Medical Director – Population Health
CVS Health
full-time
Posted on:
Location Type: Hybrid
Location: Illinois • United States
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Salary
💰 $121,514 - $261,723 per year
Job Level
About the role
- Leading the IL Transitional Nursing team
- Providing programmatic support to national leadership and transitional staff
- Ensuring high-quality, patient-centered transitions from inpatient to outpatient settings
- Aiming to reduce readmissions and enhance satisfaction
- Overseeing daily operations and maintaining regional/facility assignment
- Balancing staff caseloads and monitoring team/individual performance
- Coaching staff as needed and providing coverage and support
- Assisting in the hiring and training of Transitional Care staff
- Executing effective collaboration between multi-disciplinary teams
- Monitoring compliance with CMS, state-specific and NCQA criteria
- Participating in daily inpatient and post-acute rounding calls
Requirements
- Bachelor degree in Nursing required
- Master’s degree preferred
- >7 years of relevant experience with a minimum 2 years of direct supervisory experience
- 2+ years of experience in transitional nursing, discharge planning or home health
- Registered Nurse (RN) license in good standing with no restrictions required
- Nurse Case Management Credentialing (RN-BC) or Certified Case Manager (CCM) preferred
- Experience in utilization management
- Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
- Strong clinical and assessment skills
- Outstanding verbal and written communication skills
- Ability to work independently and maintain flexibility in a fast-paced, start-up environment
- Ability to analyze data and use it to improve care delivery
- Self-starter with a high level of accountability and responsibility for the outcome of care
- Highly organized and able to manage multiple priorities appropriately
- Independent problem-solving skills
- Able to work collaboratively and build enduring relationships with providers, patients and the multidisciplinary team.
- A flexible, positive attitude
- Valid driver's license and ability to travel daily
- Working knowledge of Microsoft Office Product Suite.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
transitional nursingdischarge planninghome healthutilization managementclinical skillsassessment skillsdata analysiscare delivery improvement
Soft skills
leadershipcoachingcommunicationindependenceflexibilityorganizationproblem-solvingcollaborationrelationship buildingaccountability
Certifications
Registered Nurse (RN)Nurse Case Management Credentialing (RN-BC)Certified Case Manager (CCM)