Regional Manager, Population Health

Trinity Health•Maywood, IL

About The Position

The Regional Manager of Population Health provides leadership for care coordination at all hospitals and clinics within Loyola Medicine. They are responsible for leading Loyola Medicine/Loyola Physician Partners (LPP) to deliver world class healthcare that is safe, timely, effective, and person-centered. The Regional Manager is responsible for the implementation and delivery of the Population Health Care Coordination program which includes oversight and daily management of the Nurse Care Coordinators, Social Work Care Coordinators, Pharmacist Care Coordinators and Administration Assistants. They also provide program support and patient management for the Community Health Worker team. They will ensure staff activities are focused on achieving Population Health programs goals to improve quality of care, mitigate cost trends through supporting optimization of care delivery and improving patient and Physician satisfaction. They will oversee delivery of an integrated care management program based on individual needs of the patient to ensure we are meeting the Triple Aim +: appropriate care at the right time in the right setting with a goal of improving clinical outcomes and avoiding adverse events.

Requirements

Master’s degree in nursing or health related field
Certification in Case Management
3- 5 years of previous job- related experience
3-5 years Managerial Experience

Responsibilities

Guides the development and implementation of the Care Coordination plan.
Provides meaningful input to directors, vice presidents and executive leadership engaged in strategic planning activities.
Analyzes environmental issues as well as quality and financial data to assist in developing systematic plans for achieving goals.
Adapts goals and plans to provide response to the environment and successfully meets challenging, but achievable goals.
Acts as a liaison to both inpatient and ambulatory care leadership.
Assures program delivery is consistent with enterprise-wide philosophy and in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, effective relations with internal and external contacts.
Oversees staff performance.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency and licensure requirements where applicable.
Fosters positive team collaboration and staff development to facilitate efficient operations, employee engagement and achievement of patient quality/safety/satisfaction or customer service excellence goals.
Oversees human resource functions including recruitment, training, and performance management to maintain the highest quality workforce.
Establishes and maintains effective relations with internal and external contacts.
Uses data to drive decisions, plan, and implement performance Improvement strategies for care coordination.
Works with organizations across the continuum to impact quality of the transition of care, prescription refills, and patient adherence to the plan of care.
Monitors key performance indicators including case volumes, Cost per Case, Avoidable Days, 30 Day Readmissions and use of resources in the ACO/APM Models of Care.
Actively supports and promotes process improvement.
Ensures that the Care Coordination program meets or exceeds regulatory and insurer requirements.