POPULATION HEALTH MGR

Department/Location: Population Health/Primary Care

Full time - benefit eligible

Job Summary:

To assist with the collection, monitoring & reporting of population health & quality data for participation in governmental & commercial insurance quality programs & serve as a liaison between physician services & the quality department to help ensure Margaret Mary Health practices meet quality & population health goals.

Supervisory Responsibilities: Oversees daily operations of Population Health team including Care Coordinators and AWV RN’s.

Duties/Responsibilities:

• Uses only approved abbreviations.

• Understands patient safety goals & actions taken.

• Uses 2 patient identifiers when necessary.

• Reports sentinel events or incidents as warranted.

• Have working knowledge of quality programs which Margaret Mary Health participates and works in collaboration with Quality department on meeting program requirements.

• Works in collaboration with various departments within Margaret Mary Health, including but not limited to inpatient units, emergency department, and specialty practices to promote population health efforts.

• Monitors practice quality metrics and communicates findings with Population Health Medical Director and Population Health team.

• Assist practices with collection of required quality & population health data.

• Reports population health data in required format.

• Serves as liaison with practices, third party payors, & quality department.

• Educate providers & staff regarding documentation needed to meet quality measures & maximize HCC coding.

• Provide feedback on current processes & procedures to meet & improve population health goals.

• Attends Care Coordinator and AWV team meetings, quality huddles, & ACO meetings.

• Serves as the ACO Champion and represents Margaret Mary Health as such in ACO meetings.

• Coordinates patient outreach efforts where needed to meet population health goals.

• General oversight of schedule & daily tasks of Population Health team to ensure proper completion & utilization as appropriate.

• Addresses staff concerns and escalates to Manager/Director as needed.

• Assists in coordination of orientation for new staff.

• Evaluates, supports & encourages all customer service improvement efforts.

• Liaison & coordinator for EHR updates.

• Facilitates daily huddles & assignments.

• Evaluates & assists with implementation of workflows.

• Completes timecards and assists with coordination of pto requests.

• Assists with hiring process & training personnel, as required, to ensure efficient & effective office work flow, according to HR & office policy.

• Maintains personnel files for each team member; license, certifications, CPR, & phone numbers, etc. are up-to-date.

• Monitors team member’s compliance with quality improvement plans & measures, timely charting and charging, and accurate documentation.

• Responsible for team member performance evaluations in collaboration with the Practice Manager/Director.

• Maintains schedule to ensure coverage, including call-ins, PTO, leaves, etc. optimizing staff resources; monitoring overtime and worked hours.

• Monitors patient satisfaction survey results and follows up, as needed.

Required Skills/Abilities:

• Basic nursing skills.

• Exceptional interpersonal and telephone skills.

• Able to effectively work with interdisciplinary teams across the organization.

• Strong leadership and organizational skills.

• Effectively communicates both verbal & written.

• Able to operate general office equipment & patient care equipment as needed.

Education and Experience:

• Minimum Associates degree in nursing, Bachelor’s degree preferred
• Minimum of 1 year relevant work experience required, Care Coordination experience required
• Must be licensed as a Registered Nurse in the state of Indiana

Physical Requirements:

• Frequent walking, standing, pushing, pulling, stooping, kneeling, reaching, talking, & use of hands
• Occasionally may need to lift up to 25 lbs