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Contact Jane Graham at 203-899-1770 x8000 or via email at resumes@norwalkchc.org
Current Openings

Open Position(s):  5

  • Director, Human Resources, Risk Management & Compliance
  • Director, Quality Development and Improvement 
  • Medical Billing Specialist
  • Family Nurse Practitioner, Full-time
  • Family Nurse Practitioner, Part-time


Job Title:                  DIRECTOR, HUMAN RESOURCES, RISK MANAGEMENT & COMPLIANCE

Department:             Administration

Reports To:              Chief Executive Officer

FLSA Status:             Exempt

Approved Date:         10/9/2014

GENERAL DESCRIPTION 

Guide and manage the overall provision of human resources services, policies, and programs. Oversee the compliance program as an independent and objective reviewer.  Examines, evaluates, and investigates organizational risk. Assures the behavior in the organization meets company’s policies and Standards of Conduct. Develops and/or revises policies and programs as needed to assure such compliance. 

CHARACTERISTIC DUTIES

Human Resources (60%)

  • Create and manage strategic recruitment, selection, and retention plan
  • Create and management strategic training and organizational development plan to meet personal, professional, and organizational needs of associates
  • Development and manage wage and compensation program
  • Monitor associate benefit plans for effectiveness and cost containment
  • Recommend and establish human resources company policies and procedures
  • Identify legal requirements and government reporting regulations affecting human resources function (OSHA, EEO, HIPAA, Wage/Hour, Health/Safety, Worker Compensation, and FMLA)
  • Develop and Implement new associate orientation program
  • Direct the preparation of information requested or required for compliance
  • Acts as primary contact with labor counsel and outside government agencies
  • Direct a process of organizational planning that evaluates structure, job design, and manpower forecasting throughout the company
  • Coordinate credentialing process for licensed independent practitioners
  • Monitor and respond to associate concerns
  • Serve as advisor to organization leaders regarding matters of associate performance and discipline issues

Risk Management (20%)

  • Develop and implement organization-wide risk management program to identify and minimizing risk
  • Develop guidelines, recommendations, and implements process improvements to address high areas of vulnerability within the organization
  • Conducts reviews of policies and procedures to ensure compliance with risk mitigation procedures
  • Develop, implement, and monitor incident tracking policies and procedures
  • Serve as primary point of contact for risk management incidents
  • Monitors compliance with federal, state, and local guidelines (i.e. OSHA)
  • Develops and implements training associate training programs for risk management topics
  • Serve as liaison between patients, medical staff and visitors to ensure the best customer service experience
  • Respond to and resolve patient complaints

Compliance (20%)

  • Implement and maintain comprehensive, organization-wide corporate compliance programs
  • Establish and implement an enterprise-wide compliance audit and reporting plan, including controls and measurements, to assure regular and ongoing monitoring and compliance
  • Coordinate/conduct investigations to identify, clarify and resolve potential compliance issues
  • Provide corporate compliance training for all new employees upon hire and annual corporate compliance training updates for all employees
  • Report compliance activities and outcomes to executive leadership. Recommend action to improve the overall compliance program
  • Coordinate and maintain reporting channels (e.g., Hotline) for use without fear of retaliation
  • Maintain an up-to-date working knowledge of relevant corporate compliance issues, laws and regulations and serve as internal consultant to organization on same

QUALIFICATIONS

  • Bachelor’s degree in human resources management, business administration or other closely related discipline required
  • Master’s degree and PHR preferred
  • Six (6) plus years’ experience gained through increasing responsible management position in human resources management
  • Healthcare, compliance, and risk management experience preferred

 


Job Title: DIRECTOR, QUALITY DEVELOPMENT & IMPROVEMENT

Department: Administration
Reports To: Chief Medical Officer (primary)
  Chief Executive Officer 
FLSA Status:   Exempt
Prepared By:  Doug Olson, MD
Prepared Date: 10/3/2014
Approved Date: 10/6/2014

 

GENERAL DESCRIPTION  

Responsible for identifying, implementing, monitoring, and evaluating clinical quality and system wide process improvement. Collects and analyzes data and assists with performance audits to identify improvement opportunities. Recommends action plans to address quality concerns.

CHARACTERISTIC DUTIES

  • Leads the continuous process improvement efforts utilizing the appropriate process improvement model Coordinates and provide support for process improvement activities. 
  • Coordinates PDSA cycle efforts for the organization including collecting and analyzing data, summarizing results and presenting significant findings to Performance Improvement Committee. 
  • Consults and reports to practitioners, administration and the Performance Improvement Committee on quality, performance improvement, and planned care model activities and goals. 
  • Coordinates and tracks chart audits to review clinical activities and documentation of all clinic staff 
  • Analyzes data collected through patient satisfaction surveys to identify areas of concern and provides recommendations for improvement to appropriate clinic management and staff. Presents significant findings, action plans, and results to Performance Improvement Committee.
  • Works with CMO and COO to monitor clinic activity related to quality assurance and address concerns.
  • Develops and facilitates training related to quality, the planned care model, and process and performance improvement for employees as necessary.
  • Develops and implements policies and procedures related to quality improvement. 
  • Presents to staff and at national meetings about care model progress and changes as requested.
  • Acts as to external community, including attending meetings, conference calls, etc. to maintain awareness of current issues and educates staff and administration.
  • Attends meetings including designated Board meetings, management, collaborative, and performance improvement meetings; attends external meetings, groups or events as appropriate to the scope of the position and/or as assigned by management.
  • Coordinate Patient Centered Medical process improvements with clinical and operations staff. 
  • Performs other duties as assigned.  

QUALIFICATIONS

  • Registered Nurse (RN). BSN or MSN preferred.
  • Experience with quality improvement methodologies (i.e. Lean, six Sigma).
  • Ability to complete projects on time with minimal supervision.
  • Effective verbal and written communication skills. Ability to effectively present to large groups.
  • Ability to establish and maintain effective working relationships with clinical and administrative personnel.
  • Proficiency with Microsoft Word & Excel; basic knowledge of Access & PowerPoint or similar applications.
  • Ability to produce, interpret, and monitor data for decision-making.

Job Title: MEDICAL BILLING SPECIALIST

Job Description: 

Medical Billing Specialist is responsible for handling all types of insurance claims, including private, Medicare and Medicaid.  They are responsible for both patient and insurance collections and making sure claims are processed in a timely manner so that the organization gets properly reimbursed for services provided.  This includes working on follow-ups, denials and refunds.

Primary Responsibilities:

  • Patient demographics and insurance verifications are confirmed
  • Charge entry: All visits are checked for retrievable/appropriate ICD-9 and CPT codes, according to insurance guidelines. 
  • Approved visits are batched and sent electronically to the insurance company via clearinghouse.  Paper claims might be processed for secondary insurances.
  • Insurance Electronic Claim Submission and Response Reports are processed at least twice weekly.
  • Insurance Denials, follow-ups, EDI file rejections, adjustments and aging 
  • Insurance Check postings 
  • Unapplied Credit/Refund requests for both patient and insurances
  • Collections/bad debt for both patients/insurances
  • Assist patients with billing questions, payments, etc. as needed via phone or in person
  • Call insurance companies as needed to check on claims and patient eligibility
  • Notify manager of any unresolved issues on real-time
  • Help manager with assignments as needed
  • Assist with coverage at Front Reception and Call Center as needed.

Qualifications:

  • Minimum of high school graduate or equivalent required
  • At least 5 years of medical office experience in a FQHC setting.
  • CPT/ICD-9 coding and insurance verification required
  • Knowledge of Medicare and Medicaid FQHC billing a plus
  • Insurance/Patient Collections required
  • Excellent customer service skills (internal and external) is a must.
  • Knowledge of Centricity preferred
  • Must be detail-oriented
  • Must be able to prioritize tasks
  • Must be able to meet monthly deadlines 
  • Must be able to work in a team setting.


Job Title: FULL-TIME FAMILY NURSE PRACTITIONER
A board-certified FNP is sought to work as part of an integrated medical team to provide care to patients at the Norwalk Community Health Center, Norwalk’s largest Federally-Qualified Health Center. With an active patient population of over 16,000 individuals, the health center provides integrated, coordinated care to patients of all ages, from acute visit care to the long-term management of complex chronic diseases. The FNP will work throughout the health center to care for his/her patient panel, performing at the top of his/her license and across the age continuum. We provide care in pediatrics, internal medicine, subspecialty care, obstetrics/gynecology, mental health, and as part of our mobile Health on Wheels outreach to Norwalk’s public housing units and homeless shelters. Opportunities for professional development, collaboration and teaching are abundant, if so desired. An NCQA-certified PCMH, we have a fully functional EMR and collaborate with Norwalk Hospital for labs, tests, procedures and specialty care and inpatient care. This position has call averaging one week every 3 months with back-up and does not involve inpatient care.


Job Title: PART-TIME FAMILY NURSE PRACTITIONER
An experienced adult or family practice nurse practitioner is sought to work as part of an integrated medical team to provide care to patients at the Norwalk Community Health Center (NCHC), Norwalk’s largest Federally-Qualified Health Center. This is a part-time (4-12 hour/week) position that will include a shift from 8am-12 noon on Saturday. With an active patient population of over 16,000 individuals, the health center provides integrated, coordinated care to patients of all ages, from acute visit care to the long-term management of complex chronic diseases. The NP will see acute care/urgent care patients during their clinical sessions. NCHC has had a fully functional EMR for over 4 years and collaborates with Norwalk Hospital for labs, tests, procedures and specialty care and inpatient care. The position does not involve call coverage for the practice nor inpatient care. Fluency in Spanish is preferred but not required.