To supervise and manage operations of the Population Health department.
Requirements
Minimum BSN or BA education required.
Professional knowledge of business and management theory and practice at a level normally acquired through completion of an Associate’s Degree.
Computer skills are required.
Experience with Microsoft Office desirable.
Minimum five years progressively responsible management experience in healthcare or customer-oriented service industry.
Verbal and written skills necessary to effectively communicate with various members of the healthcare team, other health facilities, community health related organizations, various external parties and regulatory agencies.
Ability to manage numerous management issues.
Must be able to use the following management accountabilities and competencies: conflict resolution, staff counseling, problem solving, disciplinary process, policy and procedures implementation, team work, staff scheduling, interviewing, budgeting process, cost containment skills and support of management peers.
Responsibilities
Effectively communicates with MMC departments to ensure an effective continuum of care for patients.
Regular communication with Pop Health Director.
Coordinate clinical team to recognize and resolve care gaps.
Supervises staff.
Coordinate and assist with clinical recruitment, orientation/training.
Conduct clinical performance appraisals.
Reviews schedules for effective clinical coordination.
Works with assigned clinical Works with assigned team members to provide guidance for Allegheny Health Coaches.
Supervises scheduling of care coordination.
Supervises scheduling for patients and community interventions.
Ensures accuracy of patient coordination.
Reviews schedules for productivity.
Create and maintain schedules for clinicians.
Works with Social Worker to effectively coordinate community resources.
Responsible for acquiring knowledge of ACO reporting requirements for compliance and program management.
Periodically reviews CMS requirements for wellness visits and documentation requirements.
Performs audit checks for appropriate and compliant charting requirements.
Provides education and guidance for medical management of chronic disease.
Performs regular chart review for clinical appropriateness.
Works with administrator to establish patient selection criteria.
Acts as liaison with MMC for appropriate patient selection.
Coordinates health professionals for effective patient management.
Reviews requirements for CCM and PCM documentation, billing, and outcomes for individualized treatment care plans.
Communicates with CORE team for patient progress.
Developing and Implementing of Program Orientation/ Training.
Developing appropriate integrative Protocols, Quality Metrics, Tracking and Auditing tools.