.) as assigned.
• Serves as a patient safety and infection control resource and may act as subject matter expert in the absence of or as directed by the Director.
• Supports management of the Quality Net relationship and may serve as liaison to the CDC when assigned.
• Monitors and reviews MHCC freestanding AS Facility Survey (COMAR 10.24.04) under the direction of the Director.
• Balances team and individual responsibilities; exhibits objectivity and openness to others’ views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; supports everyone’s efforts to succeed.
• Independently works through situational issues and uses problem solving skills to achieve desired outcomes.
• Participates in developing and implementing strategic initiatives under the direction of the Director.
• Facilitates creation and/or expansion of programs and services as assigned.
• Assists with planning, facilitating, and accurately recording meetings as required for surgery center compliance.
• Implements and monitors approved policies and procedures.
• Communicates appropriately with the management team, physicians, and the Director, keeping them informed of key issues as they arise.
• Ensures all non-provider clinical staff are appropriately trained and involved in ancillary programs.
• Works with appropriate vendors, as directed, to ensure maximum effectiveness of ancillary programs.
• Assists in the development and opening of new facilities, as needed.
• Ensures appropriate staff are completing regulatory reporting requirements.
• Facilitates workers compensation program activities (which may include ordering medication, properly recording and sending out medication for destruction, training staff on dispensing, etc.) under the direction of the Director.
• Participates in and completes all mandatory trainings.
• Checks and responds to work e-mail at least twice per shift.
• Maintains high-level of product and service knowledge.
• Other duties as assigned.

Minimum Qualifications:

• Bachelor’s degree (B.S.) in a related field of study with a minimum of 2 years of management experience in a health care environment; OR equivalent combination of education and experience.
• To perform this job successfully, an individual should have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
• Must have prior experience working with Joint Commission, Accreditation for Ambulatory Health Care (AAHC), or Center for Medicare and Medicaid Services (CMS) standards and regulations.
• Must have excellent written and oral communication skills, including exceptional customer service.
• Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
• Must be able to work individually as well as within a team.
• Must be able to effectively lead a team of healthcare professionals.
• Must be able to follow both verbal and written instructions.
• Must be able to work a flexible schedule.
• Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations.
• Must be able to multi-task and prioritize.
• Must demonstrate extreme attention to detail.
• Must possess strong organization skills.
• Must be able to problem solve and use reasoning.
• Must be able to meet predefined quality standards.
• Must maintain and project a professional attitude and appearance at all time.
• Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology.
• All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.

Preferred Qualifications:

• Two (2) years of prior experience working with an Electronic Medical Record (EMR).
• Two (2) years’ experience managing an infection control and safety program.
• Two (2) years’ experience working in a Hospital and/or Ambulatory Surgery Center (ASC) setting.

Driving/Travel:

The employee must have reliable transportation. Travel for this position may be required up to 100%. While the primary workplace may be closest to the employee’s home, work assignments could be in any of the Company’s locations.