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.
Under the supervision of the Director of Heart and Vascular Center (HVC) Advanced Practice Provider Services, and in coordination with the medical directors and clinical chiefs of HVC, the Clinical Manager of HVC Advanced Practice Providers is responsible for the administrative supervision and management for advanced practice providers within the HVC service line. In this setting, advanced practice providers (APP) includes physician assistants, advanced practice registered nurses, and specialty nurse coordinators. Each Clinical Manager of HVC Advanced Practice Providers will oversee functional teams of APPs within the multiple disciplines that comprise the HVC. The Clinical
Manager will be responsible for the clinical practice, competency, and operationalization of these practitioners within the continuum of patient care across the HVC service line. The Clinical Manager will assure that APPs, as a multi-disciplinary group within HVC, meet the needs of our patients by providing high quality and safe care. The Clinical Manager of the HVC Advanced Practice Providers will be accountable for all facets of the teams operations including managing patient demand and throughput, patient satisfaction, regulatory preparedness, quality improvement, employee satisfaction, business development, clinical integration, and fiscal stability. The Clinical Manager of the HVC Advanced Practice Providers will be responsible for promoting an operation and culture that
focuses on patient- and family-centered care and on enhancing a world-class model of seamless quality and cost effective patient care 24/7, both operationally and clinically. In addition, the Clinical Manager of the HVC Advanced Practice Providers will assist in the development of a self-directed work team that provides safe, effective, family focused care to patients who require services. This includes quality assessment, clinical development and education for the members of the Physician Assistants /Nurse Practitioners within HVC, its operations, and the clinical practice of the individual disciplines. The Clinical Manager of the HVC Advanced Practice Providers will serve as a liaison within the HVC service line, its operations, and the individual disciplines managed for clinical practice and to
assure consistency in The Joint Commission (TJC) and regulatory requirements, as needed. The linical Manager of the HVC Advanced Practice Providers specific activities and responsibilities flex with the strategic planning of the HVC services, its operations and the clinical practice of the individual disciplines managed. The Clinical Manager of the HVC Advanced Practice Providers should determine whether needed resources have been appropriately committed and facilitate the deployment of additional resources where indicated. Decisions regarding change to practice are developed and implemented in collaboration with the Director of HVC Advanced Practice Provider Services and the Vice President of HVC, as necessary. The Clinical Manager of the HVC Advanced Practice
Providers has responsibilities towards both public and professional education through interactive programs, conferences, abstracts, presentations, in collaboration with the advanced practice providers within the HVC. In conjunction with the Director of HVC Advanced Practice Services and Clinical Chiefs, the Clinical Manager of the HVC Advanced Practice Providers maintains and improves a work environment that is patient -focused, and meets the needs of staff and referring physicians. The Clinical Manager defines vision for the evolution of the service, staffing and budgets to meet organizational targets and in the planning and development of future goals and responsibilities of the HVC advanced practice providers, its operations, and the clinical practice of the managed disciplines.
The Clinical Manager of the HVC Advanced Practice Providers provides supervision and management for all direct reports; meeting regularly with Physician Associates/Nurse Practitioners to address issues of common concern. Schedules and facilitates regular meetings with HVC advanced practice provider group as a whole or 1:1 as appropriate.
Completes or oversees the completion of personnel schedules that maintains an established practice staffing pattern to meet patient care standards and assesses and resolves operational issues regarding the Service.
Meet regularly with the Director of HVC Advanced Practice Provider Services and the Clinical Chiefs regarding the HVC disciplines in relation to the operation and clinical practice. Demonstrates High Reliability Organization behaviors and adherence to I am YNHH Patient Satisfaction Initiative .
Plan and coordinate the recruitment of all physician assistant and advanced practice registered nurse staff within the managed disciplines, including the development of job descriptions, advertising, review of applications, candidate screening, and interviews in collaboration with HR and department leadership.
Coordinates on-boarding of new advanced practice providers and assists new staff with integration into the team ensuring timely credentialing/proficient with procedures; new employee training/orientation relative to daily responsibilities.
Provides initial training and introduction to invasive procedures, including paracentesis, thoracentesis, lumbar puncture and central venous access, which includes reviewing the techniques required and hands -on training with the specific kits used at YNHH. The Clinical Manager will ensure supervision of advanced practice providers during the first five of each of the above procedures and signs paperwork for privileging, and provides direct assistance to credentialed employees needing help with difficult procedures .
Assists supervising/collaborating physician with chart review of APPs. Supports departmental leadership in Hospital operational, regulatory and department clinical performance improvement and quality assurance processes as requested.
The Clinical Manger completes payroll and coordinates with the Clinical Administration Coordinator and leads of specialty services as necessary. In conjunction with Human Resources, monitors compensation of advanced practice providers nationally and locally and ensures, and adjusts as necessary, appropriate compensation for APP staff employed by HVC. Maintain employment status and salary for all direct reports in the database.
Assures APP compliance with HIPAA, regulatory and accreditation standards. Assures timely credentialing and re-credentialing of APPs by the Medical Staff Office in compliance with Medical Staff By-laws and Rules and Regulation. Lead/assist with deployment of new initiatives and regulations.
Educates new employees about the team structure and the respective roles and expectations for APPs. Provides new employees with formal training of their daily responsibilities including: rounding on patients, documentation, sign out duties, computer training, online billing, calling consults, and other logistics of working in a large tertiary care facility.
Provides related teaching and education to unit nurses and physician assistant students from the Yale
University School of Medicine Physician Associate Program.
Meets regularly with other HVC staff to foster working relationships with our team (for example: nursing
managers, day and night time nurses, care coordinators, business associates and pharmacy). Meets
regularly with staff throughout the hospital about the HVC model of care and outlines proper communications with our team. Serves as a resource and contact person for HVC staff as needed .
Meets with the Chief Residents about relationships with the resident services. Identifies and communicates physician and APP continuing medical education opportunities to help ensure that YNHH medical staff 's credentialing requirements are met.
Provides welcome address and education about our team to the interns and serves as a clinical resource for residents on the HVC units. Help to foster a positive working relationship with resident services.
Performs or assists in the administering of performance appraisals and review of employee job performance; facilitates peer review initiative; coach; mentor; and encourage the professional development of the HVC advanced practice providers to achieve their highest level of excellence for their position.
Maintain individual employee files for managed APP teams with all personnel matter records. Acts as a
liaison with Human Resources to resolve employee problems, questions and concerns related to their
Responsible for advanced practice providers disciplinary matters and resolution as appropriate in collaboration with Executive leadership.
Attends all YNHH management meetings and represents the HVC on the YNHH Safety Committee;
represents the Director of HVC Advanced Practice Provider Services at meetings, as needed.
Maintains and tracks discretionary budget expenditure for each APP in conjunction with the Director of HVC Advanced Practice Providers, assuring that the budget is not exceeded.
Works on patient satisfaction initiatives within the team. Implements measures to aid in patient satisfaction. Identifies and conducts service-specific performance improvement initiatives; responds to patient complaints and patient satisfaction concerns; identifies information needs of team members, patients and families.
Maximizes opportunities in the clinical setting for informal education of staff, patients, and families. Actively researches information on Heart and Vascular Center patient medical conditions and shares information with other team members and students. Promote the dissemination of the newest clinical evidence in literature to improve patient care.
At the instruction of the Director of HVC Advanced Practice Provider Services or his /her designee, assists in the care of patients assigned to the HVC services, ensuring safe and efficient care.
Daily rounding on assigned patients and has the primary responsibility for documenting the patient status, data assessment and plan of care. Regularly communicates patient status information and test results to attending physicians.
Assists attending physicians (HVC, YMG, NEMG, or Community) with patient care, has primary
responsibility for medical record documentation and related paperwork (except for discharge summaries), and ordering of tests/procedures and sub-specialty consultations.
For new admissions, may obtain comprehensive health histories, perform complete physical examinations, enter admission orders for appropriate laboratory and diagnostic imaging tests, and complete orders for therapy under the supervision of Attending Physicians.
Identifies health care needs and assesses the status of patients, and coordinates post -discharge follow-up care, including contacting patients or primary care physician as appropriate. As a healthcare provider, is responsible for reporting adverse or potential adverse events related to patient care.
Performs necessary invasive diagnostic and therapeutic procedures, as credentialed by Yale -New Haven Hospital Office of Physician Services or under the supervision of an Attending physician .
Serves as a liaison and interacts with the rehabilitation staff, Food and Nutrition staff, and other ancillary services to ensure timely and comprehensive care for all patients. Communicates patient treatment plans to social workers, care coordinators and health care agencies. Provide education to patients and families about transition needs.
Completes discharge paperwork, including the W-10 and prescriptions. Reviews discharge instructions with patients and nursing at time of discharge; coordinates outpatient follow-up as required or appropriate.
Ensures medical record documentation meets YNHH, State and Federal guidelines, clearly documenting patient diagnosis and medical information required for legal and billing purposes, billing for all procedures performed as appropriate with documentation and Attending Providers name for day performed .
Participates in a level of continuing medical education (CME) activity annually that improves the quality of care provided by the Service line, attends all Team meetings; completes all mandatory training requirements related to HIPAA, Emergency Management, patient safety, or as assigned.
Participates in Heart and Vascular Center educational conferences and attends Yale University School of Medicine Grand Rounds, as time permits.
Masters-level degree and graduation from an approved accredited Physician Assistant or Nurse Practitioner program required. Candidates without a Master Degree will be considered, but will be expected to complete it within 2 years of appointment. Must be certified by the National Board of Examiners Commission for Physician Assistants or
Certified as a Clinical Nurse Practitioner by the American Nurses Credentialing Center
Minimum of five years related experience as physician assistant or advanced practice registered nurse caring for patients in the specialty area of assignment in a hospital or ambulatory environment is required. Minimum of two years of experience performing organizational and educational tasks in support of HVC services strongly preferred .
Minimum of one year supervisory/administrative experience.
Valid CT physician assistant or advanced practice registered nurse licensure. Experience or certification in one of the managed clinical disciplines within HVC preferred. Must hold valid CT controlled substance registration and Federal DEA certification.
SPECIAL WORKING CONDITIONS AND PHYSICAL DEMAND:
Must be able to stand for long periods of time. Must be able to mobilize throughout the patient care areas located with the organization and campus locations as required for patient care across the continuum and service line strategies.
This HVC APP Clinical Manager position will oversee general cardiology, advanced heart failure, electrophysiology, structural heart, disease management, and the nuclear stress test as they all relate to APPs. The APP CM will supervise the day-to-day management of the APPs in these areas. The APP CM will directly or indirectly ensure adequate staffing of APPs in these areas. Working with physician and nursing leadership, along with the HVC Director of APP Services, the APP CM will work on strategic growth and performance monitoring of these areas. Experience and special skills: Graduate of accredited PA or APRN program, masters degree preferred. Clinical practice in one of the managed disciplines. 1-2 years of leadership and administrative work preferred.