Clinical Outcomes Manager - Population Health

About this role

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

Job Summary 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, but hire must be local to the Cincinnati, OH market to go onsite as needed - i.e. rounding with provider practices and home office/corporate meetings (frequency will vary from weekly to monthly, but needing someone able to go onsite when required).

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  

Ideal Candidate Experience • Ambulatory experience in primary care

• Management experience

• Open to in-patient experience in combination with ambulatory experience

• Previous experience in value based care/population health role

• Hands on clinical experience- doesn't need to be an RN specifically

• Strong Microsoft Word, Excel , and PowerPoint skills

• EPIC EMR experience is beneficial

Mercy Health is an equal opportunity employer.

As a Mercy Health associate, you’re part of a Misson 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: Clinical Transformation/Medical - 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, a ll applicants will receive consideration for employment without

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