Summary

Under the limited supervision of the Health & Human Services Director, the Clinic Manager performs a variety of clinical/supervisory duties.  In addition, this includes administrative supervision of clinical nursing and non-nursing staff, oversight of the Reproductive Health Program (HIV/STI), Immunization Program, in-house pharmaceuticals, laboratory functions, and the Patient Accounts Technician and EMR site specialist.  A person in this position is expected to work in a highly independent manner with utmost integrity and reliability to ensure quality of health care delivered is in accordance to federal, state, and county policies and procedures. This position requires the commitment to continually improve quality of care and services provided by the health department by attending as needed trainings and participation on the Quality Team.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Leadership

• Support staff meetings, staff training and professional development
• Represent Clinical Access Services programmatic needs in leadership settings including weekly meetings, strategic and budget planning, et cetera
• Support and participate in the ongoing strategic planning process for the department
• Participate in workgroups through the Coalition of Local Health Officials and Central Oregon Health Council
• Serve on local, regional, state, and national boards, and/or committees as applicable to best serve the department and the community we serve

General

• Oversight of onboarding of new employees
• Participate in performance management processes and work improvement plans as needed
• Work with department Director and County Human Resources on hiring, performance management, and other personnel needs
• Ensure physical building is a safe and functional work environment
• Oversee facilities work order processes in assigned space, communicate with department Director and facilities Director re: cleaning services contract, and collaboration with building owners for maintenance needs as applicable

• Communicate effectively and accurately with various media outlets
• Create and implement clinic policies and procedures
• Perform staff evaluations and recruitment activities in collaboration with team leads

Clinic Services Oversight and Supervision

• Knowledgeable of all federal, state and local clinic program policies and procedures
• Provide direct supervision of clinic staff
• Assure the effective and efficient delivery of clinical service in accordance with high quality standards of care, and applicable federal, state and local requirements
• Oversee daily coordination of clinic operations for efficiency in client flow, ordering supplies, cleaning, client management issues, electronic health record documentation
• Monitor client satisfaction and follow up with dissatisfied clients
• Monitor and proactively support vendor and community partner relationships
• Effectively interview potential new hires
• Train staff on required duties
• Build relationships with community members and stakeholders, ensuring appropriate care across the county and increasing access to clinical care for the community

Training and documentation

• Review employee licensure status regularly
• Conduct, schedule, or assure attainment of continuous educational training for staff
• Oversee chart audits and implement improvements indicated
• Ensure staff are trained on lab competencies as required
• Support and/or conduct community education on health topics via multi-media outlets and events
• Maintain appropriate CEUs for certification requirements 

Laboratory and Medicine

• Assure quality of daily lab functions and cleanliness
• Coordinate, manage, and implement federal, state, and local guidelines for laboratory and pharmaceutical licensure
• Oversight of inventory and ordering of medications and supplies

•    Demonstrate proper specimen handling, processing, testing, charting and disposal
•    Demonstrate proper use of lab equipment, testing mediums and processes

• Demonstrate proper techniques and documentation for all procedures and dispensing
• Create, implement, and maintain accurate clinic policies and procedures
• Follow all procedures in the lab manual and assure the requirements are completed
• Oversight of training new staff on lab competencies as required in the lab manual
• Assurance of clean and presentable patient care areas and coordination with team as needed

Immunization Program (Oversight)

• Understand terms and concepts associated with childhood and adult immunization and the diseases they prevent
• Describe and apply current Oregon Health Division Immunization Schedule for specific ages
• Understand department policies and procedures for administering vaccinations
• Accurately interpret Oregon School Law and implement standards for sites required to report
• Interview each parent/client for possible precautions and contraindications specific for each vaccine and possible reactions

Vaccine Administration

• Describe and demonstrate proper vaccine storage and handling
• Administer vaccine in a safe manner, using universal precautions and sharps safety according to standing orders and procedures
• Demonstrate safe child comfort restraint and immunization technique per department policy
• Accurately describe procedures for immunization-related emergencies

Documentation

• Complete all forms, consents, records, and other documentation required by the County and OHD
• Competently document in electronic medical record software
• Understand terms and concepts involved in determining payer source for vaccine with local, state and federal programs or private insurance

Program Development

•    Oversee Immunization Coordinator’s collaboration and development of community partnerships
•    Promote educational outreach efforts to increase immunization rates in Crook County
•    Participate in data collection for local, state, and federal programs
•    Maintain regional partnerships and coalition participation
•    Pursue grant writing opportunities for program promotion
•    Coordinate mass immunizing clinic events including logistics, organizing mass transportation, security, parking, traffic flow, emergency staff and accommodations for public
•    Attend continuing education re: changes in vaccine epidemiology
• Function as primary or secondary contact for excursions and other vaccine storage issues

Reproductive Health (Oversight)

Coordination of Reproductive Health, STD, HIV Ryan White, Prevention, and Lab programs

• Assure the effective and efficient delivery of clinical service in accordance with high quality standards of care, and applicable state and federal requirements
• Coordinate day-to-day clinic operations for efficiency in flow, ordering supplies, cleaning, client management issues, chart documentations and adhere to State, Federal and County regulations, policies, and procedures
• Work with PHN II’s to conduct education/training classes and staff meetings for Programs
• Discuss, review, and resolve complaints from clients, other agencies, and the public
• Discuss, review, and resolve concerns and clinic problems with staff
• Assist in the preparation of State, Federal and County reports with Director
• Oversight of chart audits, implementing process improvement based on results
• Provide input for the Meaningful Use Program with OCHIN
• Oversight of procedure, policy and protocol development and reviews
• Assess, plan, evaluate and implement general community health nursing services
• Plan and exchange information with healthcare providers and other health workers for more effective care of the individual patient; take responsibility for development of community organization and planning for health services with community groups
• Coordination and updating of Standing Orders
•    Understand terms and concepts associated with family planning program policies and procedures
•    Understand terms and concepts associated with laboratory policies and procedures
•    Describe and apply current OHD policies and procedures regarding family planning services
•    Assure each client is interviewed for possible precautions and contraindications specific for each birth control method and potential side effects
•   Create and implement clinic policies and procedures
•   Oversight of general clinic operations and ordering contraceptive and clinic supplies
•   Ensure completion of annual family planning plan
•   Assess no-show rates and improve processes as needed
• Educate staff on family planning laws and new services
• Conduct clinic services including options counseling, contraceptive counseling, STD exams, medical and family assessments

Medication

•    Describe and demonstrate proper dispensing of pharmaceuticals
•    Administer medications in a safe manner using universal precautions and sharps safety according to standing orders and procedures
•    Describe procedures accurately for clinic related emergencies

Documentation

•    Complete all forms, consents, records, and other documentation as required by Crook County and OHD in a timely manner
•    Competently use electronic medical record documentation process
• Improve EMR documentation efficiency and accuracy for clinic and services provided
•    Understand terms and concepts involved in determining payer source for family planning services with local, state, and federal programs or private insurance

Public Health Preparedness

• Public Health Preparedness Training: IS 100, 200, 700, 800

• Ensure teams practice and are educated on emergency procedures

• Participate in Public Health Preparedness exercises and events      
• Function as assigned role in disasters and public health emergencies
• Coordinate mass vaccine events, medication events as needed
• Collaborate with state agencies and community partners in an event to ensure access of community to resources, information, healthcare services, and other areas of concerns
• Work with Emergency Preparedness to maintain medical emergency supplies and needs during events
• Participate in ICS as needed/assigned

Competencies

• Technical Capacity – personal computer and related software, excel, word, databases
• Grant writing ability, technical reporting
• Teamwork Collaboration
• Time Management
• Communication Proficiency – oral and written
• Flexibility
• Ethical Conduct
• Initiative, self-starter
• Data collection skills and interpretation
• Ability to work independently and make effective decisions
• Clinical skills in preventative care and reproductive health
• Knowledge of nurse practitioner principles, methods, and procedures
• Ability and skills to communicate effectively both verbally and in writing
• Ability to maintain confidentiality
• Ability to explain established policies and procedures using judgement and diplomacy

Performance Indicators

• Complete quarterly chart reviews for quality assurance
• Maintain fiscal stewardship for clinic staffing and supplying
• Timely completion of employee performance evaluations
• Timely response to organization-wide initiatives and requirements (i.e. policy compliance, workforce surveys, training documentation)
• Timely submission of reporting requirements for each assigned program area, including Operational Plan outcomes recorded in VMSG database
• Timely compliance with State and Federal reporting guidelines
• Utilization of Basecamp project management software to support department-wide initiatives including website and social media communications

Supervisory Responsibility

This position supervises the Nurse Home Visiting in Family Health Services and the programs in Clinical Access Services.

Work Environment

Ability to work in a fast-paced environment, work evenings and weekends for events occasionally, and travel when required; this role routinely uses standard office equipment such as computers, phones, and photocopiers.  Regular meetings with community partners.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit; stand; walk; lift; use hands to finger, handle or feel; and reach with hands and arms. Ability to lift up to 20 pounds, twist, and bend.    

Position Type and Expected Hours of Work

This is a full-time position. Typical days and hours of work are Monday through Friday, 8:00a.m. to 5:00p.m. Some weekends and evenings will be required for travel, events, and/or training. Days and hours may vary in a public health emergency. This position qualifies for flexible scheduling options as approved by the department Director.

Travel

Travel throughout Central Oregon to meetings, and occasional State or National meetings. Must hold a valid Oregon’s driver’s license.

Required Education and Experience

• Associate Degree plus 7 years experience in clinical and/or home care settings 

  OR

• Bachelor’s Degree and 2 years experience in clinical and/or home care settings 

  OR

• Any equivalent combination of licensure, training, education, and experience that provides the required skills and knowledge to perform the job.
• Regardless of education, must have a current and valid License or Certification to practice in Oregon 

  AND

• Clearly demonstrate experience leading teams and having project/program oversight

Preferred Education and Experience

• Masters Degree in Public Health, nursing, social services, health administration, or related field
• At least two years of experience in health administration
• At least one year experience supervising staff and/or primary project/program oversight
• Licensed Registered Nurse
• Experience with community organizing event planning and coordination
• Bilingual

Additional Eligibility Requirements

• Able to complete a thorough employment and/or criminal history check.
• Final candidates will be required to provide official proof of college degree and certified transcripts (not required for all positions). 

Safety Sensitive Requirements

This position is considered to be a safety sensitive position subject to drug screen(s) and adherence to all vaccine/immunity requirements for the healthcare setting.

AAP/EEO Statement

• This position is ‘at-will’, and either Crook County or the employee may terminate the relationship at any time with or without cause.

• Crook County is an equal opportunity employer.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.