Manager – Population Health

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Manages, coordinates, and evaluates all elements of financial, material and human resources in the provision of care coordination to assigned group of patients in accordance with the service and missions of the institution. Will have oversight of specific departmental role(s) and will work closely with other Population Health managers to ensure team continuity.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE:

1. Bachelors of Science Degree in a healthcare field

EXPERIENCE:

1. Five years of experience in a healthcare setting.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Certified Case Manager (CCM) credential

EXPERIENCE:

1. Three years of care coordination experience.

2. Two years in a leadership role.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Advises the Director on the hiring, retention, interviewing and recruitment of staff.

2. Initiates and maintains appropriate personnel records.

3. Assists in the development and implementation of on-going educational programs for professional and support staff which include new employee orientation, in-service continuing education, and new equipment and/or systems training which enables the staff to perform on the basis of current policy/procedures and state-of-the-art practices.

4. Provides ongoing feedback to employees concerning job performance through goal development, peer evaluation, and performance evaluations. Counsels and disciplines employees, under the direction of the Director.

5. Monitors on a continual basis all personnel and current expense budgets providing information and/or justification of variances to the Director.

6. Makes recommendations for preparation of the budget for cost center annually upon notification of the

Director to assure cost effective operations.

7. Communicates effectively with physicians, nurses, and other personnel in problem identification and resolution in a timely manner.

8. Promotes customer satisfaction through response to customer perceptions of services provided in a professional and constructive manner. Ensures the establishment and implementation of a team culture that is patient centered.

9. Participates in various activities (i.e. staff meetings, in-services, etc.) to assist the Director in the dissemination of necessary information to staff, physicians, and others by written and/or verbal means.

10. Monitors current expense and human resource funds for his/her cost center cost effectively.

11. Spends funds in dollar amounts which are congruent with the departments’ budget and is reflective of cost containment.

12. Maintains effective communication with fellow managers. Medical Staff, patients, staff, and other departments as necessary to assure identification of problems and provide problem resolution in support of the health system’s mission of quality patient care delivery.

13. Facilitates the professional development of personnel. Oversees and participates in the orientation, training, and continuing education of the staff (departmental and interdepartmental) and other health related personnel.

14. Participates in outreach activities in the community in order to educate and/or promote good relationships.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office setting

2. Time will be spent traveling to physician practices

SKILLS AND ABILITIES:

1. Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues

2. Ability to work with people of all social, economic, and cultural backgrounds and be flexible, open minded, and adaptable to change

3. Capable of independent judgment and action regarding psychosocial needs of patients.

Additional Job Description:

**RN PREFERRED

This leadership position is responsible for overseeing a team of ambulatory nurse case managers who collaborate closely with Primary Care Physicians, PeakHealth, and a multidisciplinary care team to support patients in achieving their health goals. As Population Health continues to expand and evolve, we are seeking candidates with experience in the following areas:

• Ambulatory case management
• Collaboration with or employment within health insurance organizations
• Development and implementation of policies and procedures
• Leadership of both remote and on-site teams
• Familiarity with accreditation standards, including those from NCQA or comparable accrediting bodies
• Proficiency in EPIC and Compass Rose

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

415 POPH Population Health Management