Medical Director of Population Health
3 days ago
Job Title: Medical Director of Population Health
About the Role:
The Medical Director of Population Health at Christus Health will play a critical role in developing and implementing strategies to improve patient outcomes and reduce healthcare costs. This position requires a skilled RN or Nurse Practitioner with experience in case management, health coaching, and disease management.
Responsibilities:
- Develop and implement an integrated medical benefit program, including case management and health/disease management services.
- Oversee the coordination of patient care throughout the continuum of care.
- Utilize standard tools, databases, and methodologies to support the health benefit program and provide leadership in managing cases, events, and diseases that are targeted priorities by senior management.
- Interact with providers and plan members in case management medical activities to provide efficient and effective service.
- Analyze data to identify targeted chronic diseases/high risk individuals and develop programs to reduce financial and health risks.
- Monitor and evaluate the effects of case management on the patient population.
- Create outcomes-management focus through interdisciplinary analysis of clinical, financial, and satisfaction elements for the patient population.
- Prepare cost analysis and other reports to determine reasonableness of claim/cost data and utilization rates.
- Maintain consistent attendance, punctuality, and personal appearance in accordance with CHRISTUS attendance and dress code policies.
Requirements:
- RN License in state of employment or compact.
- BLS Certification.
- 5-7 years of experience in nursing or healthcare management.
Salary: $110,000 - $140,000 per year, depending on experience.
Work Schedule: Varies
Work Type: Full Time
About Christus Health: Christus Health is a Catholic healthcare ministry committed to delivering compassionate, high-quality care to those we serve.
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