Regional Manager, Population Health - RN

About the role

The Regional Manager of Population Health provides leadership for care coordination at all hospitals and clinics within Loyola Medicine. They are responsible for leading Loyola Medicine/Loyola Physician Partners (LPP) to deliver world class healthcare that is safe, timely, effective, and person-centered.

Responsibilities

• Leads the implementation and delivery of the Population Health Care Coordination program, including oversight and daily management of Nurse Care Coordinators, Social Work Care Coordinators, Pharmacist Care Coordinators, and Administrative Assistants.
• Provides program support and patient management for the Community Health Worker team.
• Ensures staff activities are focused on achieving Population Health program goals to improve quality of care, mitigate cost trends, and improve patient and physician satisfaction.
• Oversees delivery of an integrated care management program based on individual patient needs to meet the Triple Aim+ goals.
• Guides the development and implementation of the Care Coordination plan.
• Provides meaningful input to directors, vice presidents, and executive leadership engaged in strategic planning activities.
• Analyzes environmental issues, quality, and financial data to assist in developing systematic plans for achieving goals.
• Adapts goals and plans to respond to the environment and successfully meet challenging but achievable goals.
• Acts as a liaison to both inpatient and ambulatory care leadership.
• Assures program delivery is consistent with enterprise-wide philosophy and responds to the dynamic nature of the healthcare environment through benchmarking for best practices and networking.
• Oversees staff performance, promotes individual professional growth and development, and fosters positive team collaboration.
• Oversees human resource functions including recruitment, training, and performance management.
• Establishes and maintains effective relations with internal and external contacts.
• Uses data to drive decisions, plan, and implement performance improvement strategies for care coordination, including financial data and monitoring of cost per case, ED use, days across the care continuum, readmissions, and failed discharge plans.
• Works with organizations across the continuum to impact quality of transition of care, prescription refills, and patient adherence to the plan of care.
• Monitors key performance indicators including case volumes, cost per case, avoidable days, 30-day readmissions, and use of resources in ACO/APM models of care.
• Actively supports and promotes process improvement.
• Ensures that the Care Coordination program meets or exceeds regulatory and insurer requirements.

Requirements

• Bachelor’s degree in nursing (BSN).
• Clinical credentials as a Registered Nurse.
• Current RN License in the State of Illinois.
• 5 years of experience in progressively responsible management roles with demonstrated professional leadership development.
• 5 years of experience in population health, care continuum, and clinical integration.
• 3 years of experience in care management delivery.
• Certification in Case Management, or obtained within one year of hire.

Additional Qualifications

• Master’s degree in nursing (MSN) or related healthcare field.

Pay

Pay Range: $84,156 – $134,659. Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.

Benefits

View full benefits summary at: Trinity Health Summary of Benefits.