Reports to Title: Director Network Performance, Hampton Roads
# of Direct Reports: 0
Primary Function/General Purpose of Position
Provides in-person guidance and support to the providers, care teams, and affiliates in clinical integration initiatives that supports the quadruple aim and allows the organization to thrive in a value-based health care model. Key responsibilities include proactively maintaining a deep understanding of the key drivers for each practice, translating the data to insights for the practices, collaboratively identifying actionable steps for improvement through a Plan-Do-Study-Act (PDSA) process improvement model, coaching care teams in process improvements, clinical integration, and outcomes.
*This is primarily a remote/work from home position, with occasional onsite requirement. Hire must be local to the Hampton Roads, VA Market.
Essential Job Functions
Completes In person and virtual rounds in the practices on a regular basis to communicate status reports, key drivers of change, leading or lagging indicators, and providing insights to providers and practices
Manages the review of clinical outcomes, patient panel management, and performance metrics for affiliates and employed physicians in the assigned market or Region’s network
Partners with providers and care team members to implement evidence-based protocols and other improvement initiatives based on the insights, monitors ongoing progress, document supports, identify resources, and engages care delivery team
Maintains being a professional role model in practice transformation and under leadership guidance, effectively engages and educates regional stakeholders on the elements, measures, tasks, and tools to be used to support various practice improvement activities
Conducts provider orientation and facilitates onboarding and offboarding of providers into the assigned network as related to panel management and other Clinical Integration key initiatives
Supports, encourages, and works closely with providers, their care teams and regional practice leaders to implement process and quality improvement activities and workflows necessary for successful participation in value-based agreements
Collaborates with Regional and practice staff to facilitate the market implementation of assigned network initiatives and facilitates process improvement activities in support of Clinical Integration initiatives
Conducts chart audits in support of annual quality composite audits with Affiliates not on Epic in support of Mercy Health Select and any other future distributions and chart reviews or quality audits under the direction of System or Regional clinical leadership for the purposes of supporting quality patient care and success in current and future initiatives
Facilitates provider remediation tracking and activities in collaboration with assigned network leadership and the assigned medical and quality leadership
Effectively engages in relationship management to support the ministry outcomes and delivery of care
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Licensing/Certification
Current RN Licensure accredited by Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or Commission for Nursing Education Accreditation (CNEA) (preferred)
Education
BSN Bachelors' of Science Nursing or related Healthcare field (required)
MSN Masters of Science Nursing, MBA, or Master’s degree in related Healthcare field (preferred)
Work Experience
5 year’s of experience in a healthcare setting including ambulatory offices, with previous management or leadership experience with Population Health or Value-Based Contract work including but not limited to: direct patient care, managing payer relationships or health systems outcomes (required)
Working knowledge and familiarization with process improvement models (such as PDSA and A3) (preferred)
Experience in value-based arrangements, clinical reporting packages (such as Milliman or Tableau) (preferred)
Training
None
Language
None
Patient Population
Not applicable to this position
Working Conditions
Periods of high stress and fluctuating workloads may occur.
Long-distance or air travel as needed- not to exceed 10% travel.
General office environment.
May be exposed to high noise levels and bright lights.
May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.
May have periods of constant interruptions.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
Prolonged periods of working alone.
Hazards
Not applicable to this position
Many of our opportunities reward* your hard work with:Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com