Key Responsibilities and Required Skills for Urology Manager

🎯 Role Definition

As the Urology Manager you will lead and grow a high-performing urology practice or service line. You are responsible for operational leadership across clinic and procedural areas, driving clinical quality, patient satisfaction, and revenue performance. You work closely with urologists, advanced practice providers (APPs), clinical teams (RNs, MAs), surgical services, coding and billing, supply chain, and hospital leadership to optimize access, throughput and outcomes for patients with urologic conditions. The role requires a blend of healthcare operations expertise, financial stewardship, staff development, regulatory compliance, and strategic program development.

📈 Career Progression

Typical Career Path

Entry Point From:

Clinic Supervisor / Clinic Lead (Urology or Surgical)
RN Care Coordinator or Charge Nurse with ambulatory experience
Physician Practice Manager or Office Manager (small specialty practice)

Advancement To:

Director of Surgical Services / Director of Ambulatory Operations
Service Line Director (Urology) or Administrator for Specialty Care
Regional Operations Manager / VP of Clinical Operations

Lateral Moves:

Surgical Services Manager
Ambulatory Clinic Manager for other specialty (e.g., ENT, Orthopedics)

Core Responsibilities

Primary Functions

Oversee all day-to-day operations of the urology clinic, outpatient procedure suites and inpatient consult services, ensuring seamless coordination between clinic, OR, endoscopy, imaging and inpatient units to maximize clinical throughput and patient safety.
Manage provider schedules (physicians and APPs), clinic templates and block time allocation to optimize access, reduce patient wait times, and increase procedural utilization while maintaining quality of care.
Lead recruitment, onboarding, coaching and performance management for multidisciplinary staff (RNs, MAs, schedulers, billing staff, clinical assistants) to build a resilient team focused on patient-centered care.
Own the P&L for the urology service line; prepare, monitor and report budget, variance analyses, productivity metrics, and financial forecasts aligned with organizational goals.
Drive revenue cycle performance including charge capture, coding accuracy (CPT, ICD-10), claims submission, denials management and payer contract communication to improve reimbursement and reduce A/R days.
Implement and monitor key performance indicators (KPIs) such as RVUs, visit volumes, procedure volumes, patient satisfaction scores (HCAHPS/Press Ganey), no-show rates, and throughput metrics to inform continuous improvement.
Ensure clinical compliance with federal, state and local regulations (HIPAA, OSHA, CMS), institutional policies, credentialing, privileging and quality standards for urology providers and staff.
Coordinate supply-chain management and inventory control for urology-specific disposables, endoscopic instruments, scopes and implants; partner with purchasing to negotiate vendor contracts and reduce supply costs.
Lead quality improvement and patient safety initiatives specific to urology procedures (e.g., antibiotic stewardship for urologic surgery, catheter management, stone-protocols) and report outcomes to clinical leadership.
Collaborate with surgeons and clinical leads to develop clinical pathways, pre-op/post-op protocols, same-day surgery workflows, and standardized order sets to reduce variability and improve outcomes.
Oversee surgical and procedural scheduling, block utilization, and room turnover processes; coordinate with anesthesia, sterile processing, and perioperative teams to optimize OR efficiency.
Manage outpatient operations including referral triage, new patient intake workflows, diagnostic testing coordination (urodynamics, cystoscopy, ultrasound), and follow-up pathways to improve access and continuity of care.
Supervise clinic EMR (Epic, Cerner, Athena or specialty systems) configuration, template optimization, documentation standards, and reporting to support clinical decision-making and productivity.
Serve as primary liaison between urology physicians and hospital/health system leadership to align clinical priorities, capital requests (equipment, scopes), and strategic growth initiatives including outreach, telehealth and satellite clinics.
Develop and execute targeted growth strategies such as service-line expansion (stone center, men’s health, pelvic floor, oncology), marketing in collaboration with physician liaison teams, and community provider outreach to increase referral volumes.
Lead initiatives to expand telemedicine offerings for urology care, establish protocols for virtual visits, and integrate remote monitoring to increase access and convenience for patients.
Direct patient experience improvement programs: staff training in patient communication, expedited check-in/check-out, streamlined preauthorization processes, and real-time patient feedback loops.
Maintain oversight of clinical documentation improvement projects (CDI) to ensure accurate capture of acuity and optimize coding and reimbursement for urologic episodes of care.
Ensure robust credentialing and privileging processes for urologists, fellows, APPs and visiting providers; maintain provider files, malpractice coverage verification and continuing education tracking.
Partner with clinical research and quality teams to support urology clinical trials, registries and outcomes analyses; manage operational logistics for investigator-initiated and sponsored studies.
Coordinate multidisciplinary conferences (tumor boards, stone conferences), case reviews and patient care conferences to support evidence-based, team-based urology care.
Implement workforce planning and flexible staffing models to meet variable clinic and OR demand, including cross-training, float pools and per diem staffing strategies.
Design and deliver clinical and operational training programs for new and existing staff on urology-specific procedures, equipment, EMR workflows and safety protocols.
Respond to escalated patient or physician concerns, mediate conflicts, and lead root-cause analyses and corrective action plans when adverse events or service failures occur.
Drive innovation in clinic operations by piloting Lean/Six Sigma projects, workflow automation, scheduling optimization tools, and analytics to reduce waste and improve efficiency.

Secondary Functions

Support outreach and community education programs on urologic health topics, screening initiatives and preventive care in collaboration with marketing and physician liaisons.
Assist in grant writing or program funding initiatives to support specialty services, research or community programs related to urology.
Participate in periodic system-wide committees (infection control, patient access, EMR optimization, safety) to advocate for urology-specific needs and share best practices.
Maintain up-to-date knowledge of emerging urology technologies, device innovations and reimbursement policy changes; recommend capital investments or service adjustments as needed.
Support implementation of clinical decision support tools and order sets within the EMR to standardize care and reduce unwarranted practice variation.
Coordinate with billing and finance teams to prepare for payer audits, chart reviews and regulatory inspections; ensure documentation and claims are audit-ready.

Required Skills & Competencies

Hard Skills (Technical)

Physician practice and service line management (urology or surgical specialties) — scheduling, provider productivity, RVU optimization and P&L ownership.
Revenue cycle expertise: CPT/ICD-10 coding familiarity, claim submission workflows, denials prevention and appeals.
Electronic Health Record (EHR) administration and optimization (Epic, Cerner, Athenahealth or equivalent); clinical template and order-set configuration.
Surgical/OR operations knowledge: block scheduling, turnover processes, sterile processing coordination and OR supply management.
Regulatory and compliance knowledge: HIPAA, OSHA, CMS conditions of participation, state licensure and credentialing processes.
Data analysis and reporting: KPI dashboards, Excel (pivot tables, VLOOKUP), Tableau or Power BI to monitor volumes, financials and quality metrics.
Contracting and vendor management experience: negotiating supply agreements, service contracts and capital equipment procurement.
Quality improvement methodologies: Lean, Six Sigma, root-cause analysis, PDSA cycles applied to ambulatory and perioperative processes.
Telehealth operations and virtual care workflows, including remote patient monitoring integration.
Clinical trials and research operations support (preferred): managing logistics and regulatory documentation for investigator-led or sponsor trials.

Soft Skills

Strong leadership with proven ability to inspire multidisciplinary clinical and administrative teams in a fast-paced healthcare environment.
Excellent communication skills — able to translate complex clinical and financial information for providers, staff and senior leadership.
Strategic thinker with experience developing and executing growth plans and service-line expansion strategies.
Change management and stakeholder engagement skills to lead process redesigns and new program rollouts.
Problem-solving orientation — uses data to diagnose issues and implements sustainable operational fixes.
Customer-service mindset focused on improving patient experience and building strong provider relationships.
Conflict resolution and negotiation skills to manage vendor contracts, clinical disagreements and staffing challenges.
Time management and prioritization: handle competing operational demands while maintaining attention to detail.
Coaching and talent development: mentoring staff and building succession plans for critical roles.
Resilience and adaptability in dynamic regulatory and economic healthcare environments.

Education & Experience

Educational Background

Minimum Education:

Bachelor's degree in Healthcare Administration, Nursing (BSN), Business Administration, or related field.

Preferred Education:

Master’s degree (MHA, MBA, MPH) or Registered Nurse with advanced leadership coursework preferred.
Certifications such as Certified Practice Manager (CPM), Fellow in the American College of Healthcare Executives (FACHE), or Lean/Six Sigma Green/Black Belt are a plus.

Relevant Fields of Study:

Healthcare Administration / Management
Nursing (BSN) or Clinical Sciences
Business Administration / Finance
Public Health / Health Informatics

Experience Requirements

Typical Experience Range:

5+ years of progressive healthcare management experience, with at least 2–3 years in specialty outpatient or surgical services management.

Preferred:

7+ years of leadership experience managing a urology practice, surgical service line or comparable specialty clinic.
Demonstrated experience with P&L ownership, physician relations, ambulatory EMR optimization and revenue cycle improvement.
Prior experience working with urologists, APPs, perioperative teams and managing OR or endoscopy suites is highly desirable.