Population Health Care Quality RN
US-AZ-Phoenix
commonspirit_careers
Req #: 408183
Type: Day
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Overview: Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 400 providers and 1200 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic research and leadership roles.DHMG is also heavily involved in preparing tomorrows healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Healths mission and St. Josephs guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised.Look for us on Facebook and follow us on Twitter.For the health of our community ... we are proud to announce that we are a tobacco-free campus Responsibilities: **MUST RESIDE IN ARIZONA The Population Health and Care Quality RN provides managerial oversight of managed care incentives programs (e.g. quality/HEDIS/PCMH) to maximize incentive capture. Coordinate with medical directors regional directors and clinical pharmacist within incentive programs. Serve as a liaison to hospital case mgmt. to facilitate care coordination post- acute to the transitional care clinic. Identify gaps in care via data mining EHR and facilitate patient appointments and appropriate follow-up (mammo HTN/DM etc). PCMH oversight. Manage Monthly PCMH meetings. ACN liaison & contact for navigator to prevent attribution loss. Must possess significant knowledge of quality metrics: Ambulatory Acute Care PCMH ACN and payor population health incentives. * Serves as leader and/or member of multi-functional, multi-department project teams to provide direction in the development, management, and implementation of hospital initiatives. * Provides focused management of projects, initiatives and tasks designated as priorities with specific attention to activities relating to new business implementations and other new business requirements. * Develops standardized processes, tools, methodologies and presentation templates, including: project timetables, progress/milestone reports, financial reports, resource, issues and benefits tracking. * Identifies potential project risks and implements appropriate courses of action to address project slippage and develop strategies to mitigate future risk; Escalates critical issues for appropriate/timely resolution as needed. * Maintains regular contact with senior project sponsors and coordinates program efforts with other key stakeholders (e.g., Finance, IT, HR, etc.). * Able to analyze, apply, interpret and communicate policies, procedures and regulations effectively to meet licensing and accreditation requirements. * Performs other duties and responsibilities as requested. Qualifications: MINIMUM Bachelor's Degree or equivalent combination of education and experience. 5 years experience working in an Ambulatory/Acute Care environment including PCMH, ACN, Payor Population Health Incentives and with quality metrics AZ RN license PREFERRED Experience MIPS Ambulatory Quality and Ambulatory Regulatory Standards Must be detail oriented and able to focus on multiple hospital and system operations. Effective communication skills with diverse groups, including physicians, managers and employees. Experience working with Microsoft Project or other Project Planning software. Knowledge of hospital operations and planning ability.
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