Lifepoint Hospitals Marquette , MI 49855
Posted 2 weeks ago
UP Health System
Population Health Manager, MGMG Case Management, FTE Shift (1.0), Weekdays Only
Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS
Where We Are:
In Marquette our fascinating history, rural landscape, abundant recreational opportunities, and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums, there is something for everyone in this beautiful lakeside gem.
Why Choose Us:
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off / Extended Illness Bank package for full-time employees
Employee Assistance Program - mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
Opportunities for education and training through partnership with Duke LifePoint Healthcare
And much more…
Position Summary:
Manages the department's activities and resources to drive quality outcomes.
Reports to: Director
FLSA: Non-Exempt
EEO: □ 01 Officials and Managers □ 02 Professionals X 03 Technicians □ 04 Sales Workers □ 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers
ESSENTIAL FUNCTIONS:
Review Electronic Medical Record (EMR) and payor registries to identify high risk patients.
Analyze clinical data and identifies Hierarchical Condition Category (HCC) gaps.
Query/communicate with provider/care manager to capture accurate Hierarchical Condition Category (HCC).
Assist in the evaluation of data collected to assure accuracy and reliability. Prepares reports and performance reporting of quality data.
Oversees quality reporting to the insurance carriers.
Minimum Qualifications:
Minimum Education
Associate's Degree in Nursing
Drag Edit Delete
Minimum Work Experience
Two years healthcare experience
Core Competency in risk adjustment
Drag Edit Delete
Required Skills
Registered Nurse in state of Michigan
Basic Life Support (BLS)
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
EEOC Statement:
UP Health System
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Lifepoint Hospitals