RN - Clinical Quality/Population Health Manager in Albion, Nebraska at Boone County Health Center

Job Summary:

Boone County Health Center (BCHC) is seeking a dedicated Population Health Nurse / Clinical Improvement Coordinator to work collaboratively with our clinic team to enhance the quality of patient care, improve outcomes, and reduce costs. This role involves the assessment of clinical performance, identifying gaps in best practices, and transforming patient care processes. The Population Health Nurse will also monitor care management workflows and assist in identifying high-risk patient populations.

Qualifications:

• Graduate of an accredited school of nursing or an approved Medical Assistant Program.
• Current RN/LPN licensure or Certified Medical Assistant (CMA) in the state of Nebraska.
• Minimum of 3 years nursing or patient care experience.
• Experience in managed care, hospital, or medical group practice with a focus on quality improvement, utilization management, or clinical operations is preferred.

Key Responsibilities:

1. Collaboration & Population Health Management:

   • Work with the Chief Medical Officer and clinical teams to improve and maintain BCHC’s population health management strategy.
   • Engage community partners and maintain collaborative relationships to address local social determinants of health (SDOH).
   • Mentor and support clinical teams in population health workflows, guiding them in identifying high-risk patient populations.

2. Data Analytics & Reporting:

   • Extract and analyze data from the EHR and population management software (e.g., ACO, practice analytics) to prepare monthly, quarterly, and annual reports.
   • Meet with clinical teams to review quality metrics and performance, highlighting BCHC clinical priorities.
   • Present data in actionable formats to guide targeted interventions and improvements.
   • Assist in the development of protocols and point-of-care reminders based on evidence-based guidelines.
   • Collaborate with IT resources to create complex reports and registries.
   • Identify practice variability and target scalable quality improvement initiatives using data analytics and evidence-based guidelines.

3. Quality Improvement & Clinical Support:

   • Facilitate quality improvement activities that educate and support clinicians in the use of evidence-based care and best practices.
   • Ensure that quality initiatives are aligned with BCHC's goals and prioritize health improvement across the care continuum.
   • Monitor practice analytics to identify opportunities to reduce high-cost care for patients.

4. Patient & Family Engagement:

   • Ensure patients and families are actively engaged in care planning and self-management education.
   • Empower patients to take control of their disease processes and improve their overall health status.

5. CMS Regulations & Health Reimbursement Knowledge:

   • Stay informed about CMS regulations and the transformation of healthcare reimbursement from volume-based to value-based care.
   • Lead and manage pay-for-performance programs with BCHC’s payer partners.
   • Monitor patient attribution, PCP assignments, and ensure alignment with EHR data.
   • Assist the VP of Clinic Services with budget monitoring and management for the population health program.

6. Patient Family Advisory Council (PFAC):

   • Lead and participate in quarterly Patient Family Advisory Council (PFAC) meetings, serving as a liaison between PFAC and BCHC.
   • Engage with patients and families to gather feedback and improve patient care processes.

Why BCHC? Boone County Health Center offers a collaborative environment with opportunities to influence patient care outcomes on a large scale. If you are passionate about improving quality, reducing care costs, and enhancing patient engagement in a community-centered setting, we want you to join our team.

Apply Today and help us make a meaningful impact in the health and well-being of our community!

Boone County Health Center is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.