Population Health Care Coordination Supervisor
For over 70 years Annapolis Pediatrics has provided superior healthcare to the infants, children, adolescents, and young adults in the Annapolis areas and surrounding communities. We commonly care for children of former patients and are proud of the outstanding level of continuity of care Annapolis Pediatrics provides.
The Care Coordination supervisor RN is a liaison between patients, their PCP (Annapolis Pediatrics) and the healthcare system, while serving as support for other Care Coordinators and staff. The position will also work closely with the Director of Quality and Population Health to assist with quality assurance and continuity of the care continuum and collaborate with providers, staff, and patients to:
• Promote timely access to appropriate care and increase utilization of preventative care (PCP)
• Increase continuity of care by managing relationships with various PCPs within the practice, specialty care providers, schools, insurance assistance/care plans, and referrals
• Increase patients’ ability for self-management and shared decision-making (compliance with physicals, disease care plans)
• Connect patients to relevant state and local resources with the goal of enhancing patient health, increasing patient satisfaction, and reducing duplication and cost of services
• Assist with the development of Case Management, including Care plan design, templates, and billing
• Increase the capacity of Care Coordinators (staff within the population health department) to effectively navigate guidelines, policy and standards of care to provide excellent services to our patients
Care Coordination-Case Management Responsibilities (75%):
• Coordinate specialist services and referrals; navigates the healthcare system
• Coordinate and follow up for home health, WIC, Infants and toddlers, REM/Model Waiver, Apnea monitors
• Initiate referrals for case management with MCOs
• Provide care management for high risk and chronic disease populations
• Identify and manage high risk patients with chronic diseases in collaboration with other staff
• Follow-up with patients, CPS and specialists per provider request
• Write letters requiring RN license such as “letters of medical necessity, clearance or explanation of diagnosis etc.
• Serve as the point of contact for “Transitions of Care” for inpatient hospital discharges via direct messaging and payer group (Insurance) Care Coordinators, with coordination as needed to provider, specialists and patient follow up.
• Liaise with the state/local health departments for abnormal newborn screenings, reportable diseases etc.
• Development of internal Care plans for high risk patients
• Cross-functional knowledge of the Population Health Department to cover vacation coverage support, vacancies, and as needed.
Management Responsibilities (25%):
• Act as the primary point of contact for PH staff related to patient care issues, with input from Director, as needed.
• Generate the monthly departmental staff schedule
• Ensure adequate daily staffing to include making daily assignments and providing coverage for team absences.
• Assist in identifying opportunities for quality improvement and work with the Director of Quality and Population Health to improve clinical quality and support, efficiency and the patient experience.
• Work closely with the Director of Quality and Population Health to review quality measures and gaps in care.
• Assist Director in programs and projects such as Quality Improvement, NCQA PCMH, and various incentives programs.
Experience and Qualifications
• Registered Nurse with current licensure with the State Board of Nursing in Maryland (required)Care coordination and/or case management experience
• Bachelor’s Degree in Healthcare or Business Administration (preferred)
• Two years of management experience in a patient-centered medical care or healthcare setting (preferred)
• Two years in a clinical setting (pediatrics preferred) with knowledge of quality improvement and metrics. (preferred)
• Strong knowledge of medical terminology and use of an electronic medical record (EMR) system
• Proficient in computer systems and navigation with MS Office software and utilize multi-line telephone systems
• Excellent Communication (written/verbal), Interpersonal, Organizational, and Customer Service skills
• Display a positive and resourceful attitude, enthusiastic, confident, and respectful
• Exceptional organizational skills with the ability to pay attention to detail, set priorities, work independently with daily responsibilities and multi-task in a fast pace environment.
• Must be a team player, health advocate, and role model
• Ability to pay attention to detail, organized, set priorities and multi-task in a fast pace environment
• Maintaining effective relationships with providers, clinical and clerical staff, and patients with the ability to efficiently document notes and patient records appropriate
Annapolis Pediatrics offers a comprehensive benefit package to include health benefits, paid time off, disability benefits, and a retirement plan.
Interested candidates may send cover letter, resume, and salary requirements to: Annapolis Pediatrics / Human Resources Dept at firstname.lastname@example.org
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Annapolis Pediatrics is an Equal Opportunity Employer.