Health Informatics Director directs an organization's clinical biostatistics or health informatics department. Oversees the analysis, management and performance of health information data to aid patient care. Being a Health Informatics Director monitors latest software and technology to keep processes up-to-date and efficient. Communicates with other departments and team members to identify new sources of data, ensure data is used effectively, and establish new initiatives. Additionally, Health Informatics Director requires a master's degree. Typically reports to senior management. The Health Informatics Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Health Informatics Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Position Summary: MPM Nurse navigator works in collaboration with the primary care provider and all members of the respective health care team in multiple primary care offices through the division of Medical Practice Management. Develops QUALITY initiatives to assess and coordinate improving quality outcomes and plans of action related to open care gaps and unmet health maintenance topics. Responsible and accountable for the coordination of care across the continuum, education/provision of information and support for patients, facilitation of decision making, advocacy and ultimately improved throughput and patient satisfaction for designated patient populations. Assesses patient healthcare needs and identifies missing resources to promote whole quality care for the patient. Serves as a quality improvement advocate and assists in identification and improvement of service delivery.
The Nurse Navigator will monitor patient outcomes related to MIPS quality measures and Payer Incentive Program, HEDIS measures, and participate in quality improvement activities. Works in a multidisciplinary setting and collaborates with health care team members and payer incentive program representatives to positively impact patient outcomes and patient experiences, as well as payer incentive program outcomes. This position requires expertise in the nursing process, using critical thinking skills to plan and coordinate care, and insurance payer knowledge. HEDIS and STAR knowledge is also used to plan, coordinate, and grow the Payer Incentive Program. The nurse also serves as a clinical resource to other clinical staff.
Essential Functions: To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Job Knowledge, Skills, and Abilities:
Certification and Licensure:
Education and Experience:
Performance Requirements:
Responsibility for:
Frequent interaction with a diverse population including team members, providers, insurance companies and other members of the public. Collects and maintains performance measures. Utilizes evidence-based care pathway to improve patient outcomes.
Physical Demands:
Visual, auditory, and speech acuity essential to evaluation patient and family/caregiver needs. May come in contact with hazardous health conditions; however, if proper procedure is followed no harm should come to employee.
Monday - Friday
Salaried
2 years experience with MIPS, HEDIS, ACO or Payer Incentive Programs (medicare advantage) preferred
2 years experience in Physician Practices or Case Management preferred.
Strong verbal communication and data analytics skills needed.
Flexible hours, some remote opportunity available after training.
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