Dignity Health

Manager Embedded Care Navigators

Job ID
2018-47641
Employment Type
Full Time
Department
Clinical Integration
Hours / Pay Period
80
Facility
Dignity Health Management Services Organization
Shift
Day
Location
Phoenix
State/Province
AZ
Standard Hours
Mon-Fri (8-5 PM)

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

 

The Arizona Care Network (ACN) is a clinically integrated (CI) physician network and Accountable Care Organization (ACO) sponsored by Dignity Health and Abrazo Health physician collaboration.  

 

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Manager will maintain relationships with vendors for transitional post-acute and embedded services, as well as provide daily management for Navigators.  

 

Under the direction of the Director of Embedded Care, the Manager is external facing and manages Navigators who are either in the physician practices, hospitals, SNFs, Care Hub or Connect Services.

  • Oversee the daily, onsite, management activities of the Navigator Team to include:

o             Staff mentoring, coaching, supporting, and counseling.

o             Developments and implementation of performance improvement plans.

o             Daily staffing and census management based on Population Health and Risk Stratification at the practice level to establish care plans

o             TEAM timecard oversight.

o             Assists in patient/family management issues which may include home visits.

o             Regularly performs documentation audits.

o             Works with Navigators and external preferred partners to develop and execute plans to decrease re-admissions and ALOS.

  • Responsible to assist Embedded Care Director with the hiring process of Navigators and works in close collaboration with the Embedded Care Manager on all activities and projects affecting the entire Embedded Care team.
  • Engages and collaborates with hospital Care Coordinators and members of the D/C planning teams.
  • Responsible for initiating and developing relationships with ACN preferred post-acute facilities, including Skilled Nursing Facilities, Home Health Agencies, Rehabilitation Centers, and PCP practices.
  • Primary external interface to develop relationships with hospital and SNF case management including embedding -ACN staff in hospitals, Skilled Nursing Facilities and Intel to expedite care transitions to home.
  • Works with Skilled Nursing Facilities and Home Health agencies to develop strategies to reduce Emergency Department use and hospital re-admissions.
  • Assists physician practices with daily workflows as identified by their Population Health needs.
  • Participates in annual review for preferred Skilled Nursing Facilities and Home Health Agencies.
  • May participate in direct care Navigator activities when necessary.
  • Assists in orienting new staff and competency validation of them.
  • Performs other duties as assigned by Management.

 

Qualifications

  1. A) EXPERIENCE: At least three years’ experience as Medical Office Referral Coordinator, Medical Assistant, Health Plan or Managed Care Organization Utilization Technician.    Knowledge of community resources.   
  2. B) EDUCATION AND TRAINING: Minimum requirement high school diploma. Bachelor degree preferred.
  3. C) LICENSURE: None
  4. D) SPECIALIZED KNOWLEDGE AND SKILLS: Demonstrated understanding of post-acute care operations and strategic positioning of post-acute programs and services.  Able to articulate an understanding of the continuum of care, including acute, post-acute, and community-based services.  Must have excellent verbal and writing communication skills.

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