Director of Community Health Services Job at Hamilton Physician Group Inc
JOB SUMMARY
Under the supervision of the Medical Director, Population Health, the leader is responsible for the coordination of all population health, value-based reimbursement preparedness, and Quadruple Aim improvement related activities across all affiliates of Hamilton Health Care System, Inc. With guidance from the Medical Director, Population Health and senior leadership, the leader serves as an innovator for community health program development and research and aims to improve the value of care provided to HHCS patients and the broader community and enable the health system’s success in value-based payment arrangements. The leader collaborates with and engages senior leadership, administration, professional, and other staff throughout the health system and individuals and organizations throughout the service area’s communities to develop programs and promote a culture consistent with the goals of improving the experience of receiving and delivering care, improving the health of populations, and lowering the cost of care. The leader is responsible for the management of community health related programmatic activities including the HHCS Care Coordination team, Community Telehealth program, and complex case management, care transitions, disease management programs, health risk assessment, Hierarchical Condition Category reporting, care gap closure, wellness and lifestyle management strategies, health education programs, outreach and other programs for specific populations. In collaboration with quality managers, leads the system in Quality Payment Program reporting and strategies. With the support of Ambulatory Clinical Quality Manager and Community Health Services Manager is responsible for MIPS, ACO, and all Value Based reporting activities. In collaboration with the Medical Director, Population Health, develops tools to monitor outcomes, specifically population health indicators such as patient activation, quality of life, social determinants of health, disease-specific clinical outcomes and health risks; lines of business-specific utilization, financial trends and return on investment/cost/benefit analyses; population health analyses such as overall morbidity and disease patterns, overall social and environmental factors, and overall work productivity.
The leader has a reporting relationship to the Medical Director, Population Health.
The position provides direct leadership and supervision for Ambulatory Clinical Quality Manager, HPG Quality and Population Health Departments, and the Community Health Services Manager.
JOB QUALIFICATIONS:
Education: Preferred Master’s Degree in nursing, hospital administration, or related management field and/or equivalent combination of education and experience from which comparable knowledge and abilities can be acquired.
Licensure: Current Georgia RN License
Experience: Minimum five years of clinical and management experience required. Certification and/or participation in professional organizations recommended. Extensive experience and knowledge base of all computer systems, applications, and operations including but not limited to those involving physician practice quality measures.
Skills: Effective management and communication skills required. Must be able to handle a high degree of detail and have the ability to manage multiple ongoing projects at the same time. Excellent verbal and written communication skills with the ability to communicate effectively with patients, physicians, administration, and associates within the organization. Ability to establish and maintain effective relationships with System staff, business, industry, community, and other professional groups. Ability to follow oral and written instructions and to express ideas logically, cogently, and persuasively both orally and in writing. A highly motivated, self-starter who sets priorities and can work well with minimal direction; requires creative leadership.
Requires an individual with the strong ability to navigate a highly matrixed organization and to develop long-term plans while maintaining control over current projects. Politically astute with good judgement and possess the ability to prioritize and focus. Also, the candidate should possess knowledge of regulations and standards governing healthcare organizations as well as managed care risk and fee for service contracting, including the ability to exercise independent judgment in finalizing contract language.
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