Clinical Practice Consultant - Ohio - Full-time / Part-time

The Clinical Practice Consultant (CPC) is responsible for ongoing management of practices participating in UnitedHealthcare’s Value Based Programs such as Accountable Care Organizations (ACO), Patient Centered Medical Homes (PCMH), or Population Health Management programs such as Patient Centered Care Model. The CPC will work closely with our Sr. CPCs to facilitate multi-disciplined practice transformation and practice performance improvement initiatives. He/she will assist practices in achieving targeted goals that include improved quality, efficiency and utilization. The CPC is responsible for driving practice progress toward desired transformational change and performance improvement, while meeting savings goals set for the practice. Primary Responsibilities:



Assist in successful deployment of program at the practice level, including, attribution, membership rosters and performance and clinical reporting

Introduces and educates practice on the value/use of reporting tools and delivery of reports via online portal; provides assistance with HIT, EMR, disease registries and other technology

Using results of practice readiness assessment, designs practice transformation plan and implements appropriate training modules designed to assist practice in achieving contractually required transformation milestones

Consults with and guides practice on developing innovative solutions to practice organization and structural challenges in order to achieve desired program outcomes. Brings best practice experience and connects practices with other high performing practices to spur innovation. Helps practice meet and exceed expectations/milestones for achieving success

Monitors monthly and quarterly performance of assigned practices. Analyzes key cost, utilization and quality data and interprets results to assess the performance of the practice; identifies strategies for improvement to include specific outcomes and metrics to monitor progress to a goal; provides feedback and makes recommendations for improvement

Reviews Clinical Action report results to guide practice in identifying care management opportunities and adjust processes to prioritize interventions to achieve clinical and cost outcomes

Meets regularly with assigned practices to review available practice reports, present practice performance synopsis and identify opportunities for improvementUtilizing the results of the practice performance analysis and input from the practice, develop/update performance improvement action plans; monitor practice efforts to address performance and care management opportunities

Works with the practice and Optum to align and integrate Optum care/disease management programs and population health services to augment the practice’s capabilities, support their care management efforts and add value to the patient care experience

Serves as a single point of contact to practices for program and operational issues

Establish and maintain a supportive, collegial role with assigned PCMH practices

Facilitate efficient, effective practice improvement meetings

Maintain databases directly associated with role

Effectively collaborate with team members in the Clinical organization as well Medical Directors, local Network leads, HCE Analysts and Clinical Analysts in support of the program

Assist and support leaders in summarizing and disseminating experience-related learning by way of team updates, written reports/articles, and/or presentations as called for by directors
 

Required Qualifications:  


BS/BA required
Demonstrated effectiveness in analyzing practice performance data and identifying opportunities for improvement and innovation
Excellent verbal, written, presentation, and group facilitation skills required, with the ability to convey complex or technical information in a manner that others can understand
Strong critical thinking skills necessary to evaluate and respond to practice challenges and related team dynamics
Superior interpersonal skills with the ability to build positive relationships with key practice representatives and team members across the UnitedHealthcare enterprise
Preferred Qualifications:  



At least 2 years of experience in quality and performance improvement in a primary care or multi-specialty practice, including medical management, healthcare analytics, and/or managed care contracting in a PCMH or ACO setting

Clinical background preferred

Position requires flexibility to work remotely with travel to practice locations as needed with the ability to meet multiple deadlines and handle interruptions to on-going work activities
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)   
   
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
   
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.     
   
Job Keywords: RN, registered nurse, ACO, PCMH, provider relations, clinical practice transformation, implementation, quality improvement, performance improvement, health care analytics, managed care, healthcare, OH, Ohio
   
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