Are you ready to join a passionate community of people who are changing how health care is delivered? A place where you will find a career you love while truly making a difference building healthier communities. If this sounds like you, we would love to have you apply as a Care Transformation Manager with Medical Home Network (MHN)!

Candidates for this role must be located in Oklahoma with either their RN or LSW.

MHN is a not-for-profit collaborative that has fundamentally changed how care is delivered. Our proven model of care unites provider communities and diverse healthcare entities around a common goal: to redesign healthcare delivery and transform the way care is managed.

THE PERKS

• Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
• Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
• Competitive benefits program including Medical, Vision, Dental, HSA, FSA, and 401k.
• Fitness reimbursement, commuter benefits, and tuition assistance.
• Great work life benefits- Paid time off, sick time, and 12 paid holidays.
• This is a primarily remote opportunity with onsite visits to the health centers you are supporting.

THE OPPORTUNITY:

Medical Home Network is searching for a passionate advocate of client success to serve as part of a talented and growing team. In the Care Transformation Manager role, you will serve as the primary point of contact for a portfolio of clients during all stages of the relationship, and with responsibility for ensuring their success, overall satisfaction, and ability to achieve measurable value using our best-in-class solutions and services.

Our Care Transformation Manager will lead the implementation and monitoring of the MHN clinical integration model of care for their assigned primary care practices or network in Oklahoma. The Care transformation Manager will spend time with their assigned new geography markets primary care practices care management staff, their team leads and other frontline staff in 1:1 and small group interactions teaching teams how to improve and enhance the care delivery of care management and clinical and practice transformation services. Emphasis is placed on monitoring quality of care and staff development in addition to regulatory oversight. This role plays a critical role in MHN's exciting growth phase and expansion to new markets. The Care Transformation Manager reports to the VP, Client Services & Growth and works closely with MHNs Clinical Integration leadership to leverage the MHN standard model of care methodologies.

WHAT YOU CAN LOOK FORWARD TO:

• Works directly with primary care practice sites/practice networks and oversees the implementation of the MHN model of care using MHN tools and resources. Evaluate practices against, established care management/clinical guidelines, practice transformation guidelines and provide education and consultation for improvements.
• Onboard new practice sites/practice networks which include, but are not limited to, an assessment of the medical home's/networks capacity to provide care management and a review and implementation of new primary care practices/networks program requirements with the organization leadership, provider champion and care team staff.
• Assists with the design of workflows to support clinical integration and to maximize the role of care management staff (care managers and care coordinators).
• Perform periodic full program reviews of practices care management processes. Measures processes against established MHN standards of care.
• Measure the quality of care management delivered at the practice level through live staff interactions and patient reviews and make recommendations for improvement. Oversee that recommendations are implemented as appropriate.
• Integrate the full range of MHN technology solutions and data analytics, work with sit site-based care management staff to utilize information produced by MHN and other available data to enhance performance and quality.
• Contribute to the formation and implementation of clinical and operational initiatives using evidence-based practices to drive results across the MHN population significantly improving care and reducing costs.
• Contribute to MHN playbook which includes the development of the full range of disease management tools, health and wellness tools, and techniques including health risk assessments, screening tools, point of care reminders, and patient and family educational and engagement tools; assists sites with their implementation.
• Utilize MHNs standard model of care tools to develop and provide education and training to primary care practices/networks staff and provider champions; utilize collaborative and engaging educational models that effect retention and implementation of learnings into practice.
• Management of AI high risk stratification process. Training and development relative to designing efficient processes to managing: Care Management (CM) caseloads

Onboarding and discharging patients from care management
Optimizing how the care management team works (collaboration between CC/CM, PCPs and other clinical/administrative supports)
Ensuring care manager delegation process (CM step-down process)

• Provide primary care practices with staffing review and support through comprehensive live case coaching, ensuring proactive review of current cases based on identified standards of care and tools, and integrating meaningful chart review systems.
• Routine care management performance oversight using established standardized reports
• Training program participant: Plan and deliver trainings under direction of training manager
• Hold standing meetings with designated members of primary care practices/ network executive leadership

WHAT YOU’LL NEED TO SUCCEED:

• ·Bachelor’s degree required in Nursing or master’s degree in social work with current licensure.
• Minimum of 3-5 years of healthcare experience focused on disease management/care management, Ambulatory Care, Physician group; professional practice; combination preferred; RN, LSW, LCSW preferred.
• At least 3-5 years leadership, consulting or customer/patient relationship, health coaching experience desired
• Demonstrated knowledge and experience with electronic information systems
• Demonstrated knowledge and experience of systems to improve population health and disease management
• Demonstrated knowledge and experience in management of disease processes
• Excellent oral, written and interpersonal communication skills. Ability to work independently and also as a team with a wide variety of individuals. Excellent organizational skills
• Knowledge and experience working with NCQA, Medicaid, Medicare standards and requirements.
• Demonstrated experience in program development, training/education, management
• Abilities to foster teamwork, mentor physicians and staff at all levels throughout an organization
• Experience in academic medical centers, safety net/public health hospitals, FQHCs and physician groups desirable
• Proficient computer skills

Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Job Type: Full-time

Pay: $88,000.00 - $110,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Managed care: 3 years (Required)

License/Certification:

• LSW (Preferred)
• RN License (Preferred)

Willingness to travel:

• 25% (Required)

Work Location: On the road