System Medical Director – Ochsner Health Network Home Care Solutions

2 weeks ago

New Orleans, United States Ochsner Health Full time

The System Medical Director - OHN Home Care Solutions reports to the Ochsner Health Network CMO. This 0.5 FTE position provides clinical leadership for all aspects of population health programs where the care is delivered in the home setting pertinent to Ochsner Health and Ochsner Health Networks Medicare Advantage, Medicare Shared Savings Program, and Commercial value-based agreements.

Position Highlights:

  • This includes oversight of the APP at home programs, including the performance of the AWV home program, the transition of care program, and ED to home programs and other programs as potentially developed and established in the future. 
  • This does not include Hospital-at-Home programs. 
  • This includes establishing, meeting, and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives of Ochsner Health. 
  • The medical director will have shared accountability for the clinical aspects of population health programs and services.
  • The medical director is responsible for working collaboratively with other population health solutions that align with the broader value-based performance management strategy. 
  • The Medical Director works closely with a variety of stakeholders coordinating the activities of home-based programs and services across the network. 

Key Outcomes:

  • Supports all clinical aspects of home-based population health programs and services including, but not limited to provider education and feedback, coding and clinical documentation, network development and management, APP oversight, readmission prevention, quality programs and outcome measurement.
  • Works in conjunction with OHN leadership to understand and act upon opportunities to reduce unnecessary readmissions, hospitalizations, and ED visits. Will include presentations at operating reviews, and to payors, providers, and regional leadership teams as needed.
  • Coordinates home based support programs with outside vendors and monitors for quality and performance in alignment with value-based performance goals and objectives.
  • Provides clinical leadership and oversight to post-acute at home transition programs including, but not limited to home health certification and recertification programs, and APP home visits.
  • Collaborates with Ochsner Connected Care in order to facilitate growth, feedback, and potentially design input of home based care programs.
  • Supports the VP - Post-Acute and the VP - Care Management as physician leader in all clinical aspects of home-based population health programs and services.
  • Supports the CMO of OHN and the Medical Director of OACN, as physician leader in all clinical aspects of population health home-based programs and services throughout OHN and OACN. Will include presentations at OHN/OACN committees, physician education for OACN and OHN participating providers inside and outside of Ochsner Health, and participation in payer meetings concerning home solutions.
  • Supports the Chief Population Health Officer in initiatives and programs to reduce readmissions and unnecessary admissions and improve quality outcomes while reducing avoidable or unnecessary costs.
  • Works collaboratively with the Medical Director of Post-Acute in programs to improve proper post discharge placement and care.
  • Works collaboratively with the Medical Director of Clinical Documentation Excellence in programs to ensure proper documentation in the home setting.

Education/Experience:

  • Medical degree with 5+ years of practice experience, Board certified in current specialty.
  • Active and unrestricted license to practice medicine or surgery in Louisiana required.
  • Medical director experience preferred but not required, with demonstrated knowledge of health care systems, including Medicare advantage and Medicare shared savings programs.
  • Advanced degree (MBA, MMM), or progress towards such degree is preferred but not required. 

Skills/Knowledge/Competencies:

  • Knowledge and practical understanding of healthcare systems and healthcare quality and population health programs.
  • Demonstrated ability to lead change (internally and externally) and produce measurable results within a specified time period.
  • Demonstrated ability to lead, manage and collaborate with others.
  • Good analytic skills with the ability to identify meaningful trends and targets for improvement.
  • Excellent interpersonal skills and the demonstrated ability to establish rapport and working relationships with providers, payors, and internal staff.
  • Strong communication and presentation skills; ability to tailor message to a variety of audiences.
  • Successful utilization of process improvement tools and methods to achieve results.

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