Value Based Program Outreach Supervisor
The Value Based Program Outreach Supervisor is an entry-level leadership role. The primary responsibilities include supervision of staff, performance improvement, and driving results as outlined for the Value Based Program Team. The Value Based Program Outreach Supervisor will be a SME and facilitator of workflows, while acting as the liaison between clinical and non-clinical staff, as well as mentoring and guiding the staff to the achieve the value-based goals and targets. The supervisor will work closely with the Clinical Outcomes Manager and will be held accountable to the goals established for the team by leadership to achieve value-based incentives and providing comprehensive, coordinated, patient-centered care to the community.
Every Adelante Leader will strive to maximize the performance and contribution of each team member to Adelante Healthcare and the community that we serve every day. Leaders will set clear performance expectations, provide on-going feedback and coaching to improve results and outcomes and provide regular performance evaluations. Leaders are also expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and model for all other employees the highest standards of personal integrity, professionalism, and competence.
OUR CORE VALUES
ESSENTIAL SKILLS AND EXPERIENCE:
- Two (2) or more years experience in a clinical setting
- High school diploma or GED from an accredited institution
- Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
- Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations
- Demonstrated understanding of clinical methods and techniques used in record keeping systems
- Demonstrates continuous attention to detail
- Effective communication demonstrated by ability to read, interpret, comprehend, and comply with written and verbal communication
- Demonstrated ability in implementing the principles and practices of supervision
- Ability to communicate effectively with patients, co-workers, and our communities both in person and over the phone
- Ability to multi-task and work effectively in a and fast-paced environment
- Exceptional customer service, communication skills, problem solving and organizational skills
- Previous call center experience strongly preferred
- Strong computer efficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and experience in Electronic Healthcare Records (EMR)
- Proven ability to work independently to meet deliverables and perform a variety of assignments requiring independent judgment
- Provides and accepts support in a collaborative manner
- Able to meet the organizations immunization requirements
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
- Coordinates Value Based Program team meetings and quality improvement initiatives, staff meetings, in-service meetings, or other required meetings
- Attends all relevant monthly meetings with payers and take active role in sharing updates and progress of team-based work as it relates to value-based initiatives
- Helps facilitate health and disease patient education sessions and development of material
- Coordinates continuity of patient care with external healthcare organizations and facilities such as referrals to outside specialties; ongoing two-way communication between providers
- Develops relationships with external healthcare organizations and facilities in efforts to finding additional resources
- Leads tasks assigned to the Value Based Program team to complete outreach efforts for well visits, high-risk patients, hospital discharge and admissions and/or other populations as needed
- Maintains effective communication with team, office staff and providers across all health centers as needed
- Facilitates patient care based upon standing orders and protocols.
- Works collaboratively with clinical informatics team to obtain data collection and complete health outcomes reporting, clinical audits, and programmatic evaluation
- Helps evaluate and develop resources and development of new clinical tools, forms and procedures
- Ensures patient needs and requests are handled efficiently by agents performing telephonic patient scheduling of patient initial and follow up appointments
- Provides coaching and support to Value Based Program team
- Maintains schedule accuracy for maximum patient flow
- Maintains good attendance, is punctual and works full scheduled shift
- Serves as secondary contact for research activities, external service arrangements
- Responsible for monitoring and compliance with technical, regulatory, and clinical standards including, but not limited to governmental inquiries, licensing, accreditation, quality assessment, OSHA, Affirmative Action, ADA, etc.
- Supports and enforces existing policies and procedures
- Performs daily data entry
- Under guidance of Clinical Outcomes Manager, works to keep continuous organization and record keeping between various value-based populations
- Organizes, directs, and evaluates workflow in department to ensure appropriate utilization of staff and completion of workload
- Schedules staff work hours; keeps appropriate records of work hours and schedules as well as location of work
- Responsible for timely communication of relevant information to healthcare team, leadership, and payors
- Attends payor meetings and contribute valuable feedback on current payor initiatives
- Responsible for tracking of team initiatives and confirming their completion
- Organizes and tracks team rewards program, goals, and rewards
- Coordinates meeting availability for payor meetings, when necessary
- Identifies gap closure opportunities for payors and strategize submission in a timely manner
- Consolidates outreach outcomes in a clear and concise manner
- Ensures all data is always ready and available as needed for further evaluation
- Manages payor portals and accounts for staff, and others as needed
- Initiates hiring process including staff assessment, justification of request for personnel, interviewing and selection, following assigned guidelines
- Provides and/or authorizes health center and department specific orientation and on-boarding, to include continuing education/training by following established guidelines
- Provides coaching and support including but not limited to:
- Setting goals and expectations regarding performance and behavior
- Providing timely and proper reinforcement for improvement of performance and behavior
- Provide mentoring and skill development to clinical support staff
- Demonstration of good listening skills and use of non-judgmental language in discussions with employees
- Serves as positive role model for staff including modeling behaviors consistent with the organizations core values
- Exercises initiative and independent judgment in performance of assigned tasks, and works with minimal guidance
NONESSENTIAL SKILLS AND EXPERIENCE:
- Bilingual preferred (Spanish/English)
- Graduation from an accredited medical assistant program preferred
Additional Duties and Responsibilities
- Other duties as requested or assigned
All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.
Adherence to Compliance and Code of Conduct
All employees are required to comply with Adelante Healthcares written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelantes legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work environment: While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.
In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities. Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.