Works closely with management to achieve department goals, foster a cohesive team environment and provide leadership to population health staff. Develops collaborative relationships with internal and external stakeholders, including managed care payers, CIN participants, and UNCHC physician practices to execute projects that support population health outcomes. Follow established standards and practices to deliver population health services. Identify and address barriers to population health care delivery and promote efficient workflows. Implements high quality, low cost population health initiatives for the UNC Health Care.
Description of Job Responsibilities:
1. Supervises and coordinates care management services, establishes efficient workflows and addresses barriers to implementation.
2. Establishes an environment of patient advocacy, supporting shared decision making, and the use of decision aids.
3. Utilizes population management data and resources to identify at risk patients, provide education and remove barriers to care plan compliance. Monitors outcomes and works collaboratively with the care team to optimize the patient's care plan.
4. Facilitates training of multidisciplinary care management staff on a variety of topics, including comprehensive assessment, disease prevention and health maintenance, establishing self-management goals, and navigating the health care system. Responsible for meeting productivity and quality targets to achieve low cost, high quality care.
5. Establishes appropriate standards for documentation in the patient's electronic medical record, monitors compliance and provides feedback and training.
6. Collaborates with third party payers to proactively address issues and prevent denial of payment and/or services.
7. Actively participates in meetings, problem solving, goal setting, performance improvement, and patient engagement. Ensures compliance with organizational policies, procedures and evidenced based guidelines.
8. Participates in annual performance evaluation to support employee performance feedback.