Senior Manager, Care Transformation

Company: Medical Home Network
Location: East Peoria
Posted on: August 6, 2022

Job Description:

About UsMedical Home Network (MHN) was founded in 2009 by the Comer Family Foundation to unite health systems and providers around a vision to improve the health of patients and communities in Chicago. Today MHN is expanding its mission and impact in new markets and is a nationally recognized organization focused on transforming care in the safety net and building healthier communities. MHN, which was selected as one of the Best Places to Work in Healthcare by Modern Healthcare in 2021 and 2022, builds partnerships in the community to connect key stakeholders, from comprehensive primary care to community-based organizations. Our passionate care teams build trusted relationships with patients and coordinate care with a focus on whole person health. The MHN model of care is powered by proprietary technology that enhances collaboration among community-based entities, which leads to improved outcomes, lowers costs and reduced health disparities.Job SummaryThe Sr. Care Transformation Manager leads the implementation and monitoring of the MHN clinical integration model of care for their assigned primary care practices or network. The Sr. Care Transformation Manager will spend time with their assigned new geography markets primary care practices care management staff, their team leads and other frontline staff in 1:1 and small group interactions teaching teams how to improve and enhance the care delivery of care management and clinical and practice transformation services. Emphasis is placed on monitoring quality of care and staff development in addition to regulatory oversight. This role plays a critical role in MHN's exciting growth phase and expansion to new markets. The Sr. Care Transformation Manager reports to the Vice President, Client Services & Growth and works closely with MHNs Clinical Integration leadership to leverage the MHN standard model of care methodologies.Essential FunctionsServes as a leader member of the Client Services and Growth Team contributing to the goals and activities of the divisionServes as the lead or co-lead of client services projects tied to strategic goals; this spans initiation to completion and includes establishing the vision, project plan, implementation plan, communication plan and creation of evaluation activities related to the projectContributes to the formation and implementation of clinical and operational initiatives using evidence-based practices to drive results across the MHN growth service line significantly improving care and reducing costsAbility to indirectly or directly supervise staffContributes to the development of the full range of care management tools, health and wellness tools, and techniques including health risk assessments, artificial intelligence, screening tools, and patient and family educational and engagement tools; Assists sites with their implementationDevelops and provides education and training of medical home staff, physician and providers; utilizes webinars and collaborative learning models that may be disease, patient experience or operationally focusedResearches innovative ideas and specific programs and presents findings and develops processes for implementation following approvalWorks directly with primary care practice sites/practice networks and oversees the implementation of the MHN model of care using MHN tools and resources. Evaluate practices against, established care management/clinical guidelines, practice transformation guidelines and provide education and consultation for improvementsOnboard new practice sites/practice networks which include, but are not limited to, an assessment of the medical home's/networks capacity to provide care management and a review and implementation of new primary care practices/networks program requirements with the organization leadership, provider champion and care team staffAssists with the design of workflows to support clinical integration and to maximize the role of care management staff (care managers and care coordinators)Perform periodic full program reviews of practices care management processes. Measures processes against established MHN standards of careMeasure the quality of care management delivered at the practice level through live staff interactions and patient reviews and make recommendations for improvement. Oversee that reccomendtions are implemented as appropiategIntegrate the full range of MHN technology solutions and data analytics, work with sit site-based care management staff to utilize information produced by MHN and other available data to enhance performance and qualityContribute to the formation and implementation of clinical and operational initiatives using evidence-based practices to drive results across the MHN population significantly improving care and reducing costsContribute to MHN playbook which includes the development of the full range of disease management tools, health and wellness tools, and techniques including health risk assessments, screening tools, point of care reminders, and patient and family educational and engagement tools; assists sites with their implementation.Utilize MHNs standard model of care tools to develop and provide education and training to primary care practices/networks staff and provider champions; utilize collaborative and engaging educational models that effect retention and implementation of learnings into practiceManagement of AI high risk stratificationprocess. Training and development relative to designing efficient processes to managing:Care Management (CM) caseloadsOnboarding and discharging patients from care managementOptimizating how the care management team works (collaboration between CC/CM, PCPs and other clinical/administrative supports)Ensuring care manager delegation process (CM step-down process)Provide primary care practices with staffing review and support through comprehensive live case coaching, ensuring proactive review of current cases based on identified standards of care and tools, and integrating meaningful chart review systemsRoutine care management performance oversight using established standardized reportsTraining program participant: Plan and deliver trainings under direction of training managerHold standing meetings with designated members of primary care practices/ network executive leadershipCompetenciesStrong knowledge, skills and demonstrated completion of coursework in quality improvement, and project and data management.Demonstrated knowledge and experience with electronic information systemsDemonstrated knowledge and experience of systems to improve population health and disease managementDemonstrated knowledge and experience in management of disease processesExcellent oral, written and interpersonal communication skills. Ability to work independently and also as a team with a wide variety of individuals. Excellent organizational skillsKnowledge and experience working with NCQA, Medicaid, Medicare standards and requirements.Demonstrated experience in program development, training/education, managementAbilities to foster teamwork among physicians and staff at all levels throughout an organizationExperience in academic medical centers, safety net/public health hospitals, FQHCs and physician groups desirableProficient computer skillsRequired EducationBachelors degree required in Nursing or Masters degree in Social Work with current licensure.Additional Eligibility RequirementsMinimum of 5-8 years of healthcare experience focused on Clinical Integration/Practice Transformation, Hospitals, Ambulatory Care, Physician group; a combination preferred.At least 3-5 years leadership, consulting or customer/patient relationship, health coaching experience desiredWork EnvironmentThis position operates in a professional office environment, and physical presence and regular attendance are essential functions of the job. This role routinely uses standard office equipment.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.While performing the duties of this job, the employee is regularly required to speak and hearThe employee frequently is required to move about the office, use hands to handle or feel, and reach with hands and arms to access and use computer equipment and other office productivity machinerySpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focusThe employee in this position must be able to move and carry presentation materials and equipment weighing up to 40 pounds in connection with business meetings and travelMedical Home Networks policy is to comply with the provisions of all applicable laws and regulations, including the Americans with Disabilities Act, and will provide reasonable accommodations to applicants and employees who are qualified for a job, with or without accommodations, so that they may perform the essential duties of the position.Position Type/Expected Hours of WorkThis is a full-time position that regularly requires a 40-hour work week and that may require long hours and weekend work.TravelTravel as needed for off-site meetings. Approximately 75% of traval will be local, 25% will be outside the Chicagoland/IL market.Other DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.Background ChecksAt any point during your tenure with MHN you may be subject to a background check in accordance with MHNs policies and applicable law. You will receive separately disclosure and authorization forms before any such background check is conducted. This role requires criminal background checks, OIG check, and a credit check.EEO StatementMedical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Keywords: Medical Home Network, Peoria , Senior Manager, Care Transformation, Executive , East Peoria, Illinois