CLINICAL OUTCOMES MANAGER manages the collection and analysis of clinical outcomes data to develop clinical process improvement initiatives. Oversees staff who gather data on performance metrics and facilitates the review of clinical program effectiveness. Being a CLINICAL OUTCOMES MANAGER provides advanced analyses and reports on clinical outcomes data. Evaluates and summarizes patient data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Additionally, CLINICAL OUTCOMES MANAGER identifies areas for improvement and assists leaders/physicians in developing strategies to improve performance. Requires a bachelor's degree in nursing or healthcare related area. May require a Registered Nurse (RN) license. Typically reports to a director. The CLINICAL OUTCOMES MANAGER typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a CLINICAL OUTCOMES MANAGER typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Summary:
Responsible for partnering with the physician and multidisciplinary team in coordinating patient care with the underlying objective of enhancing quality and cost effective care. Acts as a resource and patient advocate to facilitate a safe transition across the continuum.
Position Responsibilities:
Care Coordination – completes appropriate assessments and plans effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources. Acts as a clinical expert and maintains ongoing knowledge of clinical practice guidelines. Engages the physician and builds seamless continuity of care and is the physicians single consistent resource. Problem resolution, patient/family communication. Helps identify factors impeding patient progression, resolves, escalates and documents as appropriate. Refers appropriate cases for Social Work intervention.
Documentation – Appropriate and complete documentation of individual plan of care in EMR and case management documentation system.
Metrics- Accountable to job specific goals, objectives and dashboards which contribute to the success of the organization.
Participates in organizational improvement activities including patient satisfaction, Six Sigma committee, department and/or divisional teams and community activities.
Compliance – understands and applies applicable federal and state requirement. Identify and reports compliance issues as appropriate.
Position Qualifications Required:
Required Experience:
Minimum 3 years clinical nursing (RN) experience or Social Work
Minimum of 1 year Case Management or other interdisciplinary experience including Homecare Coordination in an Acute Care setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred)
Excellent verbal and written communication skills, problem solving, critical thinking and conflict resolution.
Required Education:
RN or Masters prepared Social Worker
Training / Certification / Licensure:
RN or LSW required; LCSW considered