Clinical Outcomes Manager - Population Health - Florence, SC

Mercy Health BSMH • SC

89d

About The Position

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. This position is primarily remote/work from home, but hire must be local to support the Florence, SC market (up to 25% of time onsite).

Requirements

• Current RN Licensure accredited by Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or Commission for Nursing Education Accreditation (CNEA) (preferred).
• BSN Bachelors' of Science Nursing or related Healthcare field (required).
• 5 years of experience in a healthcare setting including ambulatory offices, with previous management or leadership experience with Population Health or Value-Based Contract work including but not limited to: direct patient care, managing payer relationships or health systems outcomes (required).

Nice To Haves

• MSN Masters of Science Nursing, MBA, or Master’s degree in related Healthcare field (preferred).
• Working knowledge and familiarization with process improvement models (such as PDSA and A3) (preferred).
• Experience in value-based arrangements, clinical reporting packages (such as Milliman or Tableau) (preferred).

Responsibilities

• Provides in-person guidance and support to the providers, care teams, and affiliates in clinical integration initiatives that supports the quadruple aim and allows the organization to thrive in a value-based health care model.
• Completes In person and virtual rounds in the practices on a regular basis to communicate status reports, key drivers of change, leading or lagging indicators, and providing insights to providers and practices.
• Manages the review of clinical outcomes, patient panel management, and performance metrics for affiliates and employed physicians in the assigned market or Region’s network.
• Partners with providers and care team members to implement evidence-based protocols and other improvement initiatives based on the insights, monitors ongoing progress, document supports, identify resources, and engages care delivery team.
• Maintains being a professional role model in practice transformation and under leadership guidance, effectively engages and educates regional stakeholders on the elements, measures, tasks, and tools to be used to support various practice improvement activities.
• Conducts provider orientation and facilitates onboarding and offboarding of providers into the assigned network as related to panel management and other Clinical Integration key initiatives.
• Supports, encourages, and works closely with providers, their care teams and regional practice leaders to implement process and quality improvement activities and workflows necessary for successful participation in value-based agreements.
• Collaborates with Regional and practice staff to facilitate the market implementation of assigned network initiatives and facilitates process improvement activities in support of Clinical Integration initiatives.
• Conducts chart audits in support of annual quality composite audits with Affiliates not on Epic in support of Mercy Health Select and any other future distributions and chart reviews or quality audits under the direction of System or Regional clinical leadership for the purposes of supporting quality patient care and success in current and future initiatives.
• Facilitates provider remediation tracking and activities in collaboration with assigned network leadership and the assigned medical and quality leadership.
• Effectively engages in relationship management to support the ministry outcomes and delivery of care.

Benefits

• Comprehensive, affordable medical, dental and vision plans.
• Prescription drug coverage.
• Flexible spending accounts.
• Life insurance w/AD&D.
• Employer contributions to retirement savings plan when eligible.
• Paid time off.
• Educational Assistance.

What This Job Offers

• Education Level: Bachelor's degree