Population Health Manager

Richmond Medical Center • Staten Island, NY

1d • $115,000 - $130,000

About The Position

The ideal candidate for the Manager of Population Health role is passionate about advancing patient-centered care and possesses the skills to lead a dynamic population health and quality team. The successful candidate will report directly to the SVP of Population Health while representing and overseeing all aspects of the ACO, care management, quality and value-based programs. The Manager of Population Health will be an experienced registered nurse leader, preferably with a certification in case management.

Requirements

• BSN
• Master's degree in business, healthcare or Nursing
• Prior manager level experience
• Currently licensed in NY State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment
• Basic Life Support for providers through the American Heart Association is required

Nice To Haves

• Prior case management, utilization review, and discharge planning experience preferred
• Certified Case Manager (CCM) preferred

Responsibilities

• Spearhead annual GPRO CMS Data collection in partnership with the SVP, providers and appropriate vendors
• Demonstrate excellent active listening, written, and verbal communication skills
• Oversee programs that aim to improve clinical health outcomes for all patients
• Monitor the goals and objectives of Population Health initiatives while maintaining alignment with strategic goals and objectives for Richmond Health Network
• Maintain the Population Health roadmap which encompasses the Population Health Care Model, Accountable Care Organization, and RHN plans
• Manage quality programs and initiatives to improve health outcomes related to process improvement measures
• Evaluate the quality of care in care-management panels through a clinical and population health lens by assessing appropriate levels of care and support services for patient panels
• Develop and implement robust provider engagement strategies to meet the goals of Population Health/ACO, such as Annual Wellness Visits, Quality Management data collection, CCM and TCM
• Utilize population health tools and databases, electronic patient registries, and other reports as available to collaborate with providers and quality facilitators to identify, manage, and address care and utilization opportunities with high-risk patients, ACO and chronic disease registries
• Closely monitor all quality, costs and utilization data from CMS and contract payer programs
• Monitor productivity of reporting staff and establish productivity minimum expectations for each role. Provides regular feedback and support to staff in meeting performance expectations
• Apply clinical knowledge and skills to manage and oversee day-to-day operations of the population health and care management teams in support of improving performance metrics of organizational goals
• Develop and implement quality improvement initiatives to enhance patient safety, satisfaction, and overall healthcare delivery
• Provide leadership and support in the development and maintenance of quality improvement programs
• Conduct regular audits, assessments, and evaluations to identify areas for improvement and implementing evidence-based practices
• Works closely with the CM staff in an effort to safely, effectively and efficiently move patients across and through the continuum of care
• Oversees daily operations of the Care Manager (CM) staff

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees