Expected Weekly Hours:40
Position Purpose:At Mount Carmel, we’re committed to making a meaningful difference in the lives of our patients and communities. Our colleagues – people like you – share our passion for always going above and beyond to provide the highest standards of care.
Job Description Details:
At Mount Carmel we challenge our leaders and managers to live our values and lead with strength. Only through their commitment to our colleagues will we continue to advance our mission. Our commitment to you: collaborative leaders and opportunities for professional development.
The Population Health Manager, RN is responsible for establishing and overseeing Health Partners Care Management Program and policies for all Population Health patient care services and activities which ensure the provision of quality health care services delivered and/or arranged by Mount Carmel Health
Partners. Responsibilities include oversight of daily program activities including the supervision of RNs and other health care professionals to assure effective care management program goals are met.
- Works independently and collaboratively with the Director of Performance Improvement,
- COO and Medical Director to support implementation of key strategic planning goals.
- Participates as an active case manager as well as representing the Care Management
- Department in collaboratively meeting operational, budget, and strategic planning goals.
- Directs and provides leadership to Population Management staff, as well as oversight of all human resources activities including addressing competencies and completing performance appraisals in a timely manner.
- Prepares and administers department budget related to Care Management, if appropriate.
- Develops, implements, and communicates effectively with internal and external customers regarding all regulatory requirements, Care Management activities and corresponding policies and procedures related to such activities.
- Oversees daily operations of department including hiring, annual appraisals and ongoing training and education of staff and volunteers.
- Responsible for development, implementation and management of the annual Care Management Plan and all related activities.
- Oversees development of all Member and provider education materials related to Care Management.
- Develops collaborative working environment with contracted providers to promote Care coordination among all providers in the care continuum.
- Travel required, as necessary.
- Oversees processes to identify and refer appropriate patients to eligible programs within Mount Carmel Health and other payer care management programs such as Diabetes/Nutrition services and Complex Care Management.
- Oversees the care coordination of the high-risk targeted population in an appropriate, efficient and cost-effective manner.
- Manages departments program to develop action plan that coordinates and monitors program timelines and develops appropriate educational materials/program materials for patients, physicians and staff.
- Creates and oversees oversight of case management database of patients who have had outreach which may include readmissions, ER utilization, referrals and treatment plans..
- Education: Bachelor’s Degree in Nursing required, Master's Degree preferred. Graduate
- of an APN program.
- Licensure / Certification: Current license to practice as a Registered Nurse in the State of Ohio;
- Certified as an Advanced Practice Nurse in designated specialty preferred.
- Experience: Two to five years of case management work in a health plan or provider setting with experience in managing others required. Managed care experience preferred. 2-4 years of clinical nursing experience preferred with at least 2 years' experience in utilization review, discharge planning, case management or disease management required. Nursing experience working with high-risk patients beneficial
Discovering opportunities, support and excellence – all while making a real difference in patients’ lives – begins at Mount Carmel. Find a new beginning and advance your career with us.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, or physical ability.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.