Team Lead, Rural Health PCMH Program
| Verified Pay check_circle | Provided by the employer$143000 per year |
|---|---|
| Hours | Full-time |
| Location | Wallingford, Connecticut |
About this job
Job Description
Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking a Team Lead, Rural Health PCMH Program.
The Rural Health Transformation (RHT) Program is a federal grant that empowers states to strengthen rural communities across America by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem.
Primary Responsibilities:
- Under the direction of the QM Team Lead/PCMH Program Administrator, is responsible for providing direct oversight on the operational functions of the CPTS staff supporting the DSS Rural Health Transformation (RHT) program in the administration and implementation of the RHT PCMH program, including staff oversight of achievement of PCMH deliverables while assisting practices toward obtaining and maintaining NCQA Patient-Centered Medical Home (PCMH) recognition.
- Managing, coordinating and documenting all program activities to ensure success including Annual Provider Profile activities.
- Communicates RHTP PCMH program status to QM Team Lead/PCMH Program Administrator.
- Monitors staff productivity, appointment schedules, provider practice visits, and contact log documentation, as well as NCQA PCMH recognition tasks, and quality improvement activities within the CMAP primary care practices.
- Supports the CPTS staff to utilize data to drive improvements in health outcomes of the Medicaid population through practice transformation strategies and actionable interventions that are health equitable and complement value-based payment models.
- Serves as an individual contributor to the RHT PCMH program who is skilled in and has content knowledge of NCQA PCMH requirements.
Tasks Performed:
- Assures that RHT program deliverables and activities are completed timely and accurately by the CPTS staff. Serves as a clinical resource for the CPT team.
- Monitors staff effectiveness and performance while implementing processes and workflow improvements.
- Meets with the QM Team Lead/PCMH Program Administrator to discuss concerns (practice findings, staffing, resource issues, etc.).
- Oversees PCMH staff productivity and unit metrics assuring all metrics are met and works directly with individual staff members to address concerns within the practices.
- Maintains an open line of communication to keep staff up to date on new policies and procedures/workflows.
- Responsible for assigning the CPTS staff their practice assignments and projects.
- Coordinates staff development opportunities.
- Approves staff payroll and PTO requests. Monitors practices’ adherence to DSS RHT PCMH program requirements, including sustaining recognition and PCMH deliverables.
- Surveys practices to determine the level of satisfaction with RHT PCMH, QI and annual reporting supports provided by the CPT staff.
- Collaborates with outside agencies to integrate initiatives with ASO and practices.
- Ensures the provision of key reports to practices on a web-based portal and executes data analysis and reporting activities that guide DSS in defining payments to practices that comply with NCQA requirements and meet required levels of performance on health outcomes measures.
- Provides reporting on the QI activities within the practices to positively impact quality metrics and meet CHNCT performance targets intended to improve the health outcomes of the HUSKY Health membership.
- Supports the QM deliverables and department activities.
Essential Functions:
- Directly oversees day-to-day staff coverage and assignments. Monitor staff productivity; working directly with individual staff members to assure that metrics are met.
- Performs monthly CPTS audits to assure that documentation contains the highest of quality standards.
- Attends CPT staff practice meetings to assess staff performance and provide education as needed.
- Communicates effectively to provide education and guidance to the CPT staff in order for them to assist CMAP practices to successfully obtain PCMH recognition.
- Oversees the implementation and ongoing operation of RHT PCMH program.
- Manages the development and evaluation of business and system requirements with assigned programs.
- Assists CPT program staff and guides interdepartmental goals to meet program objectives.
- Anticipates and escalates for executive review the risk management, change management, and quality management issues inherent to program deliverables.
- Performs related duties as assigned.
- Maintains current awareness of contractual requirements, changes and industry trends, including NCQA PCMH annual Standards and Guidelines.
Desired Education: Four to six years post-secondary schooling
Desired Degree: Bachelor’s degree required; Master’s degree preferred
Desired Major: Nursing or Business, Health Care Administration, or related discipline
Desired Job Experience: Five to seven years of related experience involving management of high visibility programs.
Other Qualifications: Strong management experience. Thorough knowledge of program development, implementation and outcome analysis. High level experience with managed care health care systems/processes, commercial and/or governmental programs and related processes. Must hold a valid and unrestricted motor vehicle license and have reliable transportation.
We are dedicated to having a workplace where everyone feels valued, respected, and empowered to succeed. We embrace a wide range of perspectives and backgrounds, ensuring fair treatment and opportunities for all employees. We value our team’s rich array of experiences and viewpoints, which contribute to our innovative and collaborative environment.
We are committed to providing an inclusive and accessible interview process. If you require a reasonable accommodation for your interview due to a disability. Please contact us in advance if you need an accommodation.
Your Privacy Choices