Nurse Manager, Population Health CsvmedicalGroup/Full-Time
Company: Christus Health
Location: Santa Fe
Posted on: April 28, 2024
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Job Description:
Description POSITION SUMMARY: Responsible for day to day
supervision of care coordination and population health programs. In
conjunction with director will oversee planning, budget, and
implementation of care coordination programs both internal and
external. Provides leadership to care coordination staff in areas
such as; job duties, productivity, attendance, customer service.
Responsible for advancing the functionality and reporting
efficiency of a variety of Alternative Payment programs including
but not limited to the following: CHQCA and community provider
practices including training on HEDIS measures and annual quality
abstraction to support (Medicare Shared Savings Program). This
position is responsible for the oversight of the Mayo Clinic
E-consult, E-boards data support. Enhanced Oncology Care Model CMS,
Transition of Care Programs, PCMH, VBP via cloud based data
applications. Manager is responsible for compilation and
preparation of data results related to all aspects of care
coordination operations including; ACO care gap closures, CMS data
metrics and documentation that supports contracted alternative
payment models including; CHRISTUS Health Plan, BCBS, Presbyterian
Centennial, Optum, United Health Care STARS program and others.
Manager provides supervision of accurate and timely billing for
non-face to face services for CMS program work. - Requirements
MINIMUM QUALIFICATIONS: - EDUCATION : Bachelors of Science in
Nursing required. CERTIFICATION/LICENSES: - -Current license to
practice as a RN in New Mexico SKILLS: - Demonstrated knowledge of
computer database function and reporting Must be able to read,
write and speak English fluently Proficient in office management
and administrative procedures Ability to develop and maintain
strong working relationships with insurance providers, providers
and leadership Relies on experience and judgment to plan and
accomplish goals, lead and direct the work of others, and perform a
wide variety of tasks A wide degree of creativity, latitude and
autonomy is expected Advanced knowledge of computer technology,
including word processing, spreadsheet, database, and graphics
software in order to prepare publications, reports, and business
correspondence EXPERIENCE: - Minimally five years supervisory
experience in diversified positions within a health care
organization. Considerable knowledge of population health and
alternative payment models preferred. - NATURE OF SUPERVISION:
-Responsible to: - Executive Director of Ambulatory Nursing
Supervision of all care coordination staff Supervision of Value
Based Purchasing and Alternative Payment Models and quality
deliverables working in conjunction with Medical Director of
Ambulatory Quality. Supervision and support of Mayo Clinic Care
Network as it relates to the role of RN E-health coordinators.
Supervision of Patient Care Coordinators who facilitate transition
of care from inpatient and ED. Supervision of staff performing
Pre-Surgical Assessment and Screening (PASS) ENVIRONMENT:
Bloodborne pathogen: A - Works in a clean, well-lighted, smoke free
environment. Bloodborne pathogen: B - If involved in clinical
contact. PHYSICAL REQUIREMENTS: - Subject to stressful professional
relationships. - Working hours vary, with flexibility due to
unexpected changes in schedule and emergencies. - Requires the
ability to speak, listen, develop and communicate written
materials. May be required to lift, push, pull and/or carry up to
50 lbs.
Keywords: Christus Health, Santa Fe , Nurse Manager, Population Health CsvmedicalGroup/Full-Time, Healthcare , Santa Fe, New Mexico
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