****Clinical Program Consultant/Analyst-841 Bishop Street- Honolulu, Hawaii!! - 378587
Clinical Program Consultant
/Analyst works directly with leadership of assigned physician Practices, to support the Practice transformation from a reactive model of patient care to a proactive Medical Home, analyzing Practice population data and hospital data to effectively measure, monitor and
manage care of patients and present results and outcomes to executive leadership.
The Consultant is responsible for supporting assigned Practice clinical teams in implementing the United Accountable Care Communities/Medical Home program in the following key areas:
Improve access to care - use practice level population data to analyze overall capacity/demand for appointments and visit patterns by clinic/overall and assist the Practiceleadership to implement process improvements to reach mutual goals and improve patient access.
Reduce inappropriate ER use - use practice level daily ER data to analyze trends and work with all Community stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach
Reduce avoidable admissions and readmissions - support practices in the effective use of the United Practice population registry to track and manage care transitions of all discharges and ensure follow up with PCP within 7 days, helping practice teams engage and coordinate with United ICCT hospital teams. Measure and monitor success of outreach and develop strategies to simplify processes and ensure optimal care for patients
Improve care of high risk patients - complete predictive modeling analyses of Practice population risk and assist Practice in identifying cohorts of high risk/health home patients forocused improvement initiatives. Collaboratively establish with Practice clinical leadership measurable goals for each cohort to increase access, address current care opportunities andreduce adverse events. Analyze and report measurable progress against goals at monthly Practice JOC meetings.
Collaborate with United teams including the on site Medical Home Care Advocate, quality management teams, UM teams, behavioral health teams to support PCP driven care for our members at the practice level.
Support Practice in implementing practice-wide process improvements to assist the practice in becoming an NCQA certified Medical Home, if required.
Assist practices in creating work flows to optimize care delivery, introduce best practices improvements, and evaluate outcomes using rapid cycle improvements PDSA methods. Meet with Practice staff at least weekly, to facilitate progress and address barriers.
Present progress against goals monthly at on site JOC with United/Practice Medical Home executive teams.
UnitedHealthcare Community & State is part of the family of companies that make **MEMBERS ONLY**SIGN UP NOW***. one of the leaders across most major segments of the US health care system.
If you're ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.
We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach.
This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.
You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.
Practice management / operations experience
Strong clinical data analytic skills measuring process and outcomes in healthcare
Strong skills presenting complex data and outcomes to executive teams
High level of computer literacy with clinical documentation system experience and strong
Ability to navigate without assistance in multiple computer applications and systems.
Reliable transportation to travel to Provider or other locations
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
**MEMBERS ONLY**SIGN UP NOW***. is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Clinical Program Consultant/Analyst-841 Bishop Street- Honolulu, Hawaii!!
Medical and Clinical Operations
Community and State
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