Job Title: Care Solutions Director – Puerto Rico Division
Status: Exempt
Reports To: Executive Director, Care Solutions
Department: Care Delivery – Puerto Rico Division
Date: February 2022
Location: Puerto Rico
About Emcara Health Value-Based National Medical Group: Our mission is simple – leading the effort to reimagine how health care is delivered for our nation’s most vulnerable seniors and adults. Improving the lives of those most in need guides everything we do, and we believe that as we continue to stay focused on that compass heading we will increasingly be recognized as America’s leading national medical group providing house calls for vulnerable populations.
We have brought the same focus to the experience of our own team members as we have to our patients, and through the prioritization of Joy In Work have made the Quadruple Aim in health care delivery our clinical true north.
Emcara core care teams are multi-disciplinary and include Community Health Workers (CHW), Registered Nurses (RN), Advanced Practice Providers (APP- NP/PA), and complex care physicians (CCP), among other care coordination and specialized resources such as palliative care and behavioral health clinicians, Clinical Pharmacists, Pharmacy Technicians, Social Workers (SW), Physical Therapists, and Registered Dieticians (RD).
Our care teams understand that vulnerable populations require a new brand of care to live their healthiest life possible- home-based advanced primary care. Advanced primary care is comprehensive, and includes medical, behavioral, and social care, and can be delivered either as the PCP of record, or in collaboration with patient PCPs to deliver an added layer of support.
Value-based payment methodologies allow our physicians and APPs both the time they need to restore the clinician-patient relationship, as well as ensure the patient and clinician are surrounded by a care team that is able to address all of their care needs, especially their behavioral and social needs.
Role Summary:
A strategic clinical leader to develop and drive initiatives to completion. EMCARA serves the neediest populations and focusing on improving clinical outcomes will enhance patient experience, outcomes, and continue to deliver the EMCARA high standard of care.
Role Responsibilities:
- Assist in the development and implementation of new programs across the enterprise and assist as the programs are being developed:
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Telehealth
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On-Call
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Urgent Response
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Palliative Care
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Update Job descriptions
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Transition of Care process
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Quality Gaps - HEDIS/Stars
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MTM – Medication Therapy Management
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HCC/Diagnosis capture
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Caseload algorithms
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Pharmacy Management/Medication Review
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Clinical Team members daily activities overview
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CSM
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Provider
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RN – field/office combined role
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Community Health Worker
Clinical Director in the Market once the program is launched:-
Hire and train clinical staff in the market
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Business/Relationship development with:
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Hospitals/ERs
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Stand-alone diagnostic centers
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Primary Care Physician Offices
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Specialty Physician Offices
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Home Health network
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DME Vendors
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Network Vendor relationships
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Oversight of clinical team and market strategy
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KPI/Metric Accountability
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Liaison with the MDs and site Medical Director
Clinical Operations:
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Quality:
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Policy and Procedure
- Review
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Update
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Develop
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Work with training on clinical team education and job aides
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Audits
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Assist with audits
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Track and Trend audit findings for education and compliance
EMR-
Participant in work groups for optimization of the EMR
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End User testing on new enhancements
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Clinical support to the training team for use optimization
General:
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Must have a strong desire to build close relationships with all members of the field and regional teams.
- Must be committed to working in a collaborative relationship with the members primary care provider.
- Excellent time management, organizational skills, and strong communication is a must.
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Up to 50% travel may be required
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Other Duties as assigned
Role Qualifications:
We are searching for a special breed of health care professional who embodies the following qualities and characteristics: heart and commitment to serve vulnerable populations, passion and perseverance to achieve long-term goals (a.k.a. grit), team-based and social determinants of health orientation, and embrace change in a rapidly evolving health care delivery system. This individual will be a creative problem solver with a proven track record of successful implementation of innovate health care delivery solutions. Additional qualifications include-
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Holds active, unencumbered license in state of practice
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Credentialed in adult, family, or geriatric care
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Master’s Degree in Nursing preferred
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Experience in care of the older adult, chronically ill patients
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Five or more years of practice experience preferred
- 5 or more years of direct management experience preferred
- Working knowledge of computers and ability to document effectively and efficiently in an electronic medical record system
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Ability to navigate and use an electronic health record for documentation, and working knowledge of computers and ability to document effectively and efficiently in an electronic health record system
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Driver’s license requirements: licensed for a minimum of 3 years without restrictions; no DUI or other felony driving conviction in the past 7 years
PopHealthCare is an equal opportunity/equal access employer fully committed to achieving a diverse workforce.
