Responsible for implementing strategy and for operational leadership, efficiency, value and utilization, medical staff oversight, and care experience initiatives. Reports to the Chief Medical Officer of Henry Ford Hospital.
PRINCIPLE DUTIES AND RESPONSIBILITIES
Ensures and promotes the delivery of high-quality care by providing clinical oversight of efficiency, effectiveness, utilization, innovation, and care experience initiatives .
In collaboration with Henry Ford Hospital CMO, Henry Ford Health CQO, Henry Ford Health CMO, Henry Ford Hospital ACQO, Director of Quality, the executive team, and other leaders, provides the support necessary to ensure that clinical services are provided in accordance with standards established through state and federal regulations, including the Joint Commission, the Center for Medicare and Medicaid Services and other relevant accreditation agencies.
Serves as liaison with the regulatory agencies and insurance companies on matters relating to physician performance, utilization, and medical necessity.
Serves as an administrative liaison to the medical staff, officers, committee chairpersons, and physician leaders, and assists as necessary in managing medical staff affairs.
Principle responsibility for: development of annual goals and objectives focused on efficiency and utilization, development of performance indicators, conducting ongoing performance evaluations, monitoring follow-up activities for Hospital Medical Executive Committee (HMEC), and development and oversight of a common forum for the medical directors where issues (strategic and operational) are identified, prioritized, and resolved.
Reviews and analyzes clinical data reporting used to drive clinical process improvement and identifies opportunities for process improvement.
Represents the organization in the community by promotional or public relations efforts, particularly as they relate to medical services and professional relationships.
Collaborates with responsible medical staff, to provide input on new patient care programs, medical equipment requests and selection of general medical supplies.
Promotes work that improves HFH's position with external reputation scores, including, but not limited to US News and World Report, CMS Star ratings, and Leapfrog.
Keeps the CMO of HFH regularly informed of all medical staff affairs activities, problems, plans and issues, including quality of care, adequacy and quality of support staff, teaching programs and any other matter affecting patient care.
Provides clinical advice relative to coding inquiries for coding staff. Helps clarify documentation in medical records.
EDUCATION/EXPERIENCE REQUIRED:
· Graduate of an accredited medical school and completion of a three (3) year U.S. residency program and must be board certified in their specialty.
· Minimum of seven (7) years practicing as a physician.
· Previous experience in utilization management, inpatient process improvement work, and/or oversight of clinical care models preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
Michigan medical licensure and DEA, if required to practice in his/her specialty. Board certification in his/her specialty.
Additional Information
Organization: Henry Ford Hospital - Detroit Main Campus
Department: Administration - Hospital
Shift: Day Job
Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan's largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
