Description

Introduction

Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As the MountainStar Care Partners Manager of Clinical Care Coordination with MountainStar Healthcare, you can be a manager in an organization that is devoted to giving!

Benefits

MountainStar Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  
• Fertility and family building benefits through Progyny
  
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• Family support, including adoption assistance, child and elder care resources and consumer discounts
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan
  
• Retirement readiness and rollover services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a(an) Manager Clinical Care Coordination. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: $50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

Position Summary:

The Manager of Clinical Care Coordination supports the patient and primary care relationship through care delivery enhancement with direct oversight of the Clinical Care Coordination team. Primary mechanisms for this support are telephonic outreach to patients to guide them through transitions of care, care management, preventive services, and self-management. The Clinical Care Manager acts as an integral member of the ACO and CIN network by providing direct leadership to the Clinical Care Coordinators, engaging and managing Post-Acute relationships in the markets, coordinating collaboration with the HCA facilities, partners, providers and leadership.

Supervisor: Assistant Vice President, Value Based Care Mountain Division

Key Responsibilities:

General

• Serves as a subject matter expert in care transitions, case management and post-acute care. Assists in educating Clinical Care Coordinators, practice staff on quality, payor, and government program requirements
• Directly oversees the clinical care coordinator team for MountainStar Care Partners, makes appropriate recommendations on workflow changes, continuing education needs and team development.
• Develops professional working relationship with ACO and CIN network providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
• Attends learning sessions and shares information learned with team members
• Assists in the development of tools, education and workflow processes for the clinical team to assist the network in meeting CMS, ACO, documentation, and payor quality initiatives
• Collaborates with interdisciplinary teams and leaders to achieve the organization’s coordination of care goals, quality goals, and financial performance goals
• Conducts in-person and virtual meetings with clinical care coordinators, post-acute partners, practice managers, staff, providers and managers to communicate program goals, results, and provide education
• Prepares and submits minutes from all meetings, as directed
• Maintains the strictest confidentiality in the areas of patient, employee, and physician relations
• Acts as a patient advocate to facilitate appropriate care management and wellness activities
• Performs related work and additional duties as requested by supervisor

Transitions of Care

• Directly oversees Transitional Care Program for MountainStar Care Partners networks.
• Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.
• Documents assessment in the medical record to support transition of care services as specified by CMS and other program requirements

Care Management

• Directly oversees Care Management Program for MountainStar Care Partners networks.
• Accesses portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload
• Uses available tools to identify at-risk patients
• Triages patients to determine those appropriate for medical and/or behavioral care management
• Creates a care management action plan with the patient/caregiver that includes elements of self-management, as appropriate
• Communicates via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in the electronic medical record
• Identifies and enrolls eligible patients in longitudinal or chronic care management for medical or behavioral health conditions
• Oversees the execution of patient care plans in partnership with other Clinical Care Coordinators
• Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm
• Documents efforts in accordance with established workflow protocols
• Identifies and engages community resources to assist patients as needed
• Understands and addresses short term behavioral health care gaps as needed

Population Health

• Prepares and maintains Transitions of Care and Care Management reports and provides periodic updates to network leaders.

Post-Acute

• Knowledge and understanding of Post-Acute relationships pertaining to ACO, CMS, and Value Based Entity requirements.

Education:

• Graduate of an accredited college of nursing required
• Current licensure as an RN in the state of residence and/or practice or current licensure as a Social Worker in state of residence and/or practice
• Masters of Nursing required
• Certified Case Manager required
• Minimum of 10 years’ experience as an RN, including an administrative capacity with responsibility for the overall operation of the business – Required
• Minimum of 2 years’ experience as an RN in Home Health and Hospice setting - Required.

Knowledge/Skills/Abilities:

• Working knowledge of Microsoft Office, PowerPoint, Internet, Adobe, and MS Outlook
• Prefer knowledge of Patient Centered Medical Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives
• Excellent oral and written communication skills with the ability to prepare reports with quality data and attention to detail and accuracy
• Working knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office processes (preferred)
• Self-motivated and flexible to the changing needs of the program, team and work environment, with the ability to self-direct including prioritization of multiple simultaneous tasks
• Ability to interpret and apply guidelines and procedures and maintain quality control standards
• Knowledge of physician office practice operations and one (1) year of experience in a physician practice is preferred

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

HCA’s Mountain Division offers careers within 11 respected and integrated hospitals within Utah, Idaho and Alaska. While each site is unique in location, size, and community, all Mountain Division facilities share commonalities of compassion, patient-focused, quality care and collaborative teamwork. We know that together, we’re greater. We know that what makes us better makes our patients better. That’s why our facilities consistently receive national recognition for top quality and exceptional safety.

HCA’s Mountain Division hospitals are part of HCA Healthcare - a network of more than 300 affiliate hospitals, outpatient centers and business offices across the country – offering employees the opportunity for travel and relocation. HCA facilities are all about caring for people, and that care extends to patients, families and employees.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Manager Clinical Care Coordination opening. Help HCA Healthcare create healthier tomorrows for patients and communities.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.