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Santa Fe

    Nurse Manager, Population Health CsvmedicalGroup/Full-Time - Santa Fe, United States - Christus Health

    CHRISTUS Health background
    Full time
    Description

    POSITIONSUMMARY: Responsible for day to day supervision ofcare coordination and population health programs. In conjunctionwith director will oversee planning, budget, and implementation ofcare coordination programs both internal and external. Providesleadership to care coordination staff in areas such as; job duties,productivity, attendance, customer service.

    Responsible for advancing the functionality and reportingefficiency of a variety of Alternative Payment programs includingbut not limited to the following: CHQCA and community providerpractices including training on HEDIS measures and annual qualityabstraction to support (Medicare Shared Savings Program).

    This position is responsible for the oversight of the MayoClinic E-consult, E-boards data support. Enhanced Oncology CareModel CMS, Transition of Care Programs, PCMH, VBP via cloud baseddata applications. Manager is responsible for compilation andpreparation of data results related to all aspects of carecoordination operations including; ACO care gap closures, CMS datametrics and documentation that supports contracted alternativepayment models including; CHRISTUS Health Plan, BCBS, PresbyterianCentennial, Optum, United Health Care STARS program and others.Manager provides supervision of accurate and timely billing fornon-face to face services for CMS program work.

    Requirements

    MINIMUMQUALIFICATIONS:

    EDUCATION: Bachelors ofScience in Nursing required.

    CERTIFICATION/LICENSES: Current license to practice as a RN inNew Mexico

    SKILLS:

    • Demonstratedknowledge of computer database function and reporting
    • Must be able to read, write and speak Englishfluently
    • Proficient in office management andadministrative procedures
    • Ability to developand maintain strong working relationships with insurance providers,providers and leadership
    • Relies on experienceand judgment to plan and accomplish goals, lead and direct the workof others, and perform a wide variety of tasks
    • A wide degree of creativity, latitude and autonomy isexpected
    • Advanced knowledge of computertechnology, including word processing, spreadsheet, database, andgraphics software in order to prepare publications, reports, andbusiness correspondence

    EXPERIENCE: Minimallyfive years supervisory experience in diversified positions within ahealth care organization. Considerable knowledge of populationhealth and alternative payment models preferred.

    NATURE OFSUPERVISION:

    -Responsible to: ExecutiveDirector of Ambulatory Nursing

    • Supervision of all care coordination staff
    • Supervision of Value Based Purchasing andAlternative Payment Models and quality deliverables working inconjunction with Medical Director of Ambulatory Quality.
    • Supervision and support of Mayo Clinic CareNetwork as it relates to the role of RN E-health coordinators.
    • Supervision of Patient Care Coordinators whofacilitate transition of care from inpatient and ED.
    • Supervision of staff performing Pre-Surgical Assessmentand Screening (PASS)

    ENVIRONMENT:

    • Bloodborne pathogen:A – Works in a clean, well-lighted, smoke freeenvironment.
    • Bloodbornepathogen: B – If involved in clinicalcontact.

    PHYSICALREQUIREMENTS: Subject to stressfulprofessional relationships. Working hours vary, withflexibility due to unexpected changes in schedule andemergencies. Requires the ability to speak, listen, developand communicate written materials. May be required to lift, push,pull and/or carry up to 50 lbs.



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