Address
Form of workUnder the supervision of the Director of Care Management, the Manager of Population Health Management will provide management of the daily operation of the Care Management department. This position provides transformational support to assist the team in improving the Patient Center Medical Home recognition by providing and implementing established evidence-based tools to improve quality and maintain standards set by the Center for Medicare and Medicaid Services (CMS) and through the National Committee for Quality Assurance (NCQA) in the Patient-Centered Medical Home (PCMH model). Additionally, this position has overall responsibility for managing the staff in the Care Management department for performance, process compliance, and education/training needs.
The manager collaborates with the managers and medical staff of the PCMH clinics to ensure that the clinical practices are supportive of maintaining NCQA PCMH recognition. This position will be responsible for submitting the applications and supporting documents for PCMH recognition. This position oversees Valleywise Health's screening, referral, and meeting of patients' Health-Related Social Needs (HRSNs) and whole health care, including physical and behavioral health. In collaboration with behavioral health leadership, the manager works with the care team to ensure appropriate education, training, monitoring, and ongoing improvement in the Valleywise Health processes across Departments and disciplines from staff to leadership.
Annual Salary Range: $97,240.00 - $143,436.00
Qualifications
Education:
- Requires a bachelor’s degree or higher in Nursing.
- Prefer master’s degree in nursing.
Experience:
- Must have a minimum of five (5) years of progressively responsible Patient-Centered Medical Home model experience that demonstrates a strong understanding of the required knowledge, skills, and abilities.
- Requires prior supervisory/management experience, preferably within ambulatory nursing area.
- Prefer experience with submitting documentation of NCQA recognition.
Certification/Licensure:
- Requires a current, valid AZ or compact state RN licensure.
- Must be in good standing with the issuing Board of Nursing.
- Requires BLS card obtained through an approved American Heart Association (AHA) training center upon hire.
- A Care Coordination Transition Management (CCTM) or Case Management (CM) certification is preferred and will be required within one (1) year of hire.
Knowledge, Skills, and Abilities:
- Must demonstrate knowledge of PCMH standards, ambulatory disease states, preventative and wellness management practices and pathways, HEDIS criteria, Valleywise policies and procedures, and regulatory standards, ensuring high quality and safe standards of care.
- Must be able to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale.
- Must be approachable, people-oriented, and a good listener.
- Must be a change agent able to develop, implement, and maintain policies and processes.
- Requires the ability to be a creative, independent thinker.
- Must exhibit high professionalism, customer service, and enthusiasm, combined with the ability to build relationships with business and key stakeholders.
- Must possess solid analytical and problem-solving skills and the ability to utilize the appropriate management techniques to plan, organize, control, and coordinate activities.
- Must exhibit competency in Microsoft Office software programs and other software systems once trained.
- Must be able to read, write, and speak effectively in English.
