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