Job Summary

Job Duties

• Drives the design of interventions to support the implementation and transformation of Value Based Healthcare processes through evidence-based medicine.
• Coordinates with the provider, and other health care team members to implement patient specific strategies to enhance chronic care and preventive care management.
• Creates and utilizes established education and clinical pathways to support comprehensive and consistent disease management education to close patients care gaps.
• This includes the collaboration with primary care and specialty providers as well as the health care team to enhance clinical guideline adherence and promote best practice by initiating pre-visit planning and preventive and specialty care education and scheduling services when appropriate.
• Develops recommendations for implementation based on analysis of clinical practice site workflows, staffing levels and procedures throughout Keystone ACO Organizations.
• Utilizes Care Gap outcomes to promote benefits and availability of disease and case management services with providers and other health care providers.
• Identifies problems, develops process improvement strategies and assists the Care Gap team in Quality Improvement and reengineering activities.
• This includes identification and development of key clinical initiatives to improve quality and workflow to enhance clinic efficiency and patient engagement.
• Leads implementation of Clinical Protocol and care gap projects as directed.
• Leads product integration as assigned by Keystone ACO Leadership.
• Collaborates with various departments within Geisinger and Keystone ACO to obtain subject matter expertise and to garner resources to move ideas forward.
• Analyzes, develops and conducts training needs for users of assigned clinical service lines as related to workflow.
• Conducts workshops and provides individual support for clinical operations as required including shadowing when appropriate.
• This position serves as a liaison and translator between clinical operations and Information Technology to facilitate change.
• Provides linkage to the Medical Neighborhood including but not limited to Emergency Rooms, and Skilled Nursing Facilities.

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Position Details

Education

Experience

Certification(s) and License(s)