Nurse Manager, Population Health CSVMedical Group/Full-Time
Nurse Manager, Population Health CSVMedical Group/Full-Time
ZipRecruiter
Santa Fe, NM
See who ZipRecruiter has hired for this role
Job DescriptionDescription
POSITION SUMMARY: Responsible for day to day supervision of care coordination and population health programs. In conjunction with director will oversee planning, budget, and implementation of care coordination programs both internal and external. Provides leadership to care coordination staff in areas such as; job duties, productivity, attendance, customer service.
Responsible for advancing the functionality and reporting efficiency of a variety of Alternative Payment programs including but not limited to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared Savings Program).
This position is responsible for the oversight of the Mayo Clinic E-consult, E-boards data support. Enhanced Oncology Care Model CMS, Transition of Care Programs, PCMH, VBP via cloud based data applications. Manager is responsible for compilation and preparation of data results related to all aspects of care coordination operations including; ACO care gap closures, CMS data metrics and documentation that supports contracted alternative payment models including; CHRISTUS Health Plan, BCBS, Presbyterian Centennial, Optum, United Health Care STARS program and others. Manager provides supervision of accurate and timely billing for non-face to face services for CMS program work.
Requirements
MINIMUM QUALIFICATIONS:
EDUCATION: Bachelors of Science in Nursing required.
CERTIFICATION/LICENSES: Current license to practice as a RN in New Mexico
Skills
Nature Of Supervision
POSITION SUMMARY: Responsible for day to day supervision of care coordination and population health programs. In conjunction with director will oversee planning, budget, and implementation of care coordination programs both internal and external. Provides leadership to care coordination staff in areas such as; job duties, productivity, attendance, customer service.
Responsible for advancing the functionality and reporting efficiency of a variety of Alternative Payment programs including but not limited to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared Savings Program).
This position is responsible for the oversight of the Mayo Clinic E-consult, E-boards data support. Enhanced Oncology Care Model CMS, Transition of Care Programs, PCMH, VBP via cloud based data applications. Manager is responsible for compilation and preparation of data results related to all aspects of care coordination operations including; ACO care gap closures, CMS data metrics and documentation that supports contracted alternative payment models including; CHRISTUS Health Plan, BCBS, Presbyterian Centennial, Optum, United Health Care STARS program and others. Manager provides supervision of accurate and timely billing for non-face to face services for CMS program work.
Requirements
MINIMUM QUALIFICATIONS:
EDUCATION: Bachelors of Science in Nursing required.
CERTIFICATION/LICENSES: Current license to practice as a RN in New Mexico
Skills
- Demonstrated knowledge of computer database function and reporting
- Must be able to read, write and speak English fluently
- Proficient in office management and administrative procedures
- Ability to develop and maintain strong working relationships with insurance providers, providers and leadership
- Relies on experience and judgment to plan and accomplish goals, lead and direct the work of others, and perform a wide variety of tasks
- A wide degree of creativity, latitude and autonomy is expected
- Advanced knowledge of computer technology, including word processing, spreadsheet, database, and graphics software in order to prepare publications, reports, and business correspondence
Nature Of Supervision
- Responsible to: Executive Director of Ambulatory Nursing
- Supervision of all care coordination staff
- Supervision of Value Based Purchasing and Alternative Payment Models and quality deliverables working in conjunction with Medical Director of Ambulatory Quality.
- Supervision and support of Mayo Clinic Care Network as it relates to the role of RN E-health coordinators.
- Supervision of Patient Care Coordinators who facilitate transition of care from inpatient and ED.
- Supervision of staff performing Pre-Surgical Assessment and Screening (PASS)
- Bloodborne pathogen: A – Works in a clean, well-lighted, smoke free environment.
- Bloodborne pathogen: B – If involved in clinical contact.
-
Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Health Care Provider -
Industries
Mechanical Or Industrial Engineering
Referrals increase your chances of interviewing at ZipRecruiter by 2x
See who you knowGet notified about new Nursing Manager jobs in Santa Fe, NM.
Sign in to create job alertSimilar jobs
People also viewed
-
Registered Nurse - Ambulatory Care Manager
Registered Nurse - Ambulatory Care Manager
-
Registered Nurse Supervisor Atrium Health Pineville Progressive Care FT Nights
Registered Nurse Supervisor Atrium Health Pineville Progressive Care FT Nights
-
Registered Nurse Supervisor - Atrium Health Behavioral Health Davidson RiverBirch FT Night
Registered Nurse Supervisor - Atrium Health Behavioral Health Davidson RiverBirch FT Night
-
Registered Nurse Supervisor - Atrium Health Primary Care Shiland Family Medicine Fort Mill FT
Registered Nurse Supervisor - Atrium Health Primary Care Shiland Family Medicine Fort Mill FT
-
RN Supervisor Registered Nurse - Weekend Differential
RN Supervisor Registered Nurse - Weekend Differential
-
Registered Nurse - House Supervisor - Overnight
Registered Nurse - House Supervisor - Overnight
-
RN - Care Manager Registered Nurse - Care Coordination
RN - Care Manager Registered Nurse - Care Coordination
-
Nursing Manager
Nursing Manager
-
Registered Nurse (Supervisor)
Registered Nurse (Supervisor)
-
Registered Nurse - House Supervisor - Overnight
Registered Nurse - House Supervisor - Overnight
Looking for a job?
Visit the Career Advice Hub to see tips on interviewing and resume writing.
View Career Advice Hub