Clinical Outcomes Manager - Population Health

Mercy Health; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Clinical Integration Specialist to provide guidance on clinical integration initiatives. The role necessitates remote work with occasional on-site visits and requires a BSN and 5 years of healthcare experience, particularly in leadership. Ideal candidates will have skills in process improvement and data analysis, along with a current RN licensure.

Benefits

Competitive pay

Medical, dental, and vision coverage

Paid time off

Tuition assistance

Qualifications

• 5 years of experience in a healthcare setting, including direct patient care.
• Experience in management or leadership roles in Population Health.
• Familiarity with process improvement models, such as PDSA.

Responsibilities

• Provides guidance and support in clinical integration initiatives.
• Conducts rounds to communicate status reports and improvement indicators.
• Partners with care teams to implement evidence-based protocols.

Skills

Clinical integration

Process improvement

Relationship management

Data analysis

Education

BSN, Bachelor’s of Science in Nursing

MSN, Master of Science in Nursing

Job description

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

Reports to Title: Director Clinical Population Health Outcomes

# of Direct Reports: 0

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.

This position is primarily remote/work from home. Hire must be driving distance to Springfield, OH to go onsite for market support as needed.

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 provide 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, documents supports, identifies resources, and engages the care delivery team
• Maintains professional role modeling in practice transformation and, under leadership guidance, effectively engages and educates regional stakeholders on the elements, measures, tasks, and tools 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 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 the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or Commission for Nursing Education Accreditation (CNEA) (preferred).

Education

BSN, Bachelor’s of Science in Nursing or related Healthcare field (required)

MSN, Master of Science in Nursing, MBA, or Master’s degree in related Healthcare field (preferred)

Work Experience

5 years of experience in a healthcare setting including ambulatory offices, with previous management or leadership experience in 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 familiarity with process improvement models (such as PDSA and A3) (preferred)

Experience in value-based arrangements, clinical reporting packages (such as Milliman or Tableau) (preferred)

Working Conditions

Periods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed – not to exceed 10% travel.

General office environment.

May be exposed to high noise levels and bright lights.

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

May have periods of constant interruptions.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

Prolonged periods of working alone.

Mercy Health is an equal opportunity employer.

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, HAS/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.

Department: PHSO Admin - Population Health Service Organization

It is our policy to abide by all Federal and State laws, as well as the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, 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].