Lead, Health Home

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Job Type

Full-time

Description

Lead, Health Home

Full time, 36 hours per week

We offer competitive salary, benefits (including medical, dental, vision), retirement, PTO, and 9 paid holidays.

If you are a compassionate professional who provides exceptional quality care, Jordan Valley is for you! We are Missouri's largest Federally Qualified Health Center founded in 2003 and we serve 75,000 patients each year. The mission of Jordan Valley is to improve the health of our community by providing high-quality and accessible medical, dental, and behavioral health services to Southwest MO. We're collaborative and believe in always going above and beyond as part of our commitment to deliver excellent care to our community!

Job Overview:

The Health Home Lead oversees the daily operations of the care management team. This position provides guidance, training, and leadership to the care management team. The Home Health/Care Management Team Lead works collaboratively with the patient, the patient's family, providers, other health plan divisions, payers, and others to develop and implement a care plan that meets the patient's needs.

Duties:

• Oversees daily operations of care management services. Assess daily staffing needs and coordinates staffing coverage.

• Provided guidance, training, and leadership to care management team members. Assign and delegate duties to appropriate team members and evaluates their job performance.

• Assist in continuous quality improvement and expansion of care management services. Reviews quality measures and support s activities that aid the organization in meeting targets. Oversees that care management services are meeting program(s) requirements.

• Collaborates with community agencies and programs, other healthcare organizations, health plans, and payers.

• Participate in the initial care plan development for all patients assigned to caseload. Assist in developing health care goals for individuals with chronic diseases.

• Collects thorough and objective information about the physical, psychosocial, environmental, and financial needs and resources of individual patients. Develops specific and realistic objectives, goals, and action plans tailored to the individual needs of each patient. Implements specific interventions focused on the specific goals established for the individual. Facilitates access to necessary resources to accomplish patient-centered goals.

• Reports quantifiable care measures as defined for quality measurement of care management. Track required assessments and screenings and identify treatment opportunities as well as document care management activities timely manner.

• Assist in contacting medical providers and hospitals for admissions/discharge information and then following up with the patients for care transitions.

• Coordinates care provided throughout the full continuum of care, including but not limited to ambulatory care, acute inpatient care, skilled care, home health care, rehabilitative care, and community programs.

• Identifies gaps in care and barriers and seeks to correct with creative care planning.

• Evaluates the quality of necessary medical services and evaluates the cost in relation to the benefits of care options.

• Develop wellness and prevention initiatives, facilitate health education groups, and provide training on medical diseases, treatments, and medications

Benefits

Our benefits are designed to encourage a healthy work-life balance.

• Health (Both HSA and FSA options and access to our Telemedicine program)

• Vision

• Free dental and life insurance, and long term disability. Affordable rates for family dental and life insurance.

• 403b retirement match on the 1st of the month after 30 days.

• Tuition Assistance

• Employee Assistance Program

• Day One PTO Accrual

• 9 Paid Holidays

• Free On Site Fitness Facility at our Springfield Tampa Clinic

Requirements

Required Qualifications:

• Minimum of 3 years diversified direct clinical experience in nursing or related field.

• Graduation from registered nursing program.

• Current, unrestricted license as Registered Nurse in State of Missouri.

Preferred Qualifications:

• Bachelor of Science in Nursing.