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Mgr Clinical Value Analysis

Mgr Clinical Value Analysis

Houston MethodistHouston, TX, US
12 days ago
Job type
  • Full-time
Job description

Manager Clinical Value Analysis

At Houston Methodist, the Manager Clinical Value Analysis department position is responsible for organizing, directing and implementing an infrastructure for a systems-approach to clinical value analysis support primarily for nursing and surgical services products (supplies) and to a lesser extent technology and capital equipment. Interacts with various hospital departments and team members to provide data analysis, process review, and goal setting to achieve a "best practice" value analysis system. The manager position responsibilities include managing the daily work activities of the work unit / department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that assure compliance with ethical and legal business practices and accreditation / regulatory / government regulations.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

Provide personalized care and service by consistently demonstrating our I CARE values :

  • Integrity : We are honest and ethical in all we say and do.
  • Compassion : We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • Accountability : We hold ourselves accountable for all our actions.
  • Respect : We treat every individual as a person of worth, dignity, and value.
  • Excellence : We strive to be the best at what we do and a model for others to emulate.

Practices the Caring and Serving Model

Delivers personalized service using HM Service Standards

Provides for exceptional patient / customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

Intentionally collaborates with other healthcare professionals involved in patients / customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

Involves patients (customers) in shift / handoff reports by enabling their participation in their plan of care as applicable to the given job

Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

  • Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the Clinical Value Analysis department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
  • Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching / corrective counseling, and providing recognition / commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge / skill areas needed to accomplish a task or solve a problem.
  • Facilitates the promotion of teamwork within and between departments; participates and / or leads and facilitates department process improvements as needed.
  • Meets or exceeds threshold goal for department and / or system metrics on employee engagement indicators : action readiness score, tier level.
  • Acts as project sponsor on value analysis investigations where appropriate. Interacts with physicians, clinicians, and allied health professionals to determine need and initiate supply / service evaluation process. Leads institutional and / or department / division teams and projects that contribute to the on-going improvement of work processes, procedures, systems, quality and customer service. Directs vendors in the value analysis process and communicates roles and expectations for business partners.
  • SERVICE ESSENTIAL FUNCTIONS

  • Plans and organizes day-to-day Clinical Value Analysis department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer / patient satisfaction.
  • Drives department service standards and activities to impact department and / or system score for patient / customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the Clinical Value Analysis department.
  • Reviews all systems products (supplies). Reviews technology and capital equipment requests as requested. Analyzes reports, data and market trends to determine cost reduction opportunities, reimbursement, initiatives and best practice standards. Prepares cost estimates for current and proposed opportunities by primary service line. Ensures a balance in maintaining high quality and safe patient care with cost effective operations. Guides customers (physicians, clinical staff, C-Suite, and quality) with Value Analysis Committee proposal preparation. Regularly rounds on key stakeholders (i.e. management, employees, and physicians) to enhance communication, ensure alignment, and validate that the service experience with Clinical Value Analysis is exceptional.
  • QUALITY / SAFETY ESSENTIAL FUNCTIONS

  • Ensures a safe and effective working environment; monitors and / or revises the Clinical Value Analysis department safety plan and / or any specific accreditation / regulatory required safety guidelines.
  • Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management / analysis functions.
  • Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
  • Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, inservices, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
  • Supports the hospital and system quality initiatives through effective review and active implementation of supporting products and services. Ensures that continuous performance improvement initiatives are designed to measure and improve the quality of products, equipment and services provided. Ensures clinical considerations and patient outcomes are priority. Challenges physicians to consider quality and safety as a direct reflection of practice and product variation with physician-level clinical data. Seeks information and serves to support clinical quality initiatives. Seeks direction from legal and risk management, when appropriate.
  • FINANCE ESSENTIAL FUNCTIONS

  • Assists in the development of department budget and ensures that the department operates in a cost effective manner. Manages / audits department expenses within approved budget parameters, ensuring that the Clinical Value Analysis department meets the budgeted / flex revenue and / or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department needs that reflect understanding of the importance of cost-effectiveness.
  • Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply / resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
  • Uses clinical outcomes data as a primary driver of decision-making. Approaches problems in an informed and logical manner using quality process and problem solving tools. Focuses on process problems and root causes, as opposed to events as a problem-solving strategy. Identifies the core information and data to streamline decision-making such as patient impact, key data, and its correlation to improved clinical outcomes.
  • GROWTH / INNOVATION ESSENTIAL FUNCTIONS

  • Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and / or other department / system directed activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
  • Proactively evaluates processes; recommends and implements action plan(s) for change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
  • Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals.
  • Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an on-going basis. Conducts conversations with staff on their development and IDP
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    Clinical • Houston, TX, US

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