- Principal Responsibilities and Tasks
- In collaboration with organizational, ambulatory, and clinic/practice leadership, the PHSO Population Health Program Manager is responsible for the development, implementation and management of care management activities aimed at improving population health outcomes and maximizing Value Based Care initiatives.
- Supports innovation in clinical practice and healthcare delivery systems by disseminating research and innovation into practice. Develops pilot projects of evidenced-based ideas and innovations identified and/or generated by PHSO leadership and staff, designed to meet program goals and achieve quality, cost and volume objectives.
- Creates management systems that promotes standardization of workflows, assures achievement of process goals and quality metrics and incorporates all applicable NCQA accreditation standards.
- Facilitates the development, implementation and expansion of the care management program, including the Quality Care Network and Transform Health MD initiatives. This includes utilizing data to identify population health program needs and expansion to provide program interventions to new patient populations. Organizes and facilitates a care management education forum where interdisciplinary professionals can gain knowledge and skills to provide care effective and efficient coordination of care services.
- Manages the effective use of patient registries as applicable to manage specific patient populations and to improve disease and population health outcome measures. Collaborates with other departments and colleagues across the continuum to address gaps.
- Complies with federal, state and local legislation and accrediting bodies which may impact the organization's future goals and objectives. Collaborates with leadership to develop plans to respond to changes in health care policy.
- Develops and fosters strong relationships with Quality and Compliance. Serves as a primary lead for Care Management for NCQA activities.
- Collaborates/consults with other departments including Clinical Integration, Data, Quality and Practice Transformation to identify data needs related to care management and implements performance/outcome measures. Utilizes performance/outcome data to drive performance improvement.
- Facilitates and supports an interdisciplinary practice environment in which empowerment, responsibility, autonomy, accountability, collaboration and peer review are exercised.
- Effectively articulates the relationship between strategic goals for patient satisfaction, clinical and quality outcomes, and financial performance.
- Implements systems to manage and improve the performance, consistency, and integration of care coordination and care management services in a direct and matrix reporting environment.
- Acts as a resource to Nurse Care Managers, Clinical Pharmacy Specialists, and Social Workers for complex cases.
- Acts as a resource to the Practice Transformation and Quality Teams to support Practice Managers and Physicians in implementing care delivery redesign to include care coordination related activities through direct and indirect methods.
- Reviews and analyzes data related to clinical care, and identifies strategies and opportunities to improve care management and care coordination activities within the PHSO Care Management teams and associated practices.
- Collaborates with leadership to develop and implement an annual plan for regulatory education, surveillance and reporting within the care management team setting.
- Coordinates periodic and regular chart audits, sharing feedback and coordinating any resulting corrective actions plans that are established.
- Monitors program metric collection. Prepares quarterly and annual performance reports.
- Facilitates collaborative decision-making.
- Sustains strong relationships with key external organizations including community providers, FQHCs, community organizations, and accrediting agencies.
- Ensures adherence to UMMS's human resource policies and procedures.
- Directs systems for recruitment, selection, orientation, professional development, and staff recognition. Demonstrates leadership in promoting and valuing a diverse workforce and in facilitating the recruitment, retention and development of minority staff.
- Ensures adherence to UMMS's human resource policies and procedures.
- Creates effective performance management systems which provide clear expectations for all direct report staff. Effectively addresses individual and group performance outcomes.
- Supports staff education and development with team building, problem solving, and job enrichment programs.
- Collaborates with Care Management and Clinical Integration leadership to plan, design, implement programs needed for orientation, competency assessment and professional development of Care Management staff. Assures the competence and effectiveness of professional and support staff that provide care, and integrates population health and care management (CCM/ACMA/NCQA) driven competencies.
- Completes performance evaluations and solicits feedback from direct and indirect team members on all directly supervised staff.
- Actively contributes to performance reviews, and performance documentation on all staff. Provides performance feedback for staff reporting with a matrix relationship to the PHSO Nurse Manager and / or Director of Care Management.
- Provides daily oversight for contracted non-nursing disciplines (licensed and unlicensed). Reviews performance standards and expectations, provides routine feedback and participates in performance evaluations.
- Participates on related UMMS and Ambulatory councils/committees including but not limited to Care Management UDCs, Population Health workgroups and SIHIS. Serves as a chair or co-chair for NCQA committee. Leads Care Management meetings.
- Demonstrates working knowledge of Care Management principles and NCQA accreditation requirements.
- Demonstrates working knowledge of Population Health incentives as it relates to the financial relationships within the PHSO, including but not limited to, Value Based Care principles, HEDIS metrics, quality outcome data, reimbursement models and HSCRC initiatives. General understanding of QBR, GBR and budgeting.
- Demonstrated success in a leadership role exhibiting teaching, coaching, and development skills. Demonstrated effectiveness in a consultative role at the organizational level, and experience leading complex change.
- Ability to supervise, coach and create a motivating environment for clinical and professional personnel.
- Highly effective interpersonal, verbal, and written communication and presentation skills. The successful candidate will possess tact, diplomacy, and adaptability.
- Demonstrate effectiveness as a group leader and participant. Demonstrate ability to collaborate with multiple members of the health care and administrative leadership team.
- Ability to independently develop and manage programs and projects. Ability to plan, organize and follow through on assignments and projects.
- Knowledge of the Maryland healthcare industry and policy, preferred.
- Ability to analyze and conceptualize data to ensure achievement of desired outcomes.
- Takes action to correct observed risks to patient safety.
- Reports adverse events and near misses to appropriate management authority.
- Implements policies, procedure, and standards consistently in the performance of assigned duties.
- Develops effective working relationships and maintains good communication with other team members.
-
inpatient case manager
2 weeks ago
LifeBridge Health Baltimore, United StatesINPATIENT CASE MANAGER (RN) · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Part-time - Day shift - 8:00am-4:30pm · RN Other · 80525 · Posted: · March 10, 2024 · Apply Now · // Setting the Saved Jobs link · function setsavedjobs(externalidlist) { · if(typeof externalidlist = ...
-
Nurse Case Managers
1 week ago
Fox Case Management Washington, United StatesFox Case Management does have part-time positions for Nurse Case Managers in DC, Maryland and Delaware. · Minimum Qualifications: · - A Registered Nurse with experience in the Workers Compensation Field, Trauma or Orthopedics · - BSN preferred but not necessary · - Appropriate st ...
-
Case Management
1 week ago
Wraparound Maryland Halethorpe, United StatesJob Description · Job DescriptionSalary: Annual salary of $42,000.00 · Job Title: · Case Manager (Baltimore City) · Overview: · Wraparound Maryland is a non-profit mental health services company focusing on our mission to provide all individuals with the means to inspire, empower ...
-
Case Manager
3 weeks ago
Service Coordination, Inc. Glen Burnie, United StatesJob Description · Job Description**Looking for a job working in your community and advocating for those underserved individuals? See Below**Service Coordination, Inc. is looking for Service Coordinatorswho are fluent in American Sign language with a passion to serve and work with ...
-
inpatient case manager
2 weeks ago
LifeBridge Health Baltimore, United StatesINPATIENT CASE MANAGER - SOCIAL WORKER (LMSW) · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm · Allied Health · 80865 · Posted: · March 10, 2024 · Apply Now · // Setting the Saved J ...
-
Nurse Manager- Population Health Case Management
2 weeks ago
University of Maryland Medical System Linthicum Heights, United StatesInternal Number: REF29545X · Job Description General Summary · The Population Health Program Manager oversees the development and implementation of the care management program for UMMS Population Health Services Organization, including the development of goals and objectives fo ...
-
University of Maryland Medical System Linthicum Heights, United States Full timeJob Description · General Summary · The Population Health Program Manager oversees the development and implementation of the care management program for UMMS Population Health Services Organization, including the development of goals and objectives for the Nursing Care Managers, ...
-
utilization & case management educator (rn)
2 weeks ago
LifeBridge Health Baltimore, United StatesUTILIZATION & CASE MANAGEMENT EDUCATOR (RN) · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time - Day shift - 8:00am-4:30pm · RN Other · 82791 · Posted: · April 29, 2024 · Apply Now · // Setting the Saved Jobs link · function setsavedjobs(externalidlist) { · if(typeof ...
-
Case Manager
1 week ago
Total Care Services Baltimore, United StatesHigh quality healthcare programs, services, and PEOPLE LIKE YOU · Compensation Package: · Yearly Salary: $60,000 · Exceptional Benefits · At Total Care Services, Inc., a non-profit organization, we offer more than just a chance to make a significant impact in our community. As a ...
-
Case Manager
3 weeks ago
Cayuga Centers Baltimore, United StatesJob Description · Job DescriptionEarn $64,000 annually, plus 3 weeks vacation, 10 calendar holidays (Includes 1 floating holiday), 24 hours personal time, and up to 80 sick days. · About Cayuga Centers · Cayuga Centers is an accredited non-profit human services agency dedicated ...
-
inpatient case manager
1 week ago
LifeBridge Health Baltimore, United StatesINPATIENT CASE MANAGER - SOCIAL WORKER (LMSW) · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm · Allied Health · 76806 · Posted: · March 10, 2024 · Apply Now · // Setting the Saved J ...
-
Case Manager
3 weeks ago
Health Care For the Homeless Inc Baltimore, United StatesJob Description · Job DescriptionOverviewAs a critical member of an interdisciplinary team, the Case Manager provides case management services to adult, pediatric and geriatric clients who are receiving medical or behavioral health services. The Case Manager is pivotal in address ...
-
inpatient case manager
1 week ago
LifeBridge Health Baltimore, United StatesINPATIENT CASE MANAGER - SOCIAL WORKER (LMSW / LCSW-C) · Sign On Bonus Potential: $15,000 · Baltimore, MD · SINAI HOSPITAL · CARE MANAGEMENT · Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm · Allied Health · 77728 · Posted: · March 10, 2024 · Apply Now · // Setting th ...
-
Case Manager
1 day ago
BEYOND HEALTH LLC Baltimore, United StatesJob Description · Job DescriptionManage case management needs of all SUD clients. · Assist with any case management needs of PRP. · Complete all initial case management intakes including, case management screening form, family assessment, health risk screening, Columbia suicide s ...
-
Case Manager
6 days ago
Insight Global Baltimore, United StatesAbility to support 25-30 clients at a time, must maintain capacity. · Experience with government case management programs. · Develop Individualized Service Plans (ISP) with participants with the primary goal of helping clients and their families become self-sufficient within a ...
-
Case Manager
3 weeks ago
Transformation Healthcare Baltimore, United StatesJob Description · Job DescriptionDescription:Summary of Position Responsibilities · As a Case Manager, you are responsible for helping those with chronic illness, mental health and or substance use disorder or life-altering conditions to gain access to rehabilitation programs and ...
-
Case Manager
2 weeks ago
Health Care Baltimore, United StatesOverviewThis position provides direct case management services to adults experiencing homelessness with various disabling conditions and psychosocial stressors who are living independently in the community. The overall purpose of this role is to assist these individuals in obtain ...
-
Case Manager
3 weeks ago
Insight Global Baltimore, United StatesJob Description · Job DescriptionWorking under a grant from the Office of Refugee Resettlement (ORR), the PRS Case Manager Level 2 provides level 2 post release services including conducting initial in-home assessments, ongoing monthly assessments, plans, connection to community- ...
-
Case Manager
16 hours ago
St. Vincent de Paul of Baltimore Baltimore, United StatesJob Description · Job DescriptionSt. Vincent De Paul of Baltimore has mandated COVID-19 and influenza vaccines, as applicable. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception m ...
-
Case Manager
17 hours ago
City of Baltimore Maryland Baltimore, United StatesAn Operations Officer II performs professional work in managing an administrative, programmatic or technical operation for an agency. Work of this class may involve leading or supervising clerical, paraprofessional, technical or professional personne Case Manager, Manager, Operat ...
Nurse Manager- Population Health Case Management - Linthicum Heights, United States - University of Maryland Medical System
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Job Description
Job DescriptionCompany DescriptionRenowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work
Job DescriptionGeneral Summary
The Population Health Program Manager oversees the development and implementation of the care management program for UMMS Population Health Services Organization, including the development of goals and objectives for the Nursing Care Managers, Social Workers, Clinical Pharmacy Specialists, and Program support staff. This position is accountable for designing workflows to meet program goals and metrics and maintaining systems to ensure compliance with accrediting and professional certification bodies. This position is responsible for maintaining relationships and working collaboratively with primary care practices, specialty clinics, Federally Qualified Health Centers, University of Maryland Medical System entities, post-acute service entities, and home care providers This position is responsible for creating and monitoring systems to track and support the interdisciplinary care team and support staff in meeting all organizational, clinical and care management competencies, skills and metrics.
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Knowledge, Skills, and Abilities
VI. Patient Safety
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
Additional InformationAll your information will be kept confidential according to EEO guidelines.