Population Health Manager

Population Health Manager

Position/Title:  Population Health Manager

Reports to:  Director of Quality and Population Health

*FLSA Status – Exempt

*EEO Category – First/Mid-Level Officials and Managers

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Our Mission:  To improve lives by providing comprehensive, high-quality healthcare to every person in every community that we serve.

Our Vision: CCHN will maintain its position as the leading community health center in the state and become a model for all other healthcare organizations to follow.

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Primary Role:

The Manager of Population Health under the direction of the Director of Quality and Population Health Services is responsible for providing leadership; and planning, organizing, managing and monitoring the outcomes of the Population Health Department. The three areas of focus of this role is management, quality improvement and case management. 

• Management:

Manages the daily operations of the population health department including staff and stakeholder agreements.

• Quality Improvement

Collect, manage, and report data accurately and efficiently to provide care teams with information needed to improve processes and outcomes.  Utilize quality improvement strategies to ensure accurate reporting of outcome data. 

• Case Management:

Manage a case load of patients with HIV utilizing skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate health care outcomes for patients with HIV

Qualifications

Qualifications:

Required

• NJ LPN or RN Licensure OR Bachelor of Science in Nursing, Population Health, Public health, or another equivalent; OR
• 4 to 5 years of experience in the population health department; OR
• 5 years of experience in care/ case management and care coordination
• Collaborative working style with the ability to work across different teams, areas of expertise, and adapt to various environments and clientele
• Proficient in Microsoft Office products (Excel and PowerPoint)
• Excellent written and oral presentation skills, with the ability to engage, inspire, build credibility and trust
• Highly organized and self-motivated individual with ability to adapt to various workspaces and work autonomously
• Hypothesis driven to identify trends, predict issues, highlight critical areas, and develop corrective action plans

Preferred:

• Knowledge of practice re-design work including Patient Centered Medical Home, Practice Transformation, Quality Improvement, ACO development, Ambulatory Care, Quality and Efficiency metrics, and EMR
• Strong orientation to value-based care principles and the health policy landscape
• Working knowledge of clinical quality metrics such as HEDIS, NCQA or National Quality Forum type metrics
• Experience in data analytics comprehension
• 2 years of experience in providing HIV services
• Experience in sexually transmitted infection screening, treatment, and education
• Demonstrated knowledge of LGBT health related concerns and experience in providing medical care in LGBT communities
• Bilingual (Spanish/English) preferred

Essential Job Duties:

• Ensure the Population Health Department Standard Operating Procedures are updated annually
• Evaluates and revises Care Management guidelines for input and output management to ensure optimum outcomes for patients.
• Leads, manages and monitors population health team to assure compliance with established care management guidelines and ensuring an interdisciplinary model of care and effective teamwork
• Conducts care coordination needs analysis and develops an implementation plan for assuring continuation of optimal care and outcomes during transitions in care.
• Offers creative suggestions to program development obstacles.
• Collaborates with other members of the management team to develop policies and procedures to support systems, standards of practice, and evidence-based practices.
• Attends external and internal meetings as the Population health advocate and subject matter expert.
• Codevelops care coordination tools needed to streamline patient care and reporting.
• Critically evaluates existing practice standards based on current research findings and integrates changes into practice.
• Conducts staff meetings and team meetings and coordinates the monthly HIV Management Team meeting.
• Responsible for the general operations processes for patient care and client services, including data collection, clinic flow, appointment systems, and for ensuring medical and support programs are effectively operational, which includes addressing all barriers to patient-client-participant access.
• Manages and evaluates population health staff
• Develops an annual staff-training plan that meets contractual requirements and staff needs.
• Responsible for the development, implementation, evaluation and the update of program policies and procedures.
• Meets monthly with all payers particiaptiang in alternative payment models.
• Writes and develops department progress reports as required by the Director of Quality and Population Health Services
• Maintains positive community networks with relevant local, state and national agencies supporting HIV/AIDS services.
• Act as main administrative liaison with the New Jersey Department of Health for HIV Prevention.
• Participates in the agency’s Quality Council
• Participates in the agency’s Management Leadership meetings.
• Manages
• Perform other duties as assigned.

The above job description is not to be construed as a complete listing of the assignments that may be given to any employee, nor are such assignments restricted to those precisely listed in the description. This job description may be changed at any time at the manager’s discretion.

EOE