Manager, Ambulatory Care Coordination

Woburn Hospital•Goshen, IN

About The Position

The Manager of Ambulatory Care Coordination, ACO and Business Health Advantage (BHA) oversees two different departments, performing duties consistent with the mission, vision and values of Indiana Lakes Accountable Care Organization (ILACO) and Goshen Health. This position provides oversight, management and direction for chronic care risk modeling and the implementation of focused case and disease management strategies to successfully achieve ILACO and department objectives. The incumbent works in collaboration with the primary care physicians, leadership, case managers, diabetes educators, and patients to ensure care coordination occurs across the continuum. Focuses on improving care transitions (hospital stays/30-day readmissions/emergency department visits) and the communication of patient plan of care with all members of the healthcare team. This person interacts with and facilitates quality improvement plans with the Patient Center Medical Home Committee of Indiana Lakes, and dually reports to the medical director of Indiana Lakes. This role further takes this care coordination insight into our business development of Business Health Advantage direct contracted health services. This position is accountable and responsible for the management and direction of assigned administrative, financial, compliance and regulatory requirements for products offered through this entity. Manager establishes and maintains positive, productive relationships with community, Colleagues and providers.

Requirements

Bachelor's in Nursing.
Active Indiana license as a Registered Nurse.
Five to eight years of clinical experience.
Clinical skill knowledge.
Strong analytical and critical thinking skills.
Understanding of population health principles.
Demonstrate understanding/application of research methodology.
Demonstrate understanding/application of statistical analysis.
Understanding of medical terminology.
Ability to take initiative and meet objectives.
Knowledge of computer use and various data base software programs.
Ability to adapt and be flexible with frequent change.
Strong organizational and interpersonal skills.

Nice To Haves

Master's in Nursing or related health care field.
Three to five years of experience within healthcare operations or managed care environment.
Case Management experience preferred.
Leadership experience preferred.

Responsibilities

Oversees two different departments: Ambulatory Care Coordination, ACO and Business Health Advantage (BHA).
Provides oversight, management, and direction for chronic care risk modeling.
Implements focused case and disease management strategies to achieve ILACO and department objectives.
Collaborates with primary care physicians, leadership, case managers, diabetes educators, and patients to ensure care coordination across the continuum.
Focuses on improving care transitions (hospital stays/30-day readmissions/emergency department visits).
Ensures communication of patient plan of care with all members of the healthcare team.
Interacts with and facilitates quality improvement plans with the Patient Center Medical Home Committee of Indiana Lakes.
Takes care coordination insight into business development of Business Health Advantage direct contracted health services.
Manages and directs assigned administrative, financial, compliance, and regulatory requirements for products offered through this entity.
Establishes and maintains positive, productive relationships with community, Colleagues, and providers.