Director Medicine, Ambulatory Services

New Haven, CT
Feb 27, 2019


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


The Director of Medicine, Ambulatory Services reports to the Executive Director of Medicine Services and works collaboratively with hospital and physician leadership, physicians, clinical staff, and hospital departments to ensure goals and objectives are successfully met. The Director of Medicine Services will develop, facilitate, implement, and evaluate programs which positively affect quality, safety, and service excellence within the YNHH Medicine service line. Works with the Executive Director, Chief of SRC Medicine Services, and Clinical/Physician Directors of YNHH Medicine programs assuming responsibility for providing leadership, program development, management, operational direction, marketing, and strategic planning of medicine ambulatory clinics and YNHH clinical initiatives and goals. Facilitates engagement of physician and nursing leadership in strategic initiatives. Serves as a project leader for YNHH and YNHHS working collaboratively with clinical colleagues, hospital and university administration in evaluating and developing business partnerships and support, providing quality clinical outcomes and process improvement projects, managing cost and ensuring profitability. Provides support to the YNHH Hospitalist Service leadership team with the implementation and oversight of operational initiatives. Responsible for the ongoing operations, personnel management, coordination, development, and strategic initiatives of assigned departments and programs.

  • 1. Maintains oversight of, and responsibility for departmental capital, labor, and operating budgets for assigned cost centers within the Medicine Service line.
  • 1.1. Prepares departmental non-salary, salary, capital, and operational budges.
  • 1.2. Monitors department expenditure performance against approved budgets to ensure efficient and cost effective operations.
  • 1.3. Assists Executive Director and physician leadership in the preparation of departmental plans and development of goals and objectives.
  • 1.4. Monitors performance against hospital and departmental goals and objectives; prepares related monthly and annual reports.
  • 1.5. Collaborates with Finance, Information Systems, and other departments to manage billing practices and ensure appropriate charge capture.
  • 2. Responsible for the administrative and personnel management for assigned departments with Medicine Services. Collaborates with Yale University and Yale Medical Group for oversight of hospital based ambulatory clinics.
  • 2.1. Manages and provides administrative oversight of outpatient medicine services.
  • 2.2. Oversees the recruitment, hiring, and training of new personnel throughout the department.
  • 2.3. Ensures systems are established to manage the ongoing development of staff. Provides staff education, enrichment, and professional growth opportunities.
  • 2.4. Develops job performance standards and evaluates continued performance of employees.
  • 2.5. Implements and actively supports the integration of change through open communication and use of change management skills.
  • 2.6. Collaborates with Medical Directors to ensure effective financial and administrative management of clinic sessions; ensures needs, goals, and objectives are met.
  • 2.7. Collaborates with Program Director and Leadership of Primary Care Residency program.
  • 2.8. Provides visions and leadership in a collaborative environment that results in job satisfaction, recognition, and stimulates innovative thinking to accomplish goals and objectives.
  • 2.9. Provides supervision and assistance to all employees related to employment, job performance standards, annual performance evaluations, and peer review. Ensures that hospital policies and procedures, code of conduct, mandatory training, and other required duties are adhered to by staff.
  • 2.10. Ensures employee involvement with YNHH employee engagement surveys. Supports staff in the analysis, planning, and resolution of employee satisfaction feedback and results.
  • 2.11. Responsible for maximizing employee and patient satisfaction through timely communication, counseling, facilitating initiatives, issue resolutions, and providing staff enrichment and opportunities. Maintains timely communication through staff meetings, leader rounding, and coaching.
  • 2.12. Actively engages employees in departmental, programmatic, and hospital activities.
  • 2.13. Serves on hospital committees, attends seminars, conferences, and professional meetings as required.
  • 2.14. Represents the department to all major constituencies including YNHHS, hospital administration, clinical and operations departments, medical trainees, attending physicians, patients, Yale University School of Medicine, and city/state governments.
  • 2.15. Performs other administrative duties are required.
  • 3. Collaborates with Executive Director and clinical leadership with development of Medicine Service Line strategic and business plans.
  • 3.1. Participates in financial forecasting and planning.
  • 3.2. Facilitates and implements the development and clinical oversight of programs within Medicine Service Line.
  • 3.3. Facilitates the preparation of departmental plans, development of goals and objectives, and operational oversight of departmental and organizational system initiatives.
  • 3.4. Monitors program growth and outcomes through systematic documentation of strengths, opportunities, and program successes.
  • 3.5. Analyzes data, identifies trends, and compares to benchmarks; reviews with Executive Director and Clinical leadership for development of ongoing strategic planning.
  • 4. Responsible for the clinical operations, management, supervision, and growth of assigned clinical programs within the Medicine Service line.
  • 4.1. Maintains responsibility for all clinical aspects, initiatives, and responsibilities associated with Medicine Service Line programs. Manages and provides clinical oversight of ambulatory departments within Medicine Service Line.
  • 4.2. Collaborates with Chief and Executive Director of Medicine Service Line to design, develop, and implement clinically and fiscally responsive program philosophies, goals, and objectives. Works with physicians and clinicians regarding strategic planning, program development, and program coordination.
  • 4.3. Establishes systems/processes that ensure effective program operation.
  • 4.4. Responsible for clinical and operational contract management. Assists with negotiating, implementing, and monitoring of ongoing departmental contracts and agreements and as appropriate, reviews and recommends changes.
  • 4.5. Reviews and recommends changes to various departmental policies and procedures.
  • 4.6. Serves as the hospital resource for departmental administrative matters, projects, and initiatives. Provides support to Chief, SRC Medicine Services and Executive Director Medicine Services regarding clinical projects, initiatives and the development and oversight of new clinical programs.
  • 4.7. Ensures that desired clinical outcomes are achieved through cost effective and efficient processes.
  • 4.8. Ensures the establishment of evidence based practice standards requiring excellence from all team members.
  • 4.9. In collaboration with the Executive Director of Medicine Services, advocates for change in processes and systems to facilitate optimal health care delivery.
  • 4.10. Develops, administers, and communicates practices and procedures that are consistent with institutional policies and strategies.
  • 4.11. Understands and communicates all relevant regulatory standards to staff, ensuring that standards are met or exceeded.
  • 4.12. Formulates recommendations for programmatic change based on trends related to market demands, research, and changes in clinical practice.
  • 4.13. Maintains excellent understanding of medical knowledge regarding medicine disease entities and evidence based medicine.
  • 4.14. In collaboration with physician leaders, establishes protocols and guidelines for the treatment of disease entities. Collaborates with physician leaders in the development of best practices, standards of care, benchmarks, and treatment guidelines/goals that are evidence based and cost effective.
  • 4.15. Provides oversight and coordination of activities within the Medicine Service Line to support research initiatives and ensure collaboration with principle investigators.
  • 4.16. Collaborates with hospital departments and establishes partnerships with community agencies in order to facilitate best practice and transitions of care thereby reducing "potentially avoidable admissions".
  • 5. Maintains responsibility for all regulatory requirements, quality improvement activities, customer service, and patient experience initiatives. Ensures that all operations are carried out in compliance with local, state, and federal regulations and Joint Commission (TJC) requirements.
  • 5.1. Reviews Press Ganey and HCAPS scores and assists Executive Director and physician leaders with associated process improvement initiatives.
  • 5.2. Oversees continuous performance improvement activities in ambulatory Medicine departments.
  • 5.3. Ensures that prescribed safety practices and procedures are adhered to. Monitors and ensures compliance of all regulatory and governmental standards.
  • 5.4. Analyzes program data to continually assess and improve performance of care and services provided.
  • 5.5. Assumes responsibility for the quality metrics and outcomes of Medicine Service Line ambulatory programs.
  • 5.6. Leads multidisciplinary teams facilitating available methodologies to achieve established performance goals.
  • 5.7. Oversees and manages all ambulatory Medicine quality improvement and customer service initiatives.
  • 5.8. Oversees data collection and analysis related to Ambulatory Medicine Service Line and associated clinical programs and develops a clinical plan of action as required.
  • 5.9. Collaborates with physician directors regarding the regulatory process for ensuring staff and program leaders fulfill their leadership responsibilities.
  • 5.10. Maintains and prepares for compliance readiness related to the Joint Commission, federal, and state regulatory surveys.
  • 6. Develops collaborative and collegial working relationships with administrators, leaders, physicians, and outside organizations to promote Medicine Service line thereby ensuring goals and objectives are met.
  • 6.1. Serves as an internal and external consultant providing administrative and clinical support.
  • 6.2. Provides leadership, expertise, and support in planning, promoting, designing, and ensuring delivery of education based on best practice and YNHH's strategic goals and initiatives.
  • 6.3. In collaboration with the Executive Director, represents Yale New Haven Hospital and Ambulatory Medicine Services within the larger external community.
  • 6.4. Serves on hospital committees, attends conferences, and professional meetings as required.
  • 6.5. Represents Medicine Service Line and functions as a role model and leader.
  • 7. Provides support to Yale New Haven Hospital, Yale New Haven Health System, and Yale Medical Group to ensure best practice and standardization of high quality care.
  • 7.1. Develops and coordinates clinical work groups including staff from all YNHHS entities.
  • 7.2. Functions as a liaison for all clinical providers, (Nursing, Medical Staff, Residents, Pharmacy, etc) and support departments (Epic Team, IT, Dietary, Material Services, Facilities, etc) to ensure all entities are involved in the development and implementation of clinical policies and initiatives.
  • 7.3. Provides leadership and guidance for team process.
  • 7.4. Maintains oversight of/involvement in YNHH and YNHHS clinical initiatives including Resuscitation Management program.
  • 7.5. Represents Medicine Service Line to all major constituencies including hospital administration, departments, external agencies, and organizations.

    Other information:

    Bachelor's degree in Nursing or Healthcare Administration required.

    Minimum of ten (10) years clinical and progressive healthcare leadership experience in acute care and ambulatory hospital setting required. Minimum of ten (10) years management, clinical, and performance management experience required.

    Current State of Connecticut RN license.

    Documented high level of skill in personnel management and ability to manage various levels of clinical and support staff. Must possess understanding of clinical processes, organizational dynamics, and process improvement. Must be self motivated, goal oriented, and able to work independently. Must have the ability to develop relationships, work collaboratively and effectively in partnership with physicians, clinical staff, hospital departments, and outside organizations. Possesses excellent organizational skills with the ability to manage and follow through on multiple priorities. Excellent assessment, communication, critical thinking, and analysis skills for successful process improvement planning and monitoring. Ability and/or experience working with senior leaders and physicians on business strategies and tactics including development and management of contracts. Ability to lead and motivate work teams. Proven interpersonal, communication, negotiation, problem solving, and customer service skills.

    Has administrative responsibility for the collaboration, integration, continued development, and growth of the Ambulatory Medicine Service Line. Accountable for implementing and monitoring process improvements while adhering to the department, programmatic, and institutional business plans.

    Must demonstrate exceptional attention to detail, critical thinking skills, and ability to adapt to a variety of tasks. Must demonstrate ability to obtain results efficiently and effectively while maintaining a focus on best practice and achievement of outcomes. Must have theoretical and operational knowledge of financial principles and ability to operationalize and coordinate the completion of departmental and programmatic goals.

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    Job Info

    Job: 5132

    Department: Department of Medicine
    Category: Mgmt/leadership
    Status: Full Time
    Shift: DAYS
    Hours: 40.00