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Associate Clinical Director - Nurse Practitioner

Company

CenterLight Health System
Address , Queens, 11354, Ny
Employment type FULL_TIME
Salary
Expires 2023-07-14
Posted at 11 months ago
Job Description
JOB PURPOSE:
Serves as the clinical lead for new market/ growth. Assumes initial responsibility for the management of internal providers. Collaborates with the medical director/ Chief Medical Officer on managing the relationships with the external relationships with all community-based providers that are not directly owned or managed by CenterLight HealthCare System (CHLS). Collaborates with CenterLight partners, community-based organization. Facilitates the implementation of the clinical model in all its aspects to maximize the quality delivery of services to CLHS members and reduce costs system-wide. Collaborate with the senior leadership on growth and generally all new market implementation activities.
JOB RESPONSIBILITIES:
Providers Management
  • Be able to articulate the vision and mission of the organization and the population health value based clinical framework
  • Support the providers and ensure their alignment with the larger clinical strategy of CenterLight.
  • Help establish high-quality relationships with non-CenterLight providers throughout the market. This includes PCPs and specialty physicians, group practices, hospitals, and ancillary providers that deliver care to the CenterLight participants.
  • Manage the performance of all nurse practitioners and physician assistants
  • Support the recruitment and onboarding efforts of the new providers
  • Participate in cost containment activities, including curb excess utilization of medical resources and pharmacy trends with external providers and institutions.
Quality and Clinical Operations
  • Collaborates with the interdisciplinary team on all care planning requirement and be the steward of process improvement and effective communication across teams
  • Develop standard work and standardized operating procedures SOPs for the diagnostic and testing center DTC.
  • Conduct policies review as necessary and collaborate with the senior leadership on medical and clinical policies development
  • Support other quality initiatives deemed necessary by the organization
  • Ensure Diagnostic and Testing Center is up to the highest standards from a regulatory perspective.
  • Support case conference excellence by ensuring all PACE providers are prepared and receiving timely case notes and medical orders.
  • Work with all external providers to ensure accurate, timely, and complete implementation of any initiatives pertinent to care planning or to improving the overall quality care of CLHS members.
  • Manage the resolution of practice-specific and network-wide policy issues as needed.
  • Provide clinical input when necessary with internal or external stakeholders
  • Participates in safe care transitions initiatives and process improvement
Clinical Model design and implementation
  • Participate in all clinical review activities, recommend and implement targeted clinical programs (palliative care, diabetes management, etc.)
  • Work with Care Delivery and the Quality Leadership to develop and track the effectiveness of plans to eliminate avoidable hospitalizations, and SNF admits.
  • Help the providers focus on identifying the high-risk membership, engaging them, determining their needs and targeting them with the right interventions.
  • Collaborate with the medical director on rolling out the foundational blocks of advanced primary care including empanelment, appropriate enrollment and risk stratification and tailored offerings based on population segmentation
  • Develop workflows and SOPs as deemed necessary to facilitate the roll out of new clinical initiatives
  • Help implement a population health framework for managing the CenterLight population
JOB QUALIFICATIONS:
  • Ability to communicate effectively with multiple constituencies.
  • Active unrestricted medical license in the state of New York and new market state.
  • Emotional intelligence, curiosity and having a growth mindset
  • A minimum of 3-5 years of clinical experience, preferably in the managed care space, value based/ advanced primary care organization, digital health startups or a PACE program
  • Education: Board certification as an NP
  • Interest in building connections and relationships, skill in influencing, and consensus-building.
  • A good listener
  • Demonstrate a good understanding of managed care tactics, quality management, HEDIS, peer review and utilization management UM
Salary Range (Min-Max):
$170,000 - $180,000