Practice Transformation Clinical Manager (RN) Full time

Description

Organization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for four consecutive years by U.S. News & World Report. We employ 3,400+ team members and serve the region with over 45 clinic locations, the area’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Position Summary

The role of the Practice Transformation RN – Clinical Manager reports to the Director of Value-Based Programs. This position is responsible for leading and providing oversight for the daily operations of the care management team within the practice transformation department. This position is responsible for ensuring efficient care coordination, monitoring clinical performance metrics, and driving quality improvement initiatives across various clinic locations. This position bridges the gap between clinical practice and administrative oversight, ensuring that changes are adopted effectively and improve patient care. 

Essential Position Responsibilities

• Improve healthcare delivery within clinical settings throughout the clinic system through implementation of new technologies, processes, and workflows. 
• Work closely with practice transformation central team to prioritize workflow initiatives and quality measures across the enterprise.
• Collaborate with payors to understand performance expectations and patient care priorities and coordinate key take aways from payor meetings to implement best practices by effectively communicating these requirements to care management staff.
• Attend clinic performance review meetings to assess quality metrics and identify improvement opportunities
• Support clinic managers in achieving revenue targets through successful value-based contract performance and quality measure attainment.
• Develop and maintain standard operating procedures for care management processes.
• Partner with clinic managers to integrate performance measure capture into daily clinic staff workflows and ensure alignment with enterprise quality goals.
• Identify opportunities for clinic workflow optimization and efficiency improvements
• Support practice-wide quality improvement initiatives and accreditation maintenance working collaboratively with clinic leadership, care managers, and central team to develop workflows to capture and improve quality performance.
• Provide leadership during system transitions and Epic implementation phases.
• Oversee monitoring care plans and documentation of care managers, monitoring productivity and workflow efficiency.
• Monitor and maintain value-based program binders to ensure compliance with accreditation standards
• Manage Annual Wellness Visit (AWV) distribution lists across clinics using shared spreadsheet systems with quarterly updates
• Coordinate with multiple healthcare portals and systems, including all payor portals, local hospital system EMRs, and AR Share.
• Collaborate with the quality specialist to track and monitor PDSA metrics.
• Prioritize, generate, and distribute targeted patient lists based on payor requirements and quality gaps.
• Oversee distribution of scheduling for patients with multiple chronic conditions, prioritizing high-risk cases.
• Monitor workflow completion and team accountability for depression screenings and other clinical protocols
• Ensure proper documentation and data entry into Stellar and other clinical systems.
• Provide ongoing training and professional development opportunities for care management staff.
• Facilitate team and individual meetings to provide guidance, support, performance feedback and communicate organizational updates and policy changes.
• Manage care manager schedules, PDO requests, and staffing coverage to ensure continuous patient care

Professional Skills 

• Proven ability to lead and motivate healthcare teams with or without direct reporting structure.
• Strong organizational and prioritization skills.
• Excellent verbal communication and coaching and mentoring abilities.
• Experience conducting performance reviews and providing constructive and effective feedback.
• Ability to facilitate meetings and present data to clinical leadership.

Qualifications

• Education: Graduate of a bachelor’s degree in an accredited nursing program, required. Master’s degree in healthcare administration or a related field, preferred.
• Licensure and Certifications: Unencumbered registered nursing license, required. Certification in Care Management (CCM), quality, value-based programs, or related credential, preferred.

• Experience: Minimum 3 years of previous leadership experience or equivalent education/experience. The position requires strong leadership skills, healthcare operations expertise, and the desire to develop and manage workflows and staff and cultivate quality care and innovation.  Knowledge of quality measures and experience working in primary care clinics, preferred.

Qualifications