Clinical Outcomes Manager

Bon Secours Mercy Health; Columbia (SC); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Competitive pay & incentives

403(b) retirement with employer match

Medical, dental, vision, HSA/FSA

Paid time off & family leave

Tuition assistance & professional dev

Job summary

Bon Secours Mercy Health seeks a Nursing leader to guide clinical integration initiatives across Charleston and Florence markets. You will translate data into insights, coach care teams in process improvements, and drive value-based care delivery.

Responsibilities include rounds, outcome reviews, protocol implementation, and stakeholder engagement to improve quality and patient care. RN licensure and experience in population health are required/preferred. Benefits included.

Qualifications

• BSN required.
• MSN or MBA or related Master’s preferred.
• 5+ years in healthcare including ambulatory offices with management/leadership in Population Health or value-based contracts.
• Experience with process improvement models (PDSA, A3) preferred.
• Experience with clinical reporting packages such as Tableau or Milliman preferred.
• Current RN licensure; licensure details not specified; CCNE/ACEN/CNEA accreditation preferred.

Responsibilities

• Completes in-person and virtual rounds to communicate status, drivers of change, and insights to providers and practices.
• Manages review of clinical outcomes, patient panel management, and performance metrics for affiliates and employed physicians in the region.
• Partners with providers to implement evidence-based protocols and improvement initiatives, monitors progress, documents supports, identifies resources, and engages care teams.
• Maintains professional role modeling in practice transformation and educates regional stakeholders on elements, measures, tasks, and tools for practice improvement activities.
• Conducts provider orientation and onboarding/offboarding for panel management and CI initiatives.
• Supports and collaborates with providers and regional leaders to implement processes for value-based participation.
• Collaborates with regional staff to implement network initiatives and support CI activities; conducts chart audits for quality audits under leadership.
• Facilitates remediation tracking and activities with network leadership and quality leadership.
• Engages in relationship management to support ministry outcomes and delivery of care.

Skills

Leadership

Population Health

PDSA

A3

Process Improvement

Clinical Integration

Data Analysis

Stakeholder Engagement

Education

BSN

MSN or MBA or Master’s in Healthcare

Tools

Tableau

Milliman

Job description

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

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

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Primary Function/General Purpose Of Position

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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.

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Essential Job Functions

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• 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

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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.

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Licensing/Certification

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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)

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Education

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• 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)

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Work Experience

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• 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)

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As a Bon Secours 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.

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What We Offer

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• 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

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Benefits may vary based on the market and employment status.

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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 Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affimative 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]