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Value Based Clinical Manager
4 months ago
Value Based Clinical Manager
Millennium Physician Group
Full Time (Monday-Friday 8am-5pm)
Port Charlotte, FL/Remote-Hybrid
Summary
The Value Based Clinical Manager is primarily responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to case management, discharge planning, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and helping to build and maintain a network of community support. This individual must exhibit strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Effectively manage day to day ACO/MA Plan Clinical Programs to enhance clinical efficiencies
- Identify opportunities for increased outpatient vs. inpatient utilization
- Utilizes data provided to help in managing population health needs and implements population programs for ACO/MA Plan beneficiaries
- Execute case management for patients identified at highest risk for adverse event or exacerbation having ability to impact, with goal of decreasing unnecessary emergency department visits/hospitalizations
- Oversee extended patient care team including but not limited to: Social Workers, Emergency Department Liaisons, Behavioral Health Liaisons, and Home Health Liaisons.
- Oversee smooth Transitional Care Management for all patients discharged from in patient facility (hospital, skilled nursing/rehab, behavioral health) ensuring: Primary Care Provider visit, DME and Home Health Services, Specialist appointments, and community resources/social services are provided as indicated.
- Ensure Quality Measures are reviewed and addressed when applicable/appropriate
- Implement and direct ACO/MA Plan Health Education Activities for beneficiaries, providers, and staff
- Participate in Care Coordination and Quality Committees, Primary Care Provider POD Meetings, Hospitalist POD Meetings, Hospital Joint Operation Meetings, JOC Meetings, and other meetings as required
- Monitor corporate initiatives and strategies to achieve utilization of business and financial goals
- Manage the successful integration of ACO Programs into current operations to meet the goals of all stakeholders
- Maintain collaborative relationships with business partners both within the company and the community
- Manage and execute organizational opportunities and implement changes that are in alignment with corporate financial goals and strategic endeavors.
Education and/or Experience
Bachelor's degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience. Registered Nurse preferred.
Benefits:
- 3 weeks PTO & 7 paid holidays
- Medical, Dental, Vision
- Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
- 401(k) with match
- Employee Wellness
- Other Employee Discount programs like Tickets at Work and cell phone discounts
- Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more
See Full Job Description for more details
Why Millennium?
Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.
At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.
Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role with Millennium Physician Group.
If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice
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