Nurse Manager- Population Health Case Management
3 weeks ago
Internal Number: REF29546J
Job Description General Summary
The Population Health Program Manager oversees the development and implementation of the care management program for UMMS Population Health Services Organization, including the development of goals and objectives for the Nursing Care Managers, Social Workers, Clinical Pharmacy Specialists, and Program support staff. This position is accountable for designing workflows to meet program goals and metrics and maintaining systems to ensure compliance with accrediting and professional certification bodies. This position is responsible for maintaining relationships and working collaboratively with primary care practices, specialty clinics, Federally Qualified Health Centers, University of Maryland Medical System entities, post-acute service entities, and home care providers This position is responsible for creating and monitoring systems to track and support the interdisciplinary care team and support staff in meeting all organizational, clinical and care management competencies, skills and metrics.
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Renowned as the academic flagship of the University of Maryland Medical System, our Magnet(r)-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won't find a more vibrant place to work
QualificationsKnowledge, Skills, and Abilities
Demonstrates working knowledge of Care Management principles and NCQA accreditation requirements. Demonstrates working knowledge of Population Health incentives as it relates to the financial relationships within the PHSO, including but not limited to, Value Based Care principles, HEDIS metrics, quality outcome data, reimbursement models and HSCRC initiatives. General understanding of QBR, GBR and budgeting. Demonstrated success in a leadership role exhibiting teaching, coaching, and development skills. Demonstrated effectiveness in a consultative role at the organizational level, and experience leading complex change. Ability to supervise, coach and create a motivating environment for clinical and professional personnel. Highly effective interpersonal, verbal, and written communication and presentation skills. The successful candidate will possess tact, diplomacy, and adaptability. Demonstrate effectiveness as a group leader and participant. Demonstrate ability to collaborate with multiple members of the health care and administrative leadership team. Ability to independently develop and manage programs and projects. Ability to plan, organize and follow through on assignments and projects. Knowledge of the Maryland healthcare industry and policy, preferred. Ability to analyze and conceptualize data to ensure achievement of desired outcomes.VI. Patient Safety
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Implements policies, procedure, and standards consistently in the performance of assigned duties. Develops effective working relationships and maintains good communication with other team members.Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
Additional InformationAll your information will be kept confidential according to EEO guidelines.
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