Director of Clinical Operations

Overview:

Medaca is looking for a Director of Clinical Operations to join our team!

This position demonstrates exceptional leadership and ensures all practices are carried out in the most effective and efficient way possible and in accordance with all federal, state and local regulations.

Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

• Responsible for the oversight and management of clinical operations, including MSP Planners, and CMS Submissions and operational teams
• Responsible for coordinating the development, implementation and monitoring of clinical and CMS operational processes and procedures.
• Assist and/or provide expertise regarding operational aspects of current and future product offerings to ensure Medicare compliance and conformity with all applicable laws and/or regulations.
• Advise clients and prospective clients regarding Medicare compliance issues, settlement strategies and product offerings.
• Reviews financial results through varies resources to measure productivity and ensures operations are in line and with the company’s financial goals and objectives.
• Works directly with management to ensure the execution of staff scheduling, distribution, production and completion of all work is achieved.
• Responsible to manage the development, implementation and review of all training programs and quality assurance.
• Conducts research and quality assurance review of products and technologies to determine quality and effectiveness and makes adjustments and or recommendations for changes to enhance the efficiency and profitability of the company.
• Provides advice, training and/or necessary support for various project assignments as required.
• Plans and organizes departmental meetings as needed and actively participates in all managerial meetings as required.
• Communicates pertinent information regarding the status of the company to all appropriate individuals within the company.
• Ensures the management of all office needs including, but not limited to, client service contacts, vendor contracts, maintenance requirements, etc. is managed by the proper members of management.
• Ensures compliance of all required recordkeeping, including, but not limited to, client contracts, vendor contracts, and employment records.
• As required, represents the business unit at all meetings to both internal and external audiences, including presentations via phone, webinar, and/or in-person.
• Ensure that all organization activities and operations are carried out in compliance with local, state, and federal regulations and laws governing business operations.
• Performs miscellaneous duties as assigned by the General Manager.

SUPERVISORY RESPONSIBILITIES

Directly supervise and carry out supervisory responsibilities in accordance with ExamWorks’ policies and applicable laws. Responsibilities include, but are not limited to:

• Carries out all managerial responsibilities in accordance with the company’s standards, policies, and all applicable employment laws.
• Provides support, training, tools, and techniques to assist staff in achieving department goals and standards.
• Ensures all employee schedules are adhered to and coordinates overtime needs with the supervisory management and staff as needed.
• Demonstrates and encourages positive morale, maintains harmony among staff and resolves grievances when necessary.
• Directs and actively participates in the departments hiring and employee separation needs.
• Communicates change effectively and prepares and supports those affected by change
• Actively participates in observing employee performance and ensures the documentation of performance issues are completed as required.
• Handles insubordinate staff as needed and initiates corrective or disciplinary actions as
• Ensure periodic performance feedback is communicated with all staff and addresses any performance concerns, recommendations for job placement and/or growth opportunities as required.
• Ensures timely completion of all annual performance evaluations and actively participates in conducting direct reports performance evaluations.
• Implements team-building exercises and ensures employee reward and recognitions programs are actively utilized.
• Leads and directs management to ensure all staffing needs are met and the best working environment is achieved.

Qualifications:

• Bachelor degree in Nursing or related field; or minimum four years of experience in management; or equivalent combination of education and experience required.
• Strong knowledge of claims management relative to workers' compensation, no-fault, liability, and disability is essential in performing the required job duties well.

• Active RN license required. CLCP or CNLCP Preferred. Medicare Set-Aside Certified Consultant preferred.

• Must hold and maintain an unencumbered Registered Nursing license.
• Strong knowledge of business development, budgeting and strategic planning.
• Demonstrates exceptional communication skills by conveying necessary information accurately, listening effectively and seeking clarification when needed.
• Ability to follow instructions and adhere to upper managements’ directions accurately.
• Uses good judgment and includes the appropriate people in the decision-making process.
• Must be knowledgeable in multiple software programs, including, but not limited to, Microsoft Word, Outlook, Excel, and the Internet.
• Ability to collect and research data to analyze complex or diverse information.
• Uses intuition and experience to design work flow procedures and process solutions.
• Identifies and resolves problems in a timely manner. Demonstrates the ability to develop alternative and effective solutions.
• Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must be able to take independent actions and calculated risks when needed.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team -oriented environment.
• Must be able to stay focused and concentrate under normal or heavy distractions.
• Must be able to work well under pressure and or stressful conditions.
• Must possess the ability to manage and direct change, delays, or unexpected events appropriately.
• Demonstrates reliability and abides by the company attendance policy.
• Must maintain a professional and clean appearance at all times consistent with company standards.
• Ability to read, analyze and interpret common and complex correspondence, medical or financial records, and/or legal contracts and documents.
• Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.
• Ability to respond appropriately and professionally to all inquiries or complaints from customers, regulatory agencies, upper management, and/or members of the business community.
• Ability to effectively present information one-on-one, in small to large groups, to top management, and/or clients or vendors of the company.

About Medaca

Medaca provides world-class access to a range of services to help employees receive treatment at different stages of a mental illness with the goal of a return to health and to work. Partnering with Canada’s leading psychiatrists, Medaca provides employers and insurers with early diagnosis and treatment for their employees, with an 86% return to work rate.

Medaca’s clientele includes major insurers, third-party disability management administrators, and a wide range of private and public sector organizations including financial, transportation, power, education, law enforcement, retail, food, and pharmaceutical industries.

Medaca is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, age, or any other status protected under provincial or federal laws.