Care Advantage Inc is seeking a Value Based Care Clinical Lead Registered Nurse to join our team and contribute to our mission of delivering exceptional homecare services throughout the Mis-Atlantic area (VA, MD, DE, DC).
This position can be fully remote or hybrid. We are looking for an exceptionally motivated and passionate Value Based Care Clinical Lead Registered Nurse who has strong leadership, training and education skills. Are you an experienced Registered Nurse with leadership skills looking for a great Full-Time opportunity and to join a winning team? We offer a competitive wage and an excellent opportunity for growth and advancement.
Position Overview:
The Value Based Care (VBC) Clinical Lead is a member of the Care Advantage team under the direction and supervision of the Senior Vice President of Clinical Operations. The VBC Clinical Lead oversees VBC relationships and data along with all related services provided. They promote quality service, cooperation between all types of services provided and growth in directed areas. This position promotes and supports the Company’s core values of Compassion, a positive Attitude, Respect and Excellence.
Essential Job Responsibilities:
- Collaborate with the Senior VP of Clinical Operations and the Chief of Staff to organize data on program performance
- Use tools to consistently stratify the population, ensuring members that require increased oversight are accurate, up to date, and getting the necessary attention
- Communicate with key members of the payer partnerships in preparation for rounding sessions and as needed
- Provide requested and approved reports, data, or details to partners as needed
- Assist with design and creation of educational information for patients and primary caregivers, both paid and unpaid
- Extend education to patients, family, and primary caregiving staff to promote positive outcomes
- Collaborate closely with clinical leadership internally and externally as it relates to patient situations and improving outcomes
- Create visibility across the organization of selected members and their individualized needs
- Ensure high touch methods are applied consistently and that all identified members have the level of attention determined necessary to reach and maintain desired outcomes
- Create and maintain VBC Clinical Rounding presentations
- Lead all VBC Clinical Rounding sessions and document discussions and outcomes
- Ensure responsible internal clinicians are prepared for all rounding sessions
- Serve as a back up for clinical vacancies as it relates to VBC report out during rounding and other presentations required
- Track trends and communicate concerns to direct leadership when necessary to ensure we remain on target
- Monitor and evaluate the quality and appropriateness of clinical services for VBC membership
- Review and update VBC workflows or assigned policies and procedures at least annually or as needed
- Communicate with patients, families, and involved parties as necessary to improve overall outcomes and help ensure high satisfaction of the care received
- Monitor and positively impact contractual performance measures, also helping to generate new ways to continually meet this objective
- Responsible for setting and achieving goals on a quarterly basis
QUALIFICATIONS and REQUIREMENTS:
- Current licensed Registered Nurse for covered region (Multi State Compact License preferred)
- Previous Value Based care experience in a home healthcare setting preferred
- BS in Nursing or health related field preferred.
- Minimum of 5 years nursing experience with Value Based Care experience preferred
- Possess leadership, management, and marketing skills.
- Proficiency in Microsoft PPT, Word, Excel, and Teams required
Join Us, if you are ready to take the next step in your career and be part of a dedicated team, we invite you to apply today!
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