Health Systems Manager

Health Systems Manager

Department: Health Systems Management

Program: Health Systems

Reports to: Health Systems Director

Employment Status: Full Time

FLSA Status: Exempt

Schedule: 40 Hours/52 Weeks

Preference: TERO Ordinance 2017-01, P.L. 93-638

Job Summary

The Health Systems Manager is responsible for overseeing the operational and administrative support functions of the Health Systems Department. The Health Systems Manager role focuses on optimizing healthcare delivery, ensuring regulatory compliance, managing resources, and enhancing un'ina (patient) access and experience. The Health Systems Manager is a key role in the Health Systems leadership team and collaborates across all Health Systems Departments to support Dena'ina Wellness Center's Dene' Philosophy of Care.

Essential Functions

• Performs supervisory duties to include training, performance reviews, and scheduling while promoting a positive work culture
• Oversee daily operations of by coordinating communication between Health Systems Departments, managing resources efficiently, ensuring regulatory compliance, and driving continues improvement initiatives to achieve high-quality un'ina centered care
• Works collaboratively with the Health Systems Departments to ensure un'ina to improve healthcare access, un'ina (patient) engagement, and overall health outcomes
• Implement and maintain all Tribal policies and procedures and ensure daily practices are in alignment with Health Insurance Portability Accountability Act (HIPAA) and Indian Health Services (HIS) standards
• Assists in facilitating un'in education and outreach initiatives to promote wellness and preventative care to include coordinating warm transfers to other Tribal Departments
• Responsible for oversite of all credentialing and enrollment for clinical staff within the Health Systems Departments
• Oversees the Purchase Referred Care (PRC) program to include implementing and developing strategies to improve quality of PRC services
• Ensures that social work services are delivered effectively and in compliance with IHS and the Tribe's guidelines to include ensuring all un'ina receiving care provide acceptable forms of proof for eligibility
• Manages daily tasks related to electronic health record (EHR) implementation and support, ensuring proper user training throughout the Health Systems Departments, resolving application issues, and acts as a liaison between clinical staff and the Clinical Applications Coordinators (CACs)
• Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

• Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Physical Requirements

• Stand or Sit (Stationary position)
• Walk (Move, Traverse)
• Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)
• Climb (stairs/ladders) or balance (Ascend/Descend, Work atop, Traverse)
• Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)
• See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)
• Repetitive Motion

Hazards and Atmospheric Conditions

• None

OSHA Categories

• Category III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid

Equipment and Tools

List Equipment used for job:

Drives KIT or Personal Vehicle:

Travel

• Local
• In-State
• Out-of-State

Qualifications

Education

• Bachelor's degree in Health Systems Administration or related field or a combination of education and experience in a related field may be substituted for a degree

Experience

• Three (3) years of experience in healthcare management, IHS preferred
• One (1) year of experience in Purchase Referred Care

Preferred

• Knowledge and experience working with cultural diversities

License/Certification

• Must have a valid Alaska State driver's license and must remain insurable under the Tribe's policy
• Basic Life Support (BLS) certification required, or obtain within 90 days of hire

Special Skills

• Proficiency with Microsoft Suite, or obtain training within 90 days of hire
• Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and others
• Ability to multi-task, work independently, and meet deadlines
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
• Strong leadership, organizational, and communication skills with the ability to effectively manage interdisciplinary teams
• In-depth knowledge of Federal and Indian Health Service (IHS) regulations

This position is a Covered Position subject to all requirements of the Alaska Barrier Crimes Act (ABCA) and to the Indian Child Protection and Family Violence Prevention Act, (ICPA). ABCA and ICPA requirements apply and must be complied with at all times in order to remain in the position.