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Work Schedule/Shift

Day

Job ID

5000509272206

Req. No

70040717

Job Title

Supervisor, Case Management & Population Health

Region

CHRISTUS System Office

Category

Healthcare

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

Corp USFHP-55100

Address

909 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Supervisor, Case Management & Population Health Job in Irving

The Supervisor, Population Health & Case Management supervises and supports the Director of Population Health & the Director of Medical Management in their vision for the Population Health & Case Management Departments, including planning, organizing, and coordinating the activities of the Population Health & Case Management programs. Requirements include working knowledge of Population Health, Accountable Care Organizations, Clinical Integrated Networks, EMRs, Value-based Contracts, CMS guidelines, Quality Measures including definition, interpretation, and documentation of inclusions and exclusions, Transitions of Care, Post-Acute Home Health Recertification, MCG Chronic Care Guidelines and Home Care Guidelines, Clinical Workflow in Primary Care Setting with ability to work with Primary Care Clinics to implement Care Coordination/Nurse Navigation without interruption of workflow or impacting clinician/staff satisfaction.
 

MAJOR RESPONSIBILITIES:

  • Supports leadership with the selection, training, development, appraisal, work assignments, staffing and productivity of Associates within Population Health & Case Management
  • Understands and supports "Triple Aim" objectives of Population Health and promotes these objectives in concert with organizational Core Values when supervising and leading the teams.
  • Provides formal, structured orientation/training process for new Associates with regular opportunity for feedback and assessment of competency upon completion
  • Collaborates with Primary Care Clinics to implement Care Coordination/Nurse Navigation for value-based contracts; has experience with ambulatory clinic workflow with the ability to partner and troubleshoot with the ambulatory clinical team to develop and refine operational workflows within the practice and specific EHR; familiar with order sets, appointment templates, scheduling of procedures, and pre-authorization
  • Capable of learning to navigate EHRs to thoroughly research the patient medical record to locate and identify documentation for completion of quality measures; have or can learn to have expert clinical knowledge of quality measures with ability to interpret definitions regarding inclusions and exclusions
  • Collaborates with Primary Care Clinical Team to develop and test operational workflows within specific EHR to communicate/document appropriate Home Health Case Conference information and recertification recommendations to the clinician
  • Ability to develop collaborative relationships with Home Health Agencies to coordinate 485 plan of care process and Case Conference scheduling
  • Collaborates with Primary Care Clinics to implement Transitions of Care Program with expertise and understanding the CMS requirements for timely outreach, and necessary components of telephonic encounter/documentation for prevention of readmissions and billing higher revenue TOC codes
  • Develops expertise in Wellcentive Outcomes Manager/PO Administration application
  • (Super User) or other Care Management documentation platform utilized by depai_ talent
  • with the ability to provide appropriate monthly reporting and dashboards for leadership
  • Has working knowledge and expertise of all associate roles in the department and is capable of stepping in to assist as needed
  • Supervises daily activities of Population Health & Case Management clinical staff, individually and as a team to ensure the following objectives are met:
  • Maintains appropriate staffing ratios and team assignments based on volumes
  • Responsible for development and maintenance of policies and procedures for the department.
  • Responsible for HIPAA and Integrity compliance within department
  • Works closely with department Directors to identify and plan for opportunities for improvement within areas of responsibility
 
  • Graduate of an accredited Registered Nursing program
  • Bachelor Degree In Nursing, Preferred
  • Excellent computer skills needed
  • Experience with word processing/spreadsheets including Excel.
  • Excellent verbal and written skills
  • Minimum of five years of clinical experience
  • Three years of Case Management experience preferred
  • Current/Active unencumbered Texas RN licensure
  • Eligibility for Louisiana RN licensure (obtained within 6 months of employment)
  • CCM preferred
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