Hypertension Clinic Manager &DOM Care Manager

Job Description

Job Description

POSITION SUMMARY

Enhances patient care and improves department operations by fostering collaboration between healthcare teams, addressing social determinants of health, and implementing quality improvement initiatives.

ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES

• Achieve synergy with Pharm D’s, including med adherence, working with the Quality Data Coordinator on Medicare Annual Wellness, preventative visits, longitudinal care management, and transition care of patients from inpatient admission and ED visits back to the clinics.
• Decrease ED visits by creating opportunities to keep in contact with patients.
• Alleviate barriers with scheduling issues on various cancer screenings, coloscopy, mammography, and low dose CT of the lungs.
• Foster better referral processes with subspecialties.
• Promote relationships with departments and ancillary services for better appointments and scheduling.
• Implement quality improvement initiatives and projects.
• Screens and facilitates support services for mental health, housing, and various crises.
• Address various barriers with knowledge of Social Determinants of Health (SDOH).
• Utilize “Call Us First” approach to enable acute care to be addressed and reduce avoidable ED visits.
• Collaborate within the health care system with providers, ancillary staff, social workers, behavioral workers, practice managers, and supervisors for improved patient care.
• Collaborating with medical staff and IT professionals to develop and manage hypertension clinics at the CCC GIM.
• Leading patient engagement strategies, including outreach and follow-up for non-compliant patients, providing patient education, and implementing support programs.
• Managing resources, including the procurement and maintenance of blood pressure monitors and other clinical tools.
• Analyzing patient data and conducting mini-audits to monitor progress toward project goals.
• Coordinating with clinic staff to align practices with quality improvement goals and providing training on new protocols.
• Clinic Development and Operations :

Collaborate with clinic physicians and staff, including Dr. Mani Askari, to develop and operate a hypertension clinic at CCC GIM.

Partner with Dr. Robin Barry to implement PDSA (Plan-Do-Study-Act) cycles that align with project goals.

Collect and analyze patient data, performing periodic mini-audits to monitor progress toward hypertension control goals.

Develop outreach strategies to engage non-compliant patients and ensure follow-up within 30 days as per project goals.

Oversee procurement and distribution of clinical tools, such as BP monitors.

Ensure adherence to protocols by monitoring clinic performance metrics.

REQUIRED QUALIFICATIONS

Licensed Practical Nurse (LPN) certification

PREFERRED QUALIFICATIONS

WORKING CONDITIONS

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his / her supervision.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.

Equal Opportunity Employer / Drug-Free Workplace