Employment Type : Full-Time
Overview
HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation and community services with approximately 12,300 employees, 3,700 affiliated physicians and 3,100 volunteers.
HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth’s mission is to improve the health and well-being of those we serve.
As a community healthcare system, we have a unique responsibility to keep our facilities as safe as possible to protect our patients and team members while we work to achieve our mission, “to improve the health and well-being of those we serve.” Therefore, HonorHealth is requiring that all new hires have received the first dose of a COVID-19 vaccine before they start, and be scheduled for their second dose. Reasonable accommodations will be considered.
Responsibilities
Job Summary
The Manager for Comprehensive Care Coordination program (CCC) is responsible for the continued development and implementation of the CCC Program. The manager is responsible for adhering to the Intensive Outpatient Care Program model (IOCP), operational policies and procedures, and fostering a creative and innovative environment to assist in meeting network strategic initiatives. Serves as a resource to the provider practices and medical staffs. Collaborates with the Manager for TCM program; Practice Managers; Primary Providers; CCC Supervisors, Hospitalists, and other circle of care team members during a patient care coordination activity in the outpatient setting. Supports and contributes to the development and delivery of all CCC educational programs.
Manages all CCC operations. This role establishes, and reviews staff productivity, reduction in readmission rates, standardized work in IOCP model of care, quality audits on work processes, outcome monitoring, resource allocations and adjustments when variances occur, coaching and training, and appropriate post discharge TCM/CCM calls. Responsible for quality review oversight of team performance. Addresses employee problems and administers appropriate disciplinary action. Ensures the CCC role is adherent to the IOCP program plan to include scope, achieving goals, roles & responsibilities, measurable objectives, issues, and risk assessments. Ensures CCC programs are efficiently running.
Oversee the supervisors and ensure adequate staffing levels and caseloads, inclusive of hiring/onboarding, evaluating, managing performance, coaching and developing employees ensuring employee productivity, quality of work, and alignment of goals with our mission, vision, and values. Ensure compliance with all policies, financial stewardship by being accountable for the financial integrity around development and maintenance of department budget.
Monitor consistent entry of program metrics, outcomes monitoring, and reports (especially in the area of prior authorization timelines). Designs program quality monitoring reports and tracks results. Utilizes a variety of reporting tools with multiple data sources to include predictive analytic reports. Monitors daily, weekly, and monthly CCC report and YTD outcomes: including readmission and referral data. Identifies trends associated with denials, Out of Network services, formulary exceptions, readmissions, high risk patients and preferred provider referral patterns.
Collaborates with PPLs, IT, and other staff in the program design.
Develops, arranges and documents educational programs. Performs community outreach with organization preferred providers. Builds a repository of community resource tools.
Keeps current on HIPAA, CMS, Federal, State, and Local regulatory requirements, new project management strategies and techniques. Maintains regulatory surveillance on intra-rater reliability testing annually. Adheres to all medical management regulations and timeframes for payors and members.
Performs other duties as assigned.
Qualifications
Education
Bachelor's Degree from an accredited Health Related program Required
Experience
1 year experience in Care Management, or health related experience. Required
1 year program supervisory/management experience or equivalent military experience. Required
Licenses and Certifications
Registered Nurse (RN) State And/Or Compact State Licensure Active and current Required
Basic Life Support (BLS) Required