Job Description
POSITION SUMMARY:
The Director of Clinical Informatics & Applications is a strategic leadership role responsible for optimizing and managing our current Meditech 5.x platform across the Nexus Healthcare System while supporting the VP of IT in positioning the organization for future EMR initiatives. This position serves as the critical bridge between clinical operations, leveraging nursing expertise to enhance clinical workflows. This also includes collaboration with the CBO for revenue cycle management, financial processes, and driving optimization of existing technologies.
The Director will lead a team of analysts, project managers, and vendor partners (i.e., RN, Pharmacy specialists), fostering collaboration with clinical, operational, and revenue cycle stakeholders to drive innovation and continuous improvement across a multi-facility hospital system. This position reports directly to the VP of IT and supports their strategic direction for all technology initiatives, governance activities, and organizational priorities.
POSITION QUALIFICATIONS:
The responsibilities listed below are typical examples of the work performed in this position. Not all duties assigned to this position are included, nor is it expected that everyone in this position will be assigned every job responsibility:
Current Meditech 5.X Platform Optimization & Management
 Lead comprehensive optimization initiatives for existing Meditech 5.X platform across multiple facilities under the direction and strategic guidance of the VP of IT
 Direct system configuration enhancements to improve clinical workflows, revenue cycle processes, user experience, and operational efficiency
 Oversee ongoing system maintenance, upgrades, and performance optimization to maximize current platform capabilities
 Coordinate with Meditech support and vendor partners to implement best practices and system improvements as directed by the VP of IT
 Manage complex system integrations and interface optimization between Meditech and ancillary departments including Laboratory, Radiology, Pharmacy, and Revenue Cycle
 Oversee interoperability initiatives including ePrescribing systems, clearinghouse gateways, clinical documentation improvement tools, financial reporting systems, and emerging IoT/wearable device integrations
 Establish performance monitoring protocols to ensure optimal system reliability and user satisfaction
 Support EMR integration planning and implementation for new hospital acquisitions under VP of IT guidance, including system configuration, data migration, interface development, and comprehensive training programs
Clinical Stakeholder Engagement & Workflow Enhancement
 Serve as primary liaison with physician and nursing leadership to identify optimization opportunities and address workflow inefficiencies, reporting findings and recommendations to the VP of IT
 Collaborate closely with Revenue Cycle Management (RCM) teams to ensure clinical and financial documentation supports billing accuracy, coding compliance, revenue capture, and chargemaster optimization
 Conduct comprehensive clinical workflow analysis to streamline processes within the current Meditech environment
 Support physician and nursing advisory committees to guide system improvements and feature utilization as directed by the VP of IT
 Partner with Revenue Cycle Management stakeholders to optimize clinical documentation workflows that impact billing accuracy, denial management, revenue capture, clearinghouse processing, and financial reporting
 Design and implement clinical decision support enhancements within existing platform capabilities
 Facilitate ongoing clinical staff training and optimization programs leveraging nursing expertise to build peer credibility, utilizing both direct training and train-the-trainer methodologies
Financial & Revenue Cycle Management Integration
 Oversee optimization of financial modules within Meditech including chargemaster management, billing interfaces, and revenue reporting systems
 Manage clearinghouse gateway operations and electronic claim processing workflows
 Coordinate with financial teams to ensure accurate charge capture, proper coding workflows, and denial management processes
 Optimize collector dashboard functionality and accounts receivable management tools
 Support implementation and maintenance of financial reporting systems and business intelligence tools
 Ensure integration between clinical documentation and financial coding requirements
 Manage interfaces with third-party financial systems and payment processing platforms
 Oversee cost accounting and financial analytics capabilities within the EMR system
Strategic Clinical Informatics Leadership & Future Readiness
 Support the development and maintenance of a clinical informatics governance structure across all facilities, ensuring alignment with organizational priorities and standards
 Champion data governance initiatives as set by the VP of IT to ensure clinical and financial data integrity, accessibility, and compliance
 Develop and execute clinical informatics roadmap aligned with organizational strategic priorities and industry best practices, supporting the VP of IT's overall technology strategy
 Participate in future EMR strategic planning when organizational direction is determined, providing subject matter expertise (SME) to support the VP of IT decision making
 Support EMR integration and training initiatives for new hospital acquisitions and facility expansions ensuring seamless incorporation into existing clinical information systems under the direction of the VP of IT
 Stay current with healthcare technology trends and EMR advancement opportunities to inform future strategic decisions led by the VP of IT
 Ensure compliance with healthcare standards (HIPAA, HITECH, Joint Commission) and regulatory requirements
 Collaborate with quality improvement teams to leverage existing data analytics capabilities for clinical outcomes improvement
 Work closely with RCM leadership to ensure clinical system optimizations support revenue cycle objectives, documentation compliance, and billing accuracy
 Support evaluation and optimization of ancillary clinical systems that integrate with current Meditech platform
 Support enterprise interoperability strategy including management of Laboratory, Radiology, Pharmacy, Automated Medication Dispensing, and Revenue Cycle interfaces while evaluating emerging technologies
Team Leadership & Operations Management
 Manage and mentor a high-performing team of IT professionals including Clinical Applications Manager and IT Business Analysts
 Demonstrate skilled leadership and team building to create cohesive, autonomous department operations under VP of IT oversight
 Operate independently with minimal oversight while maintaining clear communication and accountability to VP of IT
 Allocate resources effectively across optimization projects and operational support activities
 Foster culture of innovation and continuous learning within the clinical informatics team
 Develop team expertise in Meditech 5.x optimization, clinical and financial workflow enhancement, and business analysis methodologies
 Lead enterprise training strategy and program development for clinical applications, serving as primary trainers or implementing train-the-trainer programs across all facilities
 Manage EMR integration and training programs for new hospital acquisitions ensuring rapid onboarding and standardization across expanding healthcare systems
 Coordinate with IT Operations, Cloud, and Shared Services teams to ensure integrated technology solutions
 Provide regular status reporting to VP of IT and executive leadership on platform performance and improvement initiatives, including routine reports on costs, timelines, milestones, and escalation of issues during implementation
EDUCATION:
 Active Registered Nurse (RN) license in the State of Texas is required. Must be in good standing with the Texas Board of Nursing and meet all continuing education and renewal requirements as defined by the Board
 Bachelor's degree in Nursing required
 Master's degree in Health Informatics, Healthcare Administration, or related field preferred
 Nursing Informatics certification (ANCC or equivalent) strongly preferred
EXPERIENCE:
 Minimum 8-10 years of progressive IT experience, with at least 5 years in clinical applications leadership
 Must have experience with implementing/deployment of an electronic medical record (EHR) from "ground-up"
 Proven experience leading enterprise-wide clinical system implementations in a hospital or health system setting
 Proven experience with optimizing EMR platforms (Meditech 5.x strongly preferred, other versions acceptable)
 Experience managing cross-functional teams and driving adoption of system enhancements in clinical settings
 Demonstrated ability to work effectively with Revenue Cycle Management teams including HIM, coding, billing, and denial management departments
 Expertise in system optimization, interface management, and vendor relationship management
 Comprehensive experience with healthcare interoperability and system integrations including Laboratory interfaces, Radiology systems, Automated Medication Dispensing, ePrescribing platforms, and Revenue Cycle Management tools
 Working knowledge of clearinghouse gateways, clinical documentation improvement systems, financial reporting tools, telemetry integrations, and emerging IoT/wearable device connectivity
 Experience with large-scale system implementations or major upgrades preferred for future readiness
LICENSURE/CERTIFICATION:
 Ability to be agile in high stress, fast-paced environment. Projects are high visibility, with concrete deliverable deadlines
 Project management certification preferred: PMP, ITIL
 Clinical application certifications preferred
 Excellent communication and stakeholder management skills
 Skilled leadership and team building capabilities with proven ability to operate autonomously
 Strong departmental management experience with demonstrated success leading diverse technical teams
 Effective training and education skills with ability to develop and deliver training programs for clinical and technical staff
 Ability to translate clinical needs into technical requirements
 Strong analytical and problem-solving capabilities
 Experience with budget management and resource allocation
 Change management experience for system optimization initiatives
 Knowledge and/or hands-on experience with AI applications in healthcare records or equivalent AI technology implementations
PREFERRED QUALIFICATIONS:
• Background in quality improvement and clinical outcomes measurement
• Deep experience with Meditech 5.x modules (Clinical Documentation, CPOE, Pharmacy, Laboratory, Revenue Cycle, Financial Reporting, etc.)
• Experience with healthcare data analytics and reporting tools
• Previous nursing informatics or clinical systems leadership role with autonomous department management experience
• Experience working with physician groups and medical staff leadership
• Experience with implementing AI-driven tools such as ambient clinical documentation, predictive analytics for clinical risk, and natural language processing for automated coding and documentation improvement
• Strong background collaborating with Revenue Cycle Management teams including HIM, coding, billing, and denial management to optimize clinical documentation and system workflows
• Proven track record building and leading high-performing technical teams in healthcare environments
• Experience developing and delivering clinical training programs and educational curricula
• Background in adult learning principles and train-the-trainer methodologies
• Experience with hospital acquisitions and EMR integration projects for new facilities
• Background in multi-site clinical system standardization and expansion initiatives
• Knowledge of healthcare interoperability standards (HL7, FHIR, DICOM, IHE)
• Experience with healthcare interface engines and integration platforms
• Hands-on experience implementing Laboratory interfaces and regional lab connectivity
• Background with Radiology system integrations (PACS, RIS connectivity)
• Experience with Automated Medication Dispensing system integrations
• Experience with ePrescribing implementations and DEA compliance
• Knowledge of Revenue Cycle Management system integrations and clearinghouse connectivity
• Experience with clinical documentation improvement tools and platforms
• Familiarity with telemetry system integrations and real-time data feeds
• Emerging experience with IoT clinical devices and wearable technology integration
• Experience with EMR vendor evaluation and selection processes
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