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ToRCH Program Manager
3 months ago
Purpose:
ToRCH Program Manager
The candidate(s) will be responsible for developing and implementing a community-level population health strategy within the hospital and with local partners from three domains (hospital, primary care, and community-based organizations) to improve population health and advance health equity. The activities and tasks to accomplish that goal will include the following:
- Develop strong partnerships across the hospital, the primary care and behavioral health providers, and the local community-based organizations (CBOs) within the rural county.
- Create and administer the activities of a Community Leadership Board to oversee and administer the Transformation of Rural Community Health (ToRCH) population health model.
- Facilitate the integration of the Community Information Exchange (CIE) platform among clinical partners and CBOs.
- Ensure a robust patient screening process captures and utilizes Social Determinants of Health (SDoH) information.
- Ensure strategic coordination of community-based services to more fully achieve the goals of primary care case management on an individual patient level.
- Improve coordinated access strategies to quality health care and specialized healthcare services such as primary care and behavioral health.
- Coordinate and monitor data collection, data sharing and data analysis, including clinic and non-clinical information, to inform the strategic direction of population-based care management, including:
- monitoring closed-loop referral metrics and performance across CBOs (needs met, unmet, refused, etc.; unmet needs for which no CBO is available; performance of specific CBO partners)
- analyzing community health care quality and claims data to inform the evolution of population health strategies in the community
- identify the demographics of the population being met compared to the demographics of the county at large, allowing for the development of outreach and engagement strategies
- Administer and track all ToRCH funds allocated to the project.
- Identify additional partners and/or additional sources of funding (braided funding) to complement population health objectives.
- Research innovative solutions and replicate best practices to address community health priorities.
This role will be supported by clinical administrators who oversee SDoH screening, hospital admission and discharge coordinators, grants management personnel, hospital accounting, and the IS team, to ensure appropriate project administration and to enhance data analytic and reporting accuracy.
Dependability/Appearance
- Demonstrates leadership traits: capacity for work, sense of responsibility, desire to excel, contagious enthusiasm, high sense of integrity, sense of responsibility.
- Attends work as scheduled keeping absenteeism to a minimum.
- Presents a professional appearance.
- Reports to work at scheduled time.
Academic, Certifications, & Trade Qualifications
- Bachelor’s degree required.
- Missouri Licenses Registered Nurse