Account/Position No.:  256525/588110                         Level 13

Position Title: Business Director

Department:   Practice and Research

Expectations for All Employees

East Tennessee State University pursues its mission based upon core values.  An employee's job performance must support and exhibit the university's core values:

PEOPLE come first, are treated with dignity and respect, and are encouraged to achieve their full potential;

RELATIONSHIPS are built on honesty, integrity and trust;

DIVERSITY of people and thought is respected;

EXCELLENCE is achieved through teamwork, leadership, creativity, and a strong work ethic;

EFFICIENCY is achieved through wise use of human and financial resources; and

COMMITMENT to intellectual achievement is embraced.

Function of Position

Responsible to the Associate Dean for Practice and Research for the administrative, financial and personnel management of the College of Nursing practice department including the financial, business and information technology management of the eight primary care clinics in the College of Nursing practice network, i.e., Mountain City Extended Hours Clinic, Hancock County, Washington County, David Crockett High School, Student Health Services, the Johnson City Downtown Clinic for the Homeless, and centers at Daniel Boone High School and Jonesboro Middle School; overseeing center operations, facilities, equipment, maintenance, renovations, risk management, etc.; ensuring compliance with federal and state laws regarding Medicare, TennCare, CLIA, OSHA, and standards of accrediting bodies; coordinating practice network activities with other agencies; monitoring health information systems to prepare quarterly and annual reports for the faculty practice network, and for making decisions relating to practice strategies; serving as course lecturer and consultant for the practice management curriculum for graduate nursing; and performing other related duties as assigned.

Essential Functions

-      Supervises department administrative and support personnel.

-      Directs daily financial operations of Practice Department.

-      Coordinates with clinic directors to determine practice site personnel needs.

-      Oversees recruitment, hiring, orientation and evaluation of non-administrative staff.

-      Participates in searches for administrative staff.

-      Supervises planning and implementation of continuing education and development programs for departmental staff.

-      Provides budget submissions and other financial reports.

-      Functions as Business Manager/Chief Financial Officer of eight primary care clinics.

-      Assists clinic directors in operations management of network clinics and other administrative duties.

-      Implements and manages billing compliance for all clinics.

-      Directs planning, analysis, preparation, development and monitoring of network budgets.

-      Coordinates with College of Nursing Fiscal Affairs Director regarding purchasing, accounts payable and payroll.

-       Directs planning, budgeting and execution of maintenance, repair and building projects for College of Nursing clinics.

-       Directs and monitors the information technology needs to the College of Nursing network sites and Practice Department.

-     Identifies and purchases financial and clinical information systems and updates systems for the College of Nursing practice network in collaboration with university Office of Information Technology.

-     Oversees training of personnel on network information systems.

-     Directs development, coordination and implementation of departmental policies and procedures related to finance, administration, personnel, operations, safety and maintenance.

-     Ensures compliance with departmental, university and TBR personnel and fiscal policies.

-     Ensures compliance with state and federal regulations pertaining to Medicare, Medicaid, Clinical Laboratory Improvement Amendments, Occupational Safety and Health Administration and other regulations.

-     Oversees chart and billing reviews.

-     Responds to all inquires concerning billing or reports of non-compliance.

-     Directs and monitors credentialing of network providers and clinic sites with third party payer.

-     Prepares and submits federal and state reports required for community Health centers and rural health clinics, i.e., UDS Medicare cost report, State PPS, safety net, etc.

-     Monitors achievement of goals and objectives of practice office and clinics.

-     Provides monthly practice reports to the market clinic directors and the Dean of the College of Nursing or his/her designee.

-     Analyzes Practice Department outcomes and actively participates in development of short-term and long-term strategic planning goals.

-     Recommends organizational and other changes based on the departmental and clinic goals, performance and resources.    

-     Analyzes financial reports to monitor and project future financial performance of clinics.

-     Develops and submits grants to local, state and federal funding agencies on behalf of the College of Nursing to support practice network activities.

-     Assists faculty and clinic directors in writing grants that involve the practice network.

Secondary Functions

-      Provides consultative services on behalf of the College of Nursing to other facilities and educational institutions regarding practice management, clinic development, grants, etc.

-       Maintains familiarity with third-party regulations regarding clinical documentation.

-      Supervises staff responsible for preparing, coding and submitting professional fees for all College of Nursing facilities.

-       Performs other related duties as assigned.

Knowledge and Abilities

-      Knowledge of health care finance and administration

-      Knowledge of management theory and financial concepts.

-      Knowledge of fund and financial accounting principles.

-      Knowledge of university and department financial records system.

-      Knowledge of state budgeting system.

-      Knowledge of federal and state regulations and laws pertaining to community health centers, rural health clinics, ambulatory care facilities, clinical laboratories, disposal of hazardous waste, etc.

-      Knowledge of medial and tort law, liability and medical insurance.

-      Knowledge of health care service planning, budgeting, financial management and forecasting.

-       Knowledge of managed care and other third party providers.

-       Knowledge of FQHC regulations, including reimbursement and reporting.

-       Knowledge of personnel laws and institutional regulations.

-      Knowledge of computer systems, data analysis, spreadsheets, financial statements and auditing techniques.

-       Knowledge of building construction, maintenance and security.

-       Knowledge of emerging trends in community health care administration and services.

-       Knowledge of health care reimbursement.

-       Knowledge of systems for capturing and documenting charges.

-       Knowledge of CMS and other related legal regulations and policies.

-       Knowledge of credentialing regulations by payers and provider institutions (i.e., hospital).

-       Ability to interpret and apply federal, state and institutional regulations and policies.

-      Ability to establish and maintain effective working relationships with individuals at all levels.

-      Ability to communicate effectively.

Supervision Given and Received

Performs under general supervision. Determines own methods of performing assigned work.

Minimum Qualifications

Master’s degree in business related field or health administration field required; three years experience in health related administration; five years experience preferred; and strong financial management background necessary.

Date:  March, 2007