Job Description

Current Employees:

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Primary Work Location

Health Sciences Building

Department

CS Value Based Incentive Program

Scheduled Weekly Hours

40

Job Summary

Population Health Manager will support our value-based care initiatives to increase the quality of care, while maintaining cost-effective outcomes through targeted patient outreach and care gap closure, chronic care management, care coordination and data analytics. This professional will play an instrumental role serving as the link to health insurance companies, community partners, clinicians and key organizations to develop and administer innovative managed care and value-based care programs. Demonstrates ongoing growth and development of self through active self-reflection, personal competency development strategies, and role modeling the “Grow myself, grow my team, and grow Monument Health (G3) Leadership Competencies” to promote our Monument Health vision and mission.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

*Supportive work culture

*Medical, Vision and Dental Coverage

*Retirement Plans, Health Savings Account, and Flexible Spending Account

*Instant pay is available for qualifying positions

*Paid Time Off Accrual Bank

*Opportunities for growth and advancement

*Tuition assistance/reimbursement

*Excellent pay differentials on qualifying positions

*Flexible scheduling

Job Description

Essential Functions

• Supervise Population Health staff, including time off requests, timeliness, and resolving daily issues/concerns.
• Work closely and collaborate with the quality team, clinical leadership and operations to develop a centralized approach for outreach activities in support of enhancing and maintaining performance on quality measures; this includes HEDIS and other value-based care quality, cost, and utilization measures.
• Continuous collaboration with internal and external stakeholders to support the development and implementation of population health programs and quality improvement/health equity interventions.
• Lead in management of the program, which will include identifying areas of improvement and exploring opportunities for the development of best practices related to care gap closure.
• Establish, execute, and maintain effective quality outreach and patient engagement strategies in an effort to improve performance.
• Recommend strategies to maximize effectiveness and efficiency and ability to address social indicators of health, health disparities, and quality improvement processes.
• Recommend strategies to improve operational systems to maximize the effectiveness of population health programs.
• Design, implement and monitor Population Health Programs that improve select aspects of care and/or prevent negative outcomes due to disparities in care, including submitting formal program development documentation to applicable regulators.
• Implement and analyze year-round clinical improvement activities, including planning, implementation, and coordination of timely and recurring interventions and programs.
• Develop and monitor analytical reports used for quality improvement and population health surveillance.
• Develop and facilitate training for interdepartmental staff and provider networks on population health programs.
• Develop chronic care management pathways, programs and care plans to be utilized by the team of population health nurses.
• Ensures new ideas are adopted and implemented to continually support the healthcare mission while successfully accomplishing those goals the organization must attain.
• All other duties as assigned.

Additional Requirements

Required:

Education - Bachelor's in Nursing

Certification - Registered Nurse (RN) - South Dakota Board of Nursing

Preferred:

Experience - 3+ years in managed care; 5+ years in case management

Certification - Health Coaching Certification

Physical Requirements

Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category

Revenue Cycle

Job Family

Revenue Integrity

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

15 Corporate Services Division

Make a difference. Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.