Population Health Manager

Job Information

Title : Population Health Manager

Department : Population Health & Case Management

Status: Full Time

Position Classification/Category : Non-Exempt, Salary

Location: Corporate Office

Reports To: Director of Quality and Population Health

Summary Of Position

Under the direct supervision of the Director of Quality and Population Health , this individual will work collaboratively with the Acute Care Managers, Chronic Care Managers, Population Health Navigators, Quality Department , Providers, Clinical Informatic and Information Technology Departments, Nursing and clinical support staff and other health care professionals to provide Value Based Care for patients and providers. This position will focus on improving patient care, quality and financial savings through population health initiatives. This position will have primary oversight and management of the Population Health team, whose focus is on outreach and communication with patients for coordination of healthcare needs, including gaps in care, identification of risks, social determinates of health, transition of care management, annual wellness visits, patient attribution and linkage to community resources. This position will work closely with the Population Health lead to keep the Population Health team engaged, align efforts of our Clinically Integrated Networks initiatives, maintain consistency in workflow across the organization and use data analytics to drive team and clinic improvement. This position will also work closely with the Director of Quality and Population Health to manage value based programs (i.e. Medicaid Managed Care, Medicare and Commercial ACOs).

Minimum Qualifications And Required Skills

• A minimum of 3 years of related work experience in case management
• Management and Leadership Experience
• Understanding of quality and healthcare initiatives
• Understanding of Case Management Requirements for Managed Care Contracts
• Proficient in use of EMR’s (Electronic Medical Records) and Microsoft Word Suite
• Excellent communication skills (written and verbal)
  
  

Education: Associate’s Degree or Bachelor’s degree in Nursing from an accredited college or university

Certification: Unrestricted Registered Nurse license in the state of North Carolina, CurrentBLS certification

K ey Responsibilities (10-Core)

• Monitor and oversee the performance and productivity of employees within the department.
• Managing leave requests, time logs and expense reports:
• Handling employee/personnel issues in accordance with company policy; consulting with the Director and others as needed.
• Keeping the Quality and Population Health Program Director fully informed and apprised of department accomplishments and issues or problem areas;
• Assuring adequate coverage of the department;
• Focusing on meeting or exceeding department performance and productivity goals; and seeking ways to improve performance and efficiency of the department.
• Maintain Payer attribution lists across all service lines and overall management including communication where applicable to payers and/or health plans
• Monitor and communicate staffing coverage within the department for both short-term and long-term needs
• Manage all internal and external Population Health programs to ensure the programs meet the contractual, grant and/or payer requirements. These programs include, but are not limited to, CaroMont uninsured, PACE, Medicaid First to the Future, and integrated Quality initiatives (i.e. NC PICCS, Upstream)
• Develop effective working relationships with colleagues and practice management staff.
• Demonstrate attention to detail in the design, development and implementation of programs or projects.
• Follow-through on commitments to contractors, grantors or payers.
• Use good judgment and seek advice/guidance from the Director Quality and Population Health frequently.
• Develop reports and communicate findings and areas of concerns with the Director Quality and Population Health and Chief Quality Officer.
• Collaborate with the Population Health Lead to manage education and training programs for staff development
• Consistently and effectively meet target dates for project deliverables and produce quality work.
• Demonstrate organizational and time management skills.
• Perform other duties as assigned
  
  

Kintegra Health Core Requirements

• Patient First – An approach to care that holds primary, the well-being and desires of the patient
• Build not Blame – Focusing first on finding fault with the process rather than the person
• Integrity and Honesty – F ostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers
• Cooperation and Flexibility – Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description
• Culturally Sensitive – Always working toward increasing one’s ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one’s own culture.
  
  

Kintegra is a is a community sponsored, family-centered provider of health care, health education and preventive care services without regard to the ability to pay. We screen potential employees to first ensure alignment with our core requirements followed by the requisite position skills set. In doing so we need staff committed to this mission who do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve.

Our Goals Are

• To provide continuing comprehensive and accessible primary care services to individuals and families of all economic levels within the counties we serve.
• To provide primary care services to meet the physical as well as social health needs of individuals and families, promoting health maintenance, providing timely diagnostics, treatment and referral services.
• To emphasize preventive care through patient and community education to help individuals become aware and responsible for their own health behaviors.
• To employ an interdisciplinary team approach in collaboration with other community providers to provide a continuum of appropriate patient/family-oriented care in a cost-effective manner.