Clinical Outcomes Manager - Population Health - Richmond

Bon Secours Mercy Health; Richmond (VA); Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare organization is seeking a Clinical Integration Specialist to support value-based initiatives. This role involves in-person and virtual support, conducting audits, and engaging with care teams. Candidates must have a BSN and at least 5 years of healthcare experience, preferably in leadership. The position is primarily remote with occasional onsite requirements.

Benefits

Comprehensive medical, dental and vision plans

Flexible spending accounts

Paid time off

Qualifications

• 5 years of experience in a healthcare setting.
• Current RN Licensure is preferred.
• Experience with population health or value-based contract work including direct patient care.

Responsibilities

• Provide guidance and support to care teams in clinical integration initiatives.
• Conduct audits and facilitate provider orientation.
• Support quality and process improvement activities.

Skills

Leadership

Communication skills

Analytical skills

Education

BSN Bachelors' of Science Nursing

MSN Masters of Science Nursing

Tools

Milliman

Tableau

Job description

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

Reports to Title: Director Network Performance

# 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 is primarily a remote/work from home position, with occasional onsite requirement. Hire must be local to the Richmond, VA Market.

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

Language

None

Patient Population

Not applicable to this position

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.

Hazards

Not applicable to this position

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to 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]