Clinical Outcomes Manager - Population Health

Mercy Home Health; Cincinnati (OH); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Competitive pay

Medical, dental, vision, prescription

PTO and leave

Tuition assistance

Job summary

Mercy Health in Cincinnati seeks an experienced RN for a primarily remote role with on-site visits as needed to support clinical integration and value-based care in a regional network.

You will guide providers and care teams, translate data into actionable insights, and drive Plan-Do-Study-Act improvements to enhance patient outcomes and efficiency. Occasional travel to meetings may be required.

Qualifications

• RN licensure in good standing with US or state board.
• BSN required; MSN preferred.
• Minimum 5 years in healthcare with leadership in Population Health or value-based work.
• Experience with process improvement models such as PDSA and A3.

Responsibilities

• Completes in person and virtual rounds to share status reports and insights.
• Reviews clinical outcomes, patient panel management, and performance metrics.
• Partners with providers to implement evidence-based protocols and improvements.
• Coaches regional staff on practice transformation and measurement tools.
• Facilitates onboarding and integration of providers into networks.

Skills

Leadership

Process improvement

Population health

PDSA

A3

Education

BSN Bachelors' of Science Nursing or related Healthcare field

MSN Masters of Science Nursing, MBA, or Master’s degree in related Healthcare field

Tools

EPIC EMR

Milliman

Tableau

Job description

Job Summary

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

• This position is primarily remote/work from home, but hire must be local to the Cincinnati, OH market to go onsite as needed - i.e. rounding with provider practices and home office/corporate meetings (frequency will vary from weekly to monthly, but needing someone able to go onsite when required).

Job Summary

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.

• This position is primarily remote/work from home, but hire must be local to the Cincinnati, OH market to go onsite as needed - i.e. rounding with provider practices and home office/corporate meetings (frequency will vary from weekly to monthly, but needing someone able to go onsite when required).

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)

Training

None

Ideal Candidate Experience

• Ambulatory experience in primary care
• Management experience
• Open to in-patient experience in combination with ambulatory experience
• Previous experience in value based care/population health role
• Hands on clinical experience- doesn't need to be an RN specifically
• Strong Microsoft Word, Excel, and PowerPoint skills
• EPIC EMR experience is beneficial

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 affirmative 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]