Current jobs related to RN Population Health Manager - san diego - Rady Children's Physician Management Services


  • San Diego, United States Rady Children's Physician Management Services Full time

    Rady Children's Physician Management Services (RCPMS) offers exciting opportunities for qualified candidates to join our rapidly growing organization. We are a wholly owned subsidiary of Rady Children's Hospital and Health Center with just over 500 employees. RCPMS supports primary care pediatricians with 32 office locations throughout San Diego and Southern...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Manages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIESManages, supervises Service Coordinators, and assists the Director of STAR+PLUS with oversight of Service Coordination (SC) staff in the Population Health Management department to facilitate high-quality, cost-effective care for Community First Health Plans, Inc. (Community First) STAR+PLUS Members. Works with Community First...


  • San Antonio, Texas, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIESAs a key member of the Population Health Management department at University Health, the successful candidate will oversee Service Coordinators and collaborate with the Director of STAR+PLUS to ensure high-quality, cost-effective care for our STAR+PLUS Members. This role requires strong leadership and communication skills to...


  • San Antonio, Texas, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIESAs a key member of the University Health team, the Vice President of Population Health Management plays a vital role in promoting a population health management approach to healthcare within a managed healthcare environment. This includes supporting Community First's goals to prevent illness, injury, disability, and early...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Promotes a population health management approach to health care within a managed health care environment for assigned product lines including STAR Kids, STAR+PLUS, Medicare Advantage and Medicare Advantage Dual Special Needs Plan (D-SNP). Supports Community First’s goals to prevent illness, injury, disability and early...

  • Medical Director

    3 weeks ago


    San Diego, California, United States Optum Full time

    Transforming Healthcare in San DiegoOptum is seeking a highly skilled Associate Medical Director to join our clinical leadership team in San Diego, CA. As a member of our team, you will play a crucial role in developing and implementing population health and medical management initiatives that improve patient outcomes and drive business success.Key...

  • Nurse Consultant

    3 weeks ago


    San Antonio, Texas, United States Defense Health Agency Full time

    Job SummaryWe are seeking a highly skilled Nurse Consultant to join our team at the Defense Health Agency. As a key member of our population health management team, you will be responsible for planning, designing, and implementing disease management programs to improve health outcomes for our beneficiaries.Key Responsibilities:Collaborate with healthcare...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Promotes a population health management approach to health care within a managed health care environment for assigned product lines including STAR Kids, STAR+PLUS, Medicare Advantage and Medicare Advantage Dual Special Needs Plan (D-SNP). Supports Community First's goals to prevent illness, injury, disability and early...


  • San Antonio, TX, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIESPromotes a population health management approach to health care within a managed health care environment for assigned product lines including STAR Kids, STAR+PLUS, Medicare Advantage and Medicare Advantage Dual Special Needs Plan (D-SNP). Supports Community First’s goals to prevent illness, injury, disability and early...

  • Nurse Consultant

    3 weeks ago


    San Antonio, Texas, United States Defense Health Agency Full time

    Job SummaryThe Defense Health Agency is seeking a highly skilled Nurse Consultant to join our team. As a key member of our population health management team, you will be responsible for planning, designing, implementing, and evaluating population health and disease management programs.Key Responsibilities:Collect, review, and interpret population-based data...

  • Nurse Consultant

    3 weeks ago


    San Antonio, Texas, United States Defense Health Agency Civilian Corps, Falls Church, VA Full time

    Job SummaryThe Defense Health Agency Civilian Corps is seeking a highly skilled Nurse Consultant to join our team. As a Healthcare Interrogator, you will be responsible for planning, designing, and implementing population health and disease management programs. Your expertise will be crucial in identifying and addressing the healthcare needs of our...

  • RN Case Manager

    3 weeks ago


    San Diego, California, United States Family Health Centers of San Diego Full time

    Job SummaryFamily Health Centers of San Diego is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a critical role in ensuring the medical program is clinically correct and being followed for patients within assigned community health programs.Key ResponsibilitiesCompletes all required documentation accurately, in a...

  • RN Case Manager

    3 weeks ago


    San Diego, California, United States Family Health Centers of San Diego Full time

    Transforming Lives through Compassionate CareFamily Health Centers of San Diego is dedicated to delivering exceptional healthcare services to underserved communities. As a RN Case Manager, you will play a vital role in ensuring our patients receive the highest quality care.Key Responsibilities:Conduct thorough case reviews to ensure medical programs are...


  • San Juan Bautista, California, United States Central California Alliance for Health Full time

    About the RoleWe are seeking a highly skilled Quality and Health Programs Supervisor to join our team at Central California Alliance for Health. This role will be responsible for overseeing the Quality Improvement and Population Health Department, acting as a subject matter expert, and providing guidance on Quality Improvement and Population Health...


  • San Diego, California, United States Scripps Health Full time

    About the RoleThis is a benefited, fully remote, full-time position with an 8-hour DAY shift schedule. The successful candidate will work Monday through Friday, 8am - 5pm, and enjoy comprehensive benefits that cover health & wellness, career development, and retirement options.At Scripps Health, you will experience the pride, support, and respect that has...


  • San Antonio, United States University Health Full time

    POSITION SUMMARY/RESPONSIBILITIES Assist the department director and leadership in overseeing the program development, data and analytical support for various healthcare data and sources for use in promoting Community Initiatives and Population Health projects’ sustainability plan.  Ensures consistency of data definition and collection processes...

RN Population Health Manager

2 months ago


san diego, United States Rady Children's Physician Management Services Full time

Rady Children's Physician Management Services (RCPMS) offers exciting opportunities for qualified candidates to join our rapidly growing organization. We are a wholly owned subsidiary of Rady Children's Hospital and Health Center with just over 500 employees. RCPMS supports primary care pediatricians with 32 office locations throughout San Diego and Southern Riverside Counties.


Under the supervision of an Associate Director and in collaboration with the CPCMG Director of Population Health, the Population Health Clinical Manager has oversight of Population Health programs including but limited to patient care coordination, data collection and resource management. The Population Health Clinical Manger works in partnership with the Population Health Manager on the broader scope of Population Health to improve outcomes of specific patient groups based on identified clinical risk, SDOH and community factors. The Population Health Clinical Manager provides clinical expertise and oversight of the development of Population Health initiatives, studies, and pilots and will perform due diligence to identify specific patient populations through vetted data and reporting requirements. The Population Health Clinical Manager directly supervises RN Care Coordinators and Specialists and partners with various RCPMS departments, CPCMG leadership and applicable embedded external resources on population health initiatives.


Responsibilities:


  • Works collaboratively with Associate Director and CPCMG Population Health Director to generate ideas for Population Health and Care Team supported workflows.
  • Develops goals and objectives for the Population Health department and ensures implementation of operating plans.
  • Develop and implement policies and procedures that have direct impact for the day-to-day operations.
  • Monitors productivity and workflow, achieves budget targets, and ensures operational efficiency and quality of services
  • Provides routine and ad hoc reporting for various Population Health initiatives and pilots.
  • Develop and enforce policies and procedures for patient-centered care management encompassing various Population Health functions.
  • Works closely with various RCPMS departments including Quality and Epic services to develop workflows including procedures and protocols.
  • Coordinates with Ops and CPCMG leadership on various population health initiatives through Center of Excellence programs.
  • Collaborate with other CPCMG ancillary programs (i.e., Mental Health, Newborn, Lactation, etc.) to eliminate redundancy in care coordination.
  • Act as a liaison between community partners such as CBOs, RCHSD, payors and CPMG
  • Oversees, maintains, and ensures proper tracking of patient outreach and appropriate documentation of patient encounters.
  • Participates in various committee/task force work.
  • Travel and work between various CPCMG locations.


Requirements:


  • Graduate of NLN accredited school of nursing.
  • Bachelors of Science degree in Nursing highly desired.
  • Current RN license in the State of California
  • CA Drivers License and insurance
  • 2 years supervisory experience, such as charge nurse, supervisor, lead or manager
  • Has experience with one or more of the following areas: case management, care coordination, population health, public health, nurse educator, quality management or utilization management


If you want to work with a great group of people, we invite you to join us in promoting the health of children within our communities.


For full-time positions RCPMS offers the full scope of benefits, a competitive compensation package and opportunities for professional growth.


Rady Children’s Physician Management Services is proud to be an Equal Opportunity Employer.


To be considered, please submit a resume and cover letter.