AVP Care Management - West Valley City, United States - Intermountain Healthcare

Description

Job Description:
This position will oversee the care management functions across all divisions for Intermountain Healthcare (Hospitals and Medical Group).

This position sets the vision for all Integrated Care Management programs and, in collaboration with clinical leadership, develops the infrastructure and strategy for Integrated care Management initiatives throughout the system.

Ensures system-wide compliance with all relevant governmental regulations, contractual requirements, as well as accreditation requirements as identified by the organization (CMS, NCQA, JCAHO, etc.).

Develops an Integrated Care Management learning culture for Intermountain by implementing and overseeing programs that are designed to ensure patients receive the right service at the right time from the right provider in the right setting.

Works collaboratively with all disciplines, clinical programs and clinical services to assure a partnership around Integrated Care Management.
ScopeThis is a system-wide leadership role reporting to the Senior Vice President of Clinical Operations Chief Nursing Executive.

Job EssentialsAccountable for developing a measurement and evaluation plan for all Integrated Care Management goals and developing programs that ensure high-quality clinical outcomes for patients of care management programs.

Directs the development, implementation and monitoring of Integrated Care Management initiatives through collaboration with operations and clinical leadership teams.

Develops and directs programs that strive for optimal allocation of resources so that patients receive the right service at the right time from the right provider in the right setting.

Is responsible for the achievement of total cost of care targets for patients receiving care management services and high patient or member satisfaction with care management programsWorks collaboratively with nursing, clinical programs, clinical services, compliance, risk management, Chief Medical Office, regional operations, health plans and the community to understand system-wide trends, to improve care and foster an interdisciplinary approach to Integrated Care Management across Intermountain.

Stays abreast of changes to the healthcare environment, care management and healthcare reimbursement innovations through local, regional and national networking.

Supports best practice through policy standardization, appropriate data collection and analysis, IS support and clinical education collaboration.
Leads and supervises care management professionals and is responsible for staffing, performance management and development of that team.
Minimum QualificationsMasters Degree in Nursing/Social Work or Healthcare Administration. Degree must be obtained through an accredited institution. Education is verified.
Must hold and maintain a professional license in nursing or as an LCSW.Ten years of professional progressive experience in health care delivery or healthcare management- and

• Five years of experience leading case management, disease management or care coordination programs requiring knowledge of the current healthcare environment, healthcare regulatory matters and healthcare reimbursement.

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• Experience in a role requiring strategic thinking and planning skills and the ability to develop proposals, pilots and projects from conception to implementation.

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• Experience in directing other clinical areas, working closely with physicians, and developing clinical strategies, implementing operational efforts and measuring outcomes.

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• Experience achieving results in both line management and matrix management environments.

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• Experience using word processing, spreadsheet, database, internet, e mail and scheduling applications.

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• Experience in a role requiring effective verbal, written and interpersonal communication skills.

Preferred QualificationsProfessional experience working in an integrated delivery system that includes a health plan.- and

• Experience evaluating technology solutions to support care management functions and Experience with developing collaborative relationships with community organizations to address healthcare needs across the continuum and Experience in an integrated healthcare delivery system where there is a strategy to move towards managing the health of populations.

This is an exempt, full-time position with a compensation range of $170, ,903, annually, and as determined by prior years of relevant experience.

With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals.


Physical Requirements:
Corp onlyInteract with others requiring employee to verbally communicate as well as hear and understand spoken information.- and

• Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands.

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• See and read computer monitors and documents.

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• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

#LI-EXECRCAnticipated job posting close date:

04/16/2024Location:Key Bank Tower

Work City:
Salt Lake City

Work State:
Utah
Scheduled Weekly Hours:40The hourly range for this position is listed below.

Actual hourly rate dependent upon experience.$ $116.74We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer.

Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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