Address
Form of workCompensation: $72,798.60 - $90,998.25 (annual salary, based on years of experience)
Summary: The Care Coordination Manager oversees theteam of Care Coordination and Project HER while ensuring alignment of deliveryof care with Primary Care First [PCF], Patient Centered Primary Care Home[PCPCH], and various payor contracts including Medicare. This individualprovides some direct service as a Care Coordinator. This Manager works within the QualityDepartment and Primary Care Teams to communicate and help implement processesto achieve quality measures and to best support patients and impacts of theirunique Social Determinants of Health (SDoH). The Care Coordination Managerfunctions as a single point of contact and advocate for the members of the CareCoordination Division.
PrincipalResponsibilities:
1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards Handbook. To this end, employee will beexpected to read, have familiarity, and embrace the principles containedwithin.
2. Work within the interdisciplinary team as partof our Patient Centered Primary Care Medical Home.
3. Collaborate with interdisciplinary teams andexternal stakeholders to continuously improve Care Coordination and theintegration of services within the department and with external stakeholders.
4. Review hospitalutilization and implement strategies for further promoting health at home.
5. Continuously assess andimprove the Care Coordination teams' performance based on patient needs, directand participate in improving performance and services which benefit staff and patientsand maintain appropriate quality improvement programs in response to staff andpatient feedback.
6. Develop and implement policies and workflowsthat guide and support compliance with organizational policies, state andfederal regulation and industry standards as well as Care Coordination specificPCF, PCPCH, and private payor requirements.
7. Collaborate with the Quality Division to helpensure metrics are effectively communicated to teams.
8. Assist the Director of Quality Improvement indesigning, implementing, and maintaining efficient systems and processes whichpromote departmental efficiency, productivity, and assure compliance withregulatory standards.
9. Work with individualproviders to facilitate changes in practice patterns, when appropriate asdirected by the Quality Director/CMO.
10. Improve the quality of care through continuingeducation and self-evaluation of the effectiveness of care. This includesattendance/participation in most in-services/department meetings and remainingcurrent on clinic/department policies and procedures.
11. Maintain an openness to change and foster thatattitude with peers, staff, and providers.
12. Administer organizational and departmentalpersonnel activities such as interviewing, hiring, and evaluating employeeperformance. Foster and maintain a work culture conducive to serviceexcellence, employee satisfaction and fair employment practices.
Education/Licensure/Experience:
OR
Knowledgeand Skills:
Key Performance Indicators
Hospital Follow-ups (HFUs) will be completed within 48 hours.
Emergency Follow-ups (EFUs) will be completed within 7 days.
Summary: The Care Coordination Manager oversees theteam of Care Coordination and Project HER while ensuring alignment of deliveryof care with Primary Care First [PCF], Patient Centered Primary Care Home[PCPCH], and various payor contracts including Medicare. This individualprovides some direct service as a Care Coordinator. This Manager works within the QualityDepartment and Primary Care Teams to communicate and help implement processesto achieve quality measures and to best support patients and impacts of theirunique Social Determinants of Health (SDoH). The Care Coordination Managerfunctions as a single point of contact and advocate for the members of the CareCoordination Division.
PrincipalResponsibilities:
1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards Handbook. To this end, employee will beexpected to read, have familiarity, and embrace the principles containedwithin.
2. Work within the interdisciplinary team as partof our Patient Centered Primary Care Medical Home.
3. Collaborate with interdisciplinary teams andexternal stakeholders to continuously improve Care Coordination and theintegration of services within the department and with external stakeholders.
4. Review hospitalutilization and implement strategies for further promoting health at home.
5. Continuously assess andimprove the Care Coordination teams' performance based on patient needs, directand participate in improving performance and services which benefit staff and patientsand maintain appropriate quality improvement programs in response to staff andpatient feedback.
6. Develop and implement policies and workflowsthat guide and support compliance with organizational policies, state andfederal regulation and industry standards as well as Care Coordination specificPCF, PCPCH, and private payor requirements.
7. Collaborate with the Quality Division to helpensure metrics are effectively communicated to teams.
8. Assist the Director of Quality Improvement indesigning, implementing, and maintaining efficient systems and processes whichpromote departmental efficiency, productivity, and assure compliance withregulatory standards.
9. Work with individualproviders to facilitate changes in practice patterns, when appropriate asdirected by the Quality Director/CMO.
10. Improve the quality of care through continuingeducation and self-evaluation of the effectiveness of care. This includesattendance/participation in most in-services/department meetings and remainingcurrent on clinic/department policies and procedures.
11. Maintain an openness to change and foster thatattitude with peers, staff, and providers.
12. Administer organizational and departmentalpersonnel activities such as interviewing, hiring, and evaluating employeeperformance. Foster and maintain a work culture conducive to serviceexcellence, employee satisfaction and fair employment practices.
Education/Licensure/Experience:
- One of the following required:
- Graduate of an accredited School of RegisteredNursing with current unencumbered State of Oregon license as a Registered Nurse(RN)
OR
- Master's degree in Social Work (MSW)
- Current BLS certification required
- Three (3) to five (5) years of experience withat least 2 years in supervisory role required
Knowledgeand Skills:
- Proficient in MS Office and computer systems
- Ability to work compatibly withphysicians/providers and staff
- Excellent communication skills- effectivelyinteract with people and develop positive relationships while being tactful, respectful,and direct in communication
- Organizational and leadership skills workingwith interdisciplinary teams
- Effective problem solving and ability toanalyze and use data for decision making
- Ability to manage, build, and maintainsuccessful teams
- Case Management experience preferred
- Experience with utilization management andrisk-based contracting preferred
Key Performance Indicators
Hospital Follow-ups (HFUs) will be completed within 48 hours.
Emergency Follow-ups (EFUs) will be completed within 7 days.
- Care Plan creation and maintenance for high-riskpatients
- Case Management referrals completed accordingto PCPCH requirements
