Clinical Outcomes Manager

Mercy Home Health; Charleston (SC); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive pay

Benefits package

Tuition assistance

Paid time off

Job summary

Mercy Home Health seeks a clinically oriented leader to guide population health initiatives at the Charleston and Florence, SC sites. You will lead in-person and virtual rounds, review outcomes, and coach care teams through evidence-based improvements within value-based models.

We expect RN licensure, BSN, and experience in healthcare leadership with familiarity in PDSA and A3 methods. A strong ability to communicate with regional stakeholders is essential.

Qualifications

• RN licensure in good standing (CCNE/ACEN/CNEA preferred)
• BSN required; MSN or related healthcare master's preferred

Responsibilities

• Provides in-person guidance to providers, care teams, and affiliates on clinical integration initiatives
• Reviews clinical outcomes and performance metrics for affiliates and employed physicians
• Partners with providers to implement evidence-based protocols and improvement initiatives
• Coaches regional stakeholders on practice transformation and outcome measures
• Conducts provider onboarding within the assigned network and supports panel management

Skills

Leadership

Coaching care teams

Process improvement

Data interpretation

Education

BSN

MSN

Tools

Milliman

Tableau

Job description

This position will support locations in Charleston, SC and Florence, SC.

• Hire MUST be local to the Charleston area to go onsite as needed.***

Primary Function / General Purpose Of Position

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. Key responsibilities include proactively maintaining a deep understanding of the key drivers for each practice, translating the data to insights for the practices, collaboratively identifying actionable steps for improvement through a Plan-Do-Study-Act (PDSA) process improvement model, coaching care teams in process improvements, clinical integration, and outcomes.

Essential Job Functions

• 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

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

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)

Education

• 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)

Work Experience

• 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)

As a Mercy Health associate, you're part of a Mission that matters. We support your well-being personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What We Offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/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

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmitive Action and Equal Opportunity Employers, please email [e-mail]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [e-mail]