- Provides leadership and management of facility preventative and demand maintenance needs.

- Ensures safe, effective and efficient operation of facility physical plant, related auxiliary equipment and campus grounds, including but not limited to: electrical, mechanical, control, HVAC, emergency generator, and electronic systems.

- Responsible for the management of construction and renovation projects as required and shall maintain all applicable records as they relate to regulatory compliance.

- Must have 5 years experience of facility management / property management

- Health care setting preferred

- Technical trade school degree or certification required

- Associates degree preferred

General Statement of Duties:

Manages the daily operations of the department and ensures that the patient care in his/her designated area is provided in accordance with the standards of care and meets the requirements or regulations of JCAHO, Medicare, Medicaid, and appropriate licensing or certified boards. The manager is responsible to assure equity in staffing, data collection and analysis, and to promote quality patient care.

Essential Job Functions:

1. Manages the day to day operations of the department assuring equity of staffing and schedules, resolving staff conflicts and development of quality therapy practices and promoting patient and physician satisfaction.

2. Assures that Rehab Services personnel and students are appropriately oriented, trained and supervised to enhance the efficiency of operations and to ensure quality patient care is provided. Assists the Director with staff development along career paths

3. Assists the Director with regards to appropriate space, facilities equipment, supplies, and staffing levels.

4. Assists Director preparing, implementing and monitoring the Department’s annual Operating and Capital budgets. Assists Director with developing and revising Policies and Procedures and amending the Chargemaster coding in cooperation with the Finance Department.

5. Provides patient care consistent with the discipline of the Manager, and the patient setting. Exemplifies the quality and reputation that reflects the image of MHS

6. Observes the conditions of participation, requirements or regulation of the following: JCAHO, Medicare, Medicaid, Texas State Licensures and Certifications as requires.

Minimum Education and Experience:

BS Degree in Physical Therapy, Occupational Therapy or Speech/Language Pathology.

Two years of professional experience as a therapist and two years of management/supervisory experience; Bachelor’s Degree in Business Management can be substituted for management experience. Experience and education in Methodist Excellence (guided by Principles of Studer) recommended. Membership in professional organization is desirable.

General Statement of Duties:

Assumes line responsibility and authority for the administrative direction, evaluation, and coordination of the functions and activities of assigned departments within the hospital organization to ensure operative objectives and results are in accord with overall hospital needs.

Essential Job Functions:

1. Provides administrative direction for the operation of assigned departments and appraises the performance of respective department directors/managers.

2. Communicates routinely with an administrative representative concerning policy recommendations and suggested courses of action pertinent to the efficient operation of assigned departments. Implements new policies and disseminates pertinent information following administrative objectives.

3. Recommends improvement of hospital facilities in assigned areas, including construction or renovation of structures and purchase of new equipment.

4. Promotes complete involvement of department director/manager in the preparation of the department’s budget and educates them in the importance of the budget, forecasting and planning process.

5. Encourages and assists department directors/managers in establishing a measure of performance, increased productivity, quality improvement, cost controls and maximum utilization of facilities. Advises Chief Operating Officer where executive action is necessary to accomplish these goals. Plans the activities of individual departments in relation to other hospital departments so as to obtain a better understanding of each other’s problems.

6. Attends medical staff meetings and/or medical staff committee meetings as assigned or requested.

Additional Job Functions:

1. Supports the mission and vision of the Methodist Healthcare System and demonstrates excellent customer service at all times.

2. Understands and is committed to helping the Methodist Healthcare System and its associated facilities achieve its goals.

Methodist Healthcare System Job Description Job Title: Vice President, Operations____ FLSA: Exempt 2

3. Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function.

4. Adheres to the MHS Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself.

5. Completes other duties as assigned.

Minimum Education and Experience:

Bachelor’s or Master’s Degree in Healthcare or Business Administration.

Minimum of five years in positions of progressive responsibility in healthcare organizations or other experience as deemed relevant by the COO. Methodist Healthcare System Job Description Job Title: Vice President, Operations____ FLSA: Exempt 3

Comprehensive knowledge of general management and financial principles, as well as hospital procedures. Knowledge of health care economics and health care marketplace trends. Ability to communicate effectively to a variety of audiences in small and large group settings.

Minimum License and Certificates Required:

Reporting Relationships:

Supervised By: Appropriate individual, which could include CEO,COO, etc.

Supervision Of:

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately 90% of the time inside.

General Statement of Duties:

Responsible for the design, planning, leadership and implementation, and evaluation of the facility Quality/Risk Management Program in concert with the hospital(s) Mission, Vision and Values, Code of Conduct and Strategic Plan.

Essential Job Functions:

1. Develops, plans and implements policies and objectives of the facility for quality assessment, quality management, and performance improvement initiatives to enhance the quality of services. Analyzes healthcare processes and patient outcomes, develops outcome measures and monitors sensitive quality outcome indicators to identify areas for improvement. Evaluates the impact of improvement activities.

2. Oversees sentinel event investigations and root cause analysis activities within the facility to reduce risks and increase patient safety.

3. Reviews and analyzes facility occurrence reports to identify clinical risk issues. Facilitates investigation and follow-up on events with the appropriate managers/VPs.

4. Initiates Probable Claims Report (PCR) as appropriate. Investigates, utilizing, record review, interviews and other methods in order to provide adequate information for the report.

5. Facilitates the investigation and resolution of patient complaints and grievances. Initiates and/or reviews correspondence to patient/family following established timelines.

6. Facilitates the implementation and completion of the elements of the annual HCI Premium Credit Program. Communicates the results of the quarterly Risk Metrics results to managers/ VPs and Senior Leaders. Facilitated development and communication of appropriate action plans for identified outliers.

Job Description Appendix A:

Physical Requirements

Environmental and Physical Demands/Hazardous Conditions:

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40 hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

Standing 5% Walking 10%

LIFTING/CARRYING DEMANDS

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing more than 50 lbs.

( ) Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient specific to the department.

Required Knowledge, Skill, Abilities and Other Job-Related Characteristics (KSAOs):

Minimum Education and Experience:

Bachelor of Science in Nursing or related discipline. Master’s degree preferred. 3-5 years clinical and managerial experience. Quality Management practice, regulatory compliance, and TQM training and experience is preferred. Experience in utilizing word processing, spreadsheets, clinical systems and databases.

Minimum License and Certificates Required:

Current Texas State licensure as a registered nurse preferred.

Reporting Relationships:

Supervised By: Sr.Director of Clinical Outcomes

Supervision of: N/A

Equipment Utilized: Personal computer, common office equipment.

Director Case Management

Responsibilities:

• Demonstrates leadership, collaboration, and effective communication skills in directing and managing the assigned fiscal and human resources in support of facility goals and objectives.
• Identifies and implements resource reduction strategies consistent with facility strategic plan with a focus on quality outcomes, reduction of length of stay, medical necessity and level of care.
• Identify and champion new programs, system processes, and company initiatives which improve clinical and financial outcomes.
• Directs department activities to minimize account denials, opportunity days and variances in length of stay; works collaboratively with colleagues to ensure resources are optimized
• Performs data analysis related to Case Management metrics; develops implements and monitors action plans related to denials, avoidable days, LOS, QIO data, and other identified case management metrics.
• Provides feedback to Division Case Management Director on issues related to department operations: offers input to Division Director on managed care contracting issues; best demonstrated practices; process improvement and utilization management activities; barriers to achieving goals and objectives of initiatives; participates in HCA Case Management and Division initiatives
• Demonstrates a commitment to teamwork and cooperation; communicates accurate information in a timely manner.
• Directs and integrates case management, social services, utilization management, and discharge planning activities
• Directs activities to identify and provide for the needs of the under resourced patient population to include patient education activities, patient assistance programs, and community based resources
• Develops and revises, implements, monitors, and evaluates processes to ensure outcomes are achieved related to managed care contracts; appropriate authorizations or determinations of medical necessity for all payers sources are obtained and documented.
• Initiates and facilitates collaboration with hospital staff, shared services, managed care with a goal of contract compliance and decreasing payer denials or non-medically necessary days at the facility level
• Develops, reviews, and implements policy and procedure.
• Identifies process improvement opportunities; develops, revises, implements, and monitors action plans.
• Collaborates with physician advisor and medical staff to ensure quality outcomes and patient throughput are maximized while supporting a balance of optimal care and appropriate resource utilization.
• Provides leadership to and actively participates with facility staff to identify, implement, or enhance Case Management programs consistent with HCA and facility strategy.
• Implements and monitors regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives related to Case Management services; provides regulatory and compliance updates to staff, provides standards of practice updates, initiates / drives process changes to ensure compliance to such regulations and quality initiatives as it relates to Case Management
• Assesses learning needs of social worker and case managers.
• Oversees utilization management committee functions and effectiveness.
• Coordinates department functions with the shared services, Health Information Management (HIM) and revenue integrity.

Qualifications:

• RN with current state licensure, BSN required.
• Five years Nursing Case Management experience; Two years Director or Supervisor experience preferred
• Certification in Case Management, Nursing, or Utilization Review preferred
• Ability to establish and maintain collaborative and effective working relationships
• Ability to communicate effectively in oral, written and electronic formats
• Demonstrates analytical and critical thinking abilities with pro-active decision-making, problem solving and negotiation skills
• BLS – American Heart Association – required

General Statement of Duties:

The Director of Environmental/Linen Services and Grounds is responsible for the development of departmental objectives, the establishment of programs and procedures to meet these objectives, the maintenance of a high quality staff of personnel within the department and the controlling and evaluating of the overall departmental objectives to support the MHS in providing optimum patient care. The Director of Environmental/Linen Services and Grounds must have knowledge of cleaning materials, cleaning equipment, and their proper use.

Essential Job Functions:

1. Responsible for maintaining a clean, attractive, and sanitary environment for patients, physicians, volunteers, employees and visitors; he is also responsible for maintaining an adequate Linen service and grounds.

2. Plans staffing requirements for the department insuring adequate manpower at all times by establishing, reassigning or deleting personnel positions in conformance to necessary changes, and submits changes to administration for approval.

3. Preparing and timely submittal of various annual and/or monthly reports, i.e., capital and operating budgets, departmental reports, etc.

4. Advise Administration as to standards and procedures relating to institutional sanitation and cleanliness.

5. Counsels and maintains or directs maintenance of attendance and work performance records on employees. Interviews, selects, and processes all personnel.

6. Directs departmental orientation and on-the-job training for all Environmental Services employees.

Additional Job Functions:

1. Directs and maintains continuous in-service-education for Environmental/Linen Services employees.

2. Approves the requisitioning, storage and usage of supplies, equipment and linen.

3. Ensures the proper maintenance, servicing/repair, care and utilization of Environmental Services equipment.

4. Conducts determination of need and cost benefit studies for proposed new programs, equipment and services.

5. Coordinates pest control, window cleaning, solid waste, biomedical waste, recycled waste, and laundry contracts and monitors contractors’ performance for compliance.

6. Oversees the proper disposition of Lost and Found items.

7. Makes regularly scheduled tours throughout the hospital on a daily basis spot checking to ensure work performance meets standards and that safety policies are complied with.

8. Serves on committees as directed by Administration and attends various meetings with other hospital personnel developing and recommending approval of institutional policies and procedures.

9. Formulates and secures approval of and implements goals, objectives and plans for improving Environmental/Linen Services.

10. Ensures the compliance of sanitation and safety standards in accordance with the hospital, all regulatory agencies of accredited hospitals, and other appropriate governmental agencies. Establishes standards, work methods and schedules.

11. Supports the mission and vision of the Methodist Healthcare System and demonstrates excellent customer service at all times.

12. Understands and is committed to helping the Methodist Healthcare System and its associated facilities achieve its goals.

13. Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function.

14. Adheres to the MHS Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself.

15. Completes other duties as assigned.

Minimum Education and Experience:

Education:

The Director of Environmental/Linen Services and Grounds should have two to three years of college with a preferred major in management. If candidate has extensive experience in the EVS field it can be substituted for the college requirements.

Training and Experience:

Prior Environmental Management experience of at least five years. Formal courses in Environmental Management are desired with N.E.H.A., A.S.H.E.S. Certification preferred. Prior Environmental Services Management experience is preferable at the Assistant Director of Director level.

Job Knowledge:

The Director must have knowledge of sound management procedures and must be able to organize a large workforce into an efficient working team. Must have knowledge of budget preparation and management. Must be capable of developing long-range departmental plans. Must have knowledge of infection control and isolation cleaning procedures. The Director of Environmental/Linen Services and Grounds must also have knowledge of linen control and distribution, and should also have basic knowledge of insect and pest control methods. Should be an effective communicator, both orally and written.

Reporting Relationships:

A. Responsible to: Chief Operating Officer (Hill)

Assistant Administrator (Corridor)

B. Workers Supervised: Directly supervises the managers of Environmental Services and Secretary. In addition, the position requires indirect supervision over all Environmental Supervisors and al other Environmental/Linen and Grounds Service personnel.

C. Interrelationships: Works cooperatively with all Departments of the Hospital, their staffs, with volunteers, visitors, physicians, peers, patients and their families.

WORKING CONDITIONS

( X ) INSIDE: Spends approximately _38_ hours or more per week inside.

(X ) OUTSIDE: Spend approximately _2_ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 10% increments of work time): Sitting 50%

Standing 20 % Walking 30 %

LIFTING/CARRYING DEMANDS

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X ) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing more than 50 lbs.

( ) Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient specific to the department.