Population Health Manager - Medicare (Registered Nurse) - Carolina Family Patient Support Services

Carolina Family Health Centers•Wilson, NC

52d•$68,640•Onsite

About The Position

Come join our “Family” and be part of providing healthcare In the Community…For the Community. Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence...where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care. As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients. Position Overview The Population Health Manager-Medicare, Registered Nurse, at our Wilson Community Health Center oversees the day-to-day activities of the Population Health Program. This is accomplished through the direct supervision of case managers who provide transition of care, care coordination, chronic care management, and other population management activities to the patients of CFHC, Inc. with an emphasis on patients with Medicare. The Population Health Manager performs annual wellness visit under the supervision of patient’s assigned medical provider and supervises other staff that carry out the same activity. The manager is knowledgeable in the principles of case management/chronic care management and provides oversight to these activities. The manager provides case management/chronic care management services to a small case load of patients. T HIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, BI-ANNUAL BONUS, 12 PAID HOLIDAYS, BI-WEEKLY PAY.

Requirements

Three years in a healthcare environment and one year supervisory / management background.
Bachelor of Science in Nursing (RN).
Licensed as a Registered Nurse in the state of North Carolina.
Active North Carolina Driver License.
BLS Certification.

Nice To Haves

Experience in case management, preferred.

Responsibilities

Provides direct supervision to the case managers. This includes but is not limited to interviewing, hiring, providing training and orientation, distribution and determination of responsibilities, and the on-going evaluation of the staffs’ performance.
Monitors staff productivity and department success through regular reporting and communication to executive staff.
Performs audits and runs reports to monitor staff’s adherence with CFHC, Inc., Medicare, and other regulatory agencies rules and regulations for providing and documenting case management services.
Attends meetings and participate in committees as assigned (i.e., Population Health CIT, etc.).
Reviews software system functionality and develop and document efficient workflows for staff.
Serves as point of contact for local hospitals’ discharge planners to identify patients admitted to the hospital or patients who have used the emergency room in hopes of reducing 30-day hospital readmission rates or inappropriate emergency room use.