Population Health Manager
Apply NowCompany: Richmond University Medical Center
Location: Staten Island, NY 10314
Description:
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Day Shift - 7.5 Hours (United States of America)
Job Summary
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.
Duties and 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
Education, Experience, and Licensure 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
Prior case management, utilization review, and discharge planning experience preferred
Certified Case Manager (CCM) preferred
Day Shift; 9a-5p
Salary Range: $115,000 - $130,000
Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
We're committed to bringing passion and customer focus to the business.
Day Shift - 7.5 Hours (United States of America)
Job Summary
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.
Duties and 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
Education, Experience, and Licensure 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
Prior case management, utilization review, and discharge planning experience preferred
Certified Case Manager (CCM) preferred
Day Shift; 9a-5p
Salary Range: $115,000 - $130,000
Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!