Description

UNC Health Alliance is UNC Health’s statewide clinically integrated network and population health services organization. The mission of this team is to transform healthcare delivery on behalf of more than 7,200 providers by offering patient-centered solutions to populations covered under alternative payment models. Joining this team means you will work closely with providers, practices, payers, business leaders, and community partners to improve the quality and accessibility of care while lowering the cost of care for patients, payers, and businesses. We are a growing team looking for top talent to help us with creative solutions that improve patient care and help make healthcare more affordable. Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

Responsible for development and supervision of the Care Management Program, including hiring and training of qualified staff of Care/Case Managers, Registered Dietitians, Care Coordinators, and other clinical staff. Works in collaboration with multiple departments to develop policies and procedures, efficient workflows, documentation standards, metrics, and reporting.

Responsibilities:

1. Responsible for driving clinical success, optimizing performance, developing and implementing complex population health services that positively impact patient outcomes throughout the healthcare system and the Health Alliance network of independent providers while reducing utilization of healthcare resources. Establishes efficient workflows, processes, and procedures to ensure compliance with payer requirements.

2. Maintains an environment of safety for patients, self and others.

3. Provides management and supervision of centralized and embedded care management programs. Responsible for recruiting, training, and retention of qualified multidisciplinary team. Establishes efficient workflows, policies and procedures , and documentation standards. Implements evidence based guidelines for effective care management, including patient outreach, education, care transitions, and appropriate referrals to promote care plan adherence and transition to self-management.

4. Establishes a multidisciplinary care team model which encourages active participation from all members.

5. Responsible for implementing quality programs based on Lean Methodology, Continuous process improvement and Hoshin planning to achieve or exceed agreed upon organizational goals to include improved patient outcomes and reduction in utilization of health care resources.

6. Actively participates in UNC HCS committees related to high quality/low cost health care, internal and external provider relationships, and value-based contracts.

7. Responsible for maintaining current skills through self-development and relevant education. Identifies trends and responds proactively to changes in the health care market place.

8. Maintains compliance with governmental and regulatory agencies.

Other Information

Other information:

Education Requirements:

● Requires BSN, MSW, or related health care licensure and experience

Licensure/Certification Requirements:

● Appropriate licensure

Professional Experience Requirements:

● Requires three (3) years management experience leading multidisciplinary teams, previous care management, and clinical management experience. Excellent organization, communication, and interpersonal skills required.

Knowledge/Skills/and Abilities Requirements:

● Language Skills: Ability to read, analyze, and interpret complex documents. Ability to respond effectively to sensitive inquiries and complaints. Ability to make effective and persuasive presentations on controversial or complex topics to top management, public groups, and/or boards of directors. IT Skills: Ability to develop reports and spreadsheets, analyze data and monitor trends. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions.

Job Details

Legal Employer: NCHEALTH

Entity: UNC Physicians Network

Organization Unit: Pop Health-UNCPN Care Mgmt

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Remote

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.