Clinical Outcomes Manager - Population Health

Mercy Health BSMH • Amberley, OH

1d • Hybrid

About The Position

This position provides in-person guidance and support to providers, care teams, and affiliates in clinical integration initiatives. The role aims to support the quadruple aim and enable the organization to thrive in a value-based healthcare model. Key responsibilities include maintaining a deep understanding of practice drivers, translating data into actionable insights, collaboratively identifying improvement steps using a Plan-Do-Study-Act (PDSA) model, and coaching care teams in process improvements, clinical integration, and outcomes.

Requirements

• BSN Bachelors' of Science Nursing or related Healthcare field (required)
• 5 year’s 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

• 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)
• 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

• 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

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees