Clinical Outcomes Manager – Population Health
Bon Secours Mercy Health
full-time
Posted on:
Location Type: Hybrid
Location: Richmond • Virginia • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
Tech Stack
Tableau
About the role
- Provides in-person guidance and support to the providers, care teams, and affiliates in clinical integration initiatives that supports the quadruple aim and allows the organization to thrive in a value-based health care model.
- Completes In person and virtual rounds in the practices on a regular basis to communicate status reports, key drivers of change, leading or lagging indicators, and providing insights to providers and practices
- Manages the review of clinical outcomes, patient panel management, and performance metrics for affiliates and employed physicians in the assigned market or Region’s network
- Partners with providers and care team members to implement evidence-based protocols and other improvement initiatives based on the insights, monitors ongoing progress, document supports, identify resources, and engages care delivery team
- Maintains being a professional role model in practice transformation and under leadership guidance, effectively engages and educates regional stakeholders on the elements, measures, tasks, and tools to be used to support various practice improvement activities
- Conducts provider orientation and facilitates onboarding and offboarding of providers into the assigned network as related to panel management and other Clinical Integration key initiatives
- Supports, encourages, and works closely with providers, their care teams and regional practice leaders to implement process and quality improvement activities and workflows necessary for successful participation in value-based agreements
- Collaborates with Regional and practice staff to facilitate the market implementation of assigned network initiatives and facilitates process improvement activities in support of Clinical Integration initiatives
- Conducts chart audits in support of annual quality composite audits with Affiliates not on Epic in support of Mercy Health Select and any other future distributions and chart reviews or quality audits under the direction of System or Regional clinical leadership for the purposes of supporting quality patient care and success in current and future initiatives
- Facilitates provider remediation tracking and activities in collaboration with assigned network leadership and the assigned medical and quality leadership
- Effectively engages in relationship management to support the ministry outcomes and delivery of care
Requirements
- Current RN Licensure accredited by Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or Commission for Nursing Education Accreditation (CNEA) (preferred)
- BSN Bachelors' of Science Nursing or related Healthcare field (required)
- MSN Masters of Science Nursing, MBA, or Master’s degree in related Healthcare field (preferred)
- 5 year’s of experience in a healthcare setting including ambulatory offices, with previous management or leadership experience with Population Health or Value-Based Contract work including but not limited to: direct patient care, managing payer relationships or health systems outcomes (required)
- Working knowledge and familiarization with process improvement models (such as PDSA and A3 ) (preferred)
- Experience in value-based arrangements, clinical reporting packages (such as Milliman or Tableau) (preferred)
Benefits
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical integrationpatient panel managementperformance metricsevidence-based protocolsprocess improvementquality improvementchart auditsrelationship managementpopulation healthvalue-based contracts
Soft skills
leadershipcommunicationcollaborationeducationengagementsupportguidanceprofessionalismfacilitationorientation
Certifications
RN LicensureBSNMSNMBA