Sr Mgr,MC Clinical SPM R22

CVS Health • Front Royal, VA

36d

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Senior Practice Manager’s role is a full time position working at least 40 hours a week. This leadership role reports to the Area Director (AD) and leads a team of NPs, PAs, and/or LVNs/LPNs in achieving clinical quality standards and business and financial objectives. The Senior Practice Manager will have accountability to the business performance of clinics in their assigned region as well as the clinical and professional performance of their assigned clinic team. Major Job Duties and Tasks Quality Practice Accountable for clinic team performance in achieving and maintaining clinical practice excellence, coding compliance, and adherence to clinic protocols and practice guidelines Work in partnership with the Senior and Field Educators, and Senior Clinicians to ensure effective programs for provider training, education and development Leads interprofessional practice with internal and external physicians in support of collegial, consultative, and coordinated care delivery Reviews clinical, educational, quality, and safety metrics, dashboards and information for the purpose of meeting the organizations clinical and quality safety standards this includes early identification of trends, outlier and opportunities. Identifies strategies, and implements timely and effective action plans to maintain clinical excellence at all times. (e.g. HEDIS, NPS, RVUs, etc) Understand, articulate and ensure compliance with State Provider Practice Acts, State Board regulations, regulatory agency standards and policies of the organization Works in collaboration with the organization’s quality and patient safety teams to support continuous quality improvement efforts and maintain patient safety Team Building & Talent Development Continually evaluates effectiveness and identifies opportunities for operational, programs and/or system enhancements and is a key player in leading process improvement in these areas Evaluate and assess inputs regarding clinical performance and professional practice within region and reacts in a timely manner Accountable for effective bidirectional team and leadership communications. Assess for understanding and intervenes to reinforce messaging as needed. Consistently model the CVS MinuteClinic purpose, culture, and values through words and actions Accountable for the Provider Experience as it relates to best practices in professional standards, performance management, employee relations, healthcare administration and management and is consistent with organizational values Healthcare Administration & Management Plan, implement and supervise MC services within region Develop intervention strategies and assess outcomes consistent with continuous process improvement Manage fiscal responsibilities to budget (payroll, travel) Ensure appropriate use of business tools, systems, policies and procedures in accordance with organizational standards Works in partnership with AD and Business Operations Partners to review business metrics in order to identify and implement growth initiatives and operational improvements Maintain up to date knowledge of clinical practice, patient care standards, healthcare policy, evidence based practice, outcome measurement, patient safety, quality improvement and risk management Professionalism and Leadership Provide visionary thinking on issues that impact the healthcare team Critically analyze regional issues after review of the evidence Utilize change theory to plan for the implementation of organizational changes Establish mechanisms that provide for early identification and mentoring of staff with leadership potential Create an environment that facilitates the team to initiate actions that produces results Integrate high ethical standers and core values into everyday work activities Ensure that providers are actively involved in decisions that involve their practice.

Requirements

• Current board certification as a Family Nurse Practitioner or a Physician Assistant
• Current active, unrestricted state licensure to practice as a FNP or a PA
• 5 years work experience as an Advanced Practice Nurse or a Physician Assistant
• 2 years experience managing teams
• Effective communication and relationship building skills
• Clinical practice knowledge
• Patient care delivery and work design knowledge
• Demonstrated leadership
• Demonstrated Professionalism and Business skills
• Personal and professional accountability
• Understanding of health care financing
• Strategic management
• Supports the organizations professional governance structure

Nice To Haves

• Prior experience in a retail health setting

Responsibilities

• Accountable for clinic team performance in achieving and maintaining clinical practice excellence, coding compliance, and adherence to clinic protocols and practice guidelines
• Work in partnership with the Senior and Field Educators, and Senior Clinicians to ensure effective programs for provider training, education and development
• Leads interprofessional practice with internal and external physicians in support of collegial, consultative, and coordinated care delivery
• Reviews clinical, educational, quality, and safety metrics, dashboards and information for the purpose of meeting the organizations clinical and quality safety standards this includes early identification of trends, outlier and opportunities.
• Identifies strategies, and implements timely and effective action plans to maintain clinical excellence at all times. (e.g. HEDIS, NPS, RVUs, etc)
• Understand, articulate and ensure compliance with State Provider Practice Acts, State Board regulations, regulatory agency standards and policies of the organization
• Works in collaboration with the organization’s quality and patient safety teams to support continuous quality improvement efforts and maintain patient safety
• Continually evaluates effectiveness and identifies opportunities for operational, programs and/or system enhancements and is a key player in leading process improvement in these areas
• Evaluate and assess inputs regarding clinical performance and professional practice within region and reacts in a timely manner
• Accountable for effective bidirectional team and leadership communications.
• Assess for understanding and intervenes to reinforce messaging as needed.
• Consistently model the CVS MinuteClinic purpose, culture, and values through words and actions
• Accountable for the Provider Experience as it relates to best practices in professional standards, performance management, employee relations, healthcare administration and management and is consistent with organizational values
• Plan, implement and supervise MC services within region
• Develop intervention strategies and assess outcomes consistent with continuous process improvement
• Manage fiscal responsibilities to budget (payroll, travel)
• Ensure appropriate use of business tools, systems, policies and procedures in accordance with organizational standards
• Works in partnership with AD and Business Operations Partners to review business metrics in order to identify and implement growth initiatives and operational improvements
• Maintain up to date knowledge of clinical practice, patient care standards, healthcare policy, evidence based practice, outcome measurement, patient safety, quality improvement and risk management
• Provide visionary thinking on issues that impact the healthcare team
• Critically analyze regional issues after review of the evidence
• Utilize change theory to plan for the implementation of organizational changes
• Establish mechanisms that provide for early identification and mentoring of staff with leadership potential
• Create an environment that facilitates the team to initiate actions that produces results
• Integrate high ethical standers and core values into everyday work activities
• Ensure that providers are actively involved in decisions that involve their practice.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees