Clinical Outcomes Manager providing support for clinical integration initiatives in value-based health care model. Engaging with providers and care teams in the Toledo market and beyond for quality improvements.
Responsibilities
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.
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
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
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
Requirements
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)
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)
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)
Benefits
Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
Tuition assistance, professional development and continuing education support
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