Medical/Clinical Policy Writer
CareSource
Director of Clinical Operations
Core Health LLC
full-time
Posted on:
Origin: • 🇺🇸 United States • Kentucky
Visit company websiteJob Level
Lead
About the role
- Drive successful clinical quality, throughput efficiency, and patient engagement of emergency, hospitalist, and critical care service lines
- Partner with Medical Directors, Core administrators, and hospital leadership in identifying areas of improvement initiatives and enhanced clinical programs
- Develop and promote environments where physicians, APPs, and hospital care teams thrive
- Track performance, and work in collaboration with Medical Directors to influence change
- Spearhead selected program improvement initiatives utilizing process improvement techniques, Lean, and Six Sigma
- Deliver and develop evidence-based practice, internal processes, standardized work plans, action plans, project timelines, KPI boards, dashboards, huddle boards, educational tools, and project management tools
- Conduct continuous development, analysis and monitoring of key performance metrics both provided by the hospital(s) and located within the Core Analytics data warehouse
- Compile and build performance data for presentations to hospital and system-level leadership
- Participate in regular meetings with hospital C-suite executives to present performance data; and discuss areas for ongoing sustainment or opportunities for improvement
- Attend provider meetings with appropriate frequency
- Travel to client sites for meetings, information gathering, rollouts, and improvement efforts
- Serve as a liaison between Core Clinical Partners and the hospital system(s)
- Other duties as assigned
Requirements
- Bachelor's Degree in Nursing, Science or related field
- Degree in healthcare related field preferred
- Advanced degree preferred
- RN license preferred
- Experience supporting healthcare key performance indicators
- Experience leading process improvement activities
- Experience with lean methodologies preferred
- Experience utilizing MS Office and business-related technology
- Knowledge of hospital key performance indicators for emergency medicine, hospitalist medicine, and critical care service lines
- Excellent written and verbal communication skills with ability to clearly articulate objectives and present to hospital executives, physicians, and stakeholders
- Ability to analyze information to make data driven assessments and recommendations
- Keen emotional intelligence with ability to influence decisions
- Strong relationship skills and ability to build and maintain trust with professionals internal and external to the company
- Utilize independent judgment on determining areas of collaboration, escalation, and autonomy
- Ability to navigate competing priorities and effectively work in a fast-paced environment
- Exhibit growth mindset and team-orientated behaviors
- Ability and willingness to travel to client sites for meetings, information gathering, rollouts, and improvement efforts
