Program Manager

P3 Health Partners•Henderson, NV

27d•Hybrid

About The Position

The Program Manager is responsible for the day-to-day operations of P3's admission and medical expense reduction program within the Red Rock Region. This role collaborates with various teams, including Provider Engagement Managers, Affiliate Practices, care management, and other P3 Clinical Programs. The primary focus is to identify patients with frequent inpatient admissions, facilitate interdisciplinary reviews of their clinical status, develop actionable plans based on these reviews, and communicate these plans directly to primary care physicians. The ultimate goal is to reduce avoidable hospital admissions, improve post-discharge follow-up, and provide enhanced support to patients during critical care periods.

Requirements

Minimum of three years of experience working in primary care.
Minimum of two years of experience in a managed care or population health environment.
Strong project management discipline, including managing recurring clinical meetings, holding owners accountable, and maintaining a current patient list.
Comfortable reading and summarizing clinical documentation (discharge summaries, problem lists, medication records).
Skilled at building trust with physicians and practice staff, and conducting peer-to-peer conversations about shared patients.
Clear, concise writing skills to summarize complex cases for physicians.
Working knowledge of value-based care, population health, and utilization management in a managed care setting.
Demonstrated ability to resolve complex problems effectively with excellent judgment and decision-making skills.
Proficiency across multiple electronic medical record systems and standard collaboration tools.
Sound judgment and discretion with sensitive clinical information and consistent HIPAA compliance.
Self-directed, organized, and adaptable in a dynamic healthcare environment.

Nice To Haves

Experience coordinating care for complex, high-utilizing patients.
Program or project management experience in a healthcare setting.
Associate degree from an accredited school, or equivalent relevant experience.
LPN or RN degree from an accredited school.
Advanced training in healthcare administration (e.g., MHA, MBA, MMM, MPH).
Active LPN or RN licensure in Nevada, or the ability to obtain licensure prior to start date.

Responsibilities

Manage the weekly high-risk/frequent flyer interdisciplinary team (IDT) meeting from start to finish, including agenda preparation, patient list compilation, decision capture, and follow-through tracking.
Retrieve and synthesize clinical records from multiple affiliate electronic medical record systems to create concise case summaries for each member under review.
Translate IDT decisions into a one-page clinical impression and plan, and deliver it to the member's primary care physician.
Contact designated points of contact at practices directly by phone to discuss readmitted members and confirm next steps.
Conduct direct outreach to members post-inpatient or emergency department admission to connect them with primary care appointments and suitable P3 programs.
Coordinate referrals to Council Care, P3 at Home, and hospice and palliative care, tracking each referral from initiation to completion.
Support advance care planning and end-of-life conversations for high-utilizer cohort members in collaboration with the clinical team.
Partner with data and analytics teams to maintain an updated weekly roster of members with repeat admissions, managing cohort entry and exit.
Report program performance to market and Medical Affairs leadership, tracking key metrics such as admissions per 1,000, 30-day readmissions, post-discharge follow-up rates, and referral completion.
Develop and document repeatable workflows to facilitate program expansion to additional affiliate groups.
Ensure patient privacy and HIPAA compliance in all aspects of record handling, outreach, and communication.