Regional CRM Section Manager at Texas Tech University Health Sciences Center in Lubbock, Texas

Job Description:

Extended Job Title

Regional CRM Section Manager

Org Level 1

Texas Tech Univ Health Sciences Ctr

Org Level 7

691032 - Regional Administration Operations

Position Description

Manages a section in a department that has institutional oversight. Plans, organizes and develops goals and procedures for the section. Represents the section to administrators, outside agencies and others on relevant matters. Supervises subordinate staff.

Requisition ID

39005BR

Travel Required

Up to 25%

Pay Grade Maximum

Compensation is commensurate upon the qualifications of the individual selected.

Major/Essential Functions

• Onsite travel to prison facilities required.


• Assist in the development, review, and revision of regional and unit standard operating procedures (SOP). Manage maintenance and review of all regional and unit SOPs.


• Regularly audit procedures, practices, and documents possible areas of risk or weakness. Conducting of annual audits, including release of information and refusal of treatment audits. Conducting of regional privacy audits. Assist in ACA processes, including mock audits.


• Create and manage effective corrective action plans in response to audit discoveries and/or compliance violations.


• Oversight of all TDCJ audits and processes, including ORA, Nursing QA audits, Sick Call Request Verification Audits, Compelled Med audits, Mental Health evaluation audits, etc. This includes leading mock audits, monitoring all preparatory processes and review of documentation prior to submission, and coordination with unit to ensure timely submission of quality correction action, including review of all CAPs and Detailed Written Plans.


• Provide education on latest procedures and processes. Provide training and resources. Serve as regional resource for CRM initiatives.


• Ability to develop and follow processes related to institutional compliance.


• Coordinate compliance, privacy, and safety activities. Review regional emergency plans and conduct drills accordingly. Serve as regional safety representative.


• Ensure completion of PREA audit requirements prior to audit.


• Promote interdisciplinary collaboration by: Provide a Platform for Interaction, Reward and Recognize Efforts, Integrate Collaboration into Day-To-Day Tasks and Projects, Incorporate Team Building Activities, Encourage Open Communication, and Share Knowledge, Insights and Resources.


• Participate in meetings as requested. Displays appropriate preparation, participation, and follow-up. Completes assignments in a timely and thorough fashion.


• Assist the department in initiatives and projects, including monitoring and submission of CLIA certificates, radiation safety, telehealth, accreditation, medical records requests, audits and other responsibilities as assigned. Conduct audits as requested and serve as the Compliance and Risk Management representative at onsite audits as needed. Ensure appropriate project management.


• Ensure the timely deliberate and detailed documented escalation of continued failures to the Managing Director and Senior Director of Compliance and Risk Management (CRM) and Operations leadership team.


• Review of all medical records request from TDCJ security and outside entities.


• All other duties as assigned. Travel, including overnight, as needed.

About Managed Care:



Since 1989, TTUHSC Managed Care has served as a healthcare delivery service, providing high quality, low cost healthcare to patients within the Texas Department of Criminal Justice system. We provide medical, mental health, and dental services to patients in 22 facilities throughout West Texas. Managed Care emphasizes our values-based culture in all we do. You can learn more about TTUHSC Managed Care by visiting our website HERE.





This valuable team member shall perform work in a manner that reflects the Values of TTUHSC:

• ONE TEAM unite and include diverse perspectives to achieve our mission.


• KINDHEARTED exceed expectations with a kind heart, helping hands, and positive attitude.


• INTEGRITY be honorable and trustworthy even when no one is looking.


• VISIONARY nurture innovative ideas, bold explorations, and a pioneering spirit.


• BEYOND SERVICE create and deliver positive defining moments.

Take care of yourself and your family, Enjoy some of the best benefits in the state of Texas:

• Comprehensive Benefits Package


• Training provided


• Continuing education


• Loan Forgiveness Program


• Retiree Insurance


• Paid Leave


• Leadership Program


• State Pension

Grant Funded?

No

Pay Grade Minimum

Compensation is commensurate upon the qualifications of the individual selected.

Pay Basis

Monthly

Work Location

Abilene

Preferred Qualifications

Master's degree preferred.


Previous health care, regulatory compliance, or privacy and/or auditing experience. Strong oral and written communication skills. Effective public speaking and training ability. Highly analytical, with definite attention to detail.


Deliberate decision-making ability. Fair and diligent, with a strong constitution and conviction.


Ability to effectively participate in critical conversations while engaging in collaboration. Skill to communicate ideas and instructions clearly and concisely. Skill to coordinate with other staff, departments, organizations, and the public. Skill in administrative problem-solving techniques.


Knowledge of applicable state and federal laws, rules, regulations, and statutes. Knowledge of institutional and departmental organizational structure, policies, procedures, rules, and regulations preferred.


Skill in reviewing technical data and preparing technical reports. Skill to prepare and maintain accurate records, files, and reports. Skill in organization processes and attention to detail. Project management experience a plus. Skill in the use of Microsoft Office Suite or equivalent to include word processing, spreadsheet, database, or presentation software programs. 

Campus

HSC - Correctional Managed Health Care

Department

Regional Administration Operations

Job Type

Full Time

Pay Statement

Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website.

Job Group

First line Managers

Shift

Day

EEO Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications

Bachelor's degree required plus four years supervisory experience.

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx. Apply Now