University of Rochester PCMH Administrator in Rochester, New York
Full Time 40 hours Grade 055 Program Administrators
The URMC PCMH position will represent the Care Management Organization across the UR Medicine enterprise and provide program management to internal primary care practices as it relates to the achievement and maintenance of NCQA's Patient Centered Medical Home (PCMH) status. The Care Management Organization (CMO) is the central collaborative hub for care management resources within the UR Medicine and AHP network. The goal of the CMO is to support the development of system reform as it relates to the design, implementation and reporting of care management programs developed as a part of UR Medicine's clinical care infrastructure. PCMH is the cornerstone of care management within our primary care setting, this position will thereby allow URMC to capitalize on a central support structure for the application and continuous operationalization of Patient Centered Medical Home processes, reporting, and on-going support.
Reporting to the program's Administrative Director, this role requires a developed understanding of clinical and administrative processes, an ability to manage multi-faceted projects across a variety of settings, departments, and programs, experience with program development and implementation, and building consensus across multiple stakeholders in an academic medical center and primary care setting. This position also requires analytical abilities to support identification, implementation and ongoing evaluation of programmatic areas of opportunity. The Project Manager collaborates with both Academic and Primary Care Network primary care practices and works with them to develop and execute program initiatives based upon identified and emerging needs. This role will build and maintain interdepartmental relationships and work closely with the URMC/ AHP Care Management Organization, the UR Medicine DSRIP Program, primary care teams and URMC leadership to plan and execute institution-wide policies and activities related to NCQA's primary care medical home program. The PCMH Administrator will provide direction and motivation to faculty and staff in setting and achieving milestones within tight deadlines.
Under general direction and with considerable latitude for the exercise of independent judgment and initiative:
Oversees URMC PCMH Steering Team and coordinates with Care Management Leadership Council to ensure the primary care practice's successful accreditation and implementation of clinical and technical workflows. Teams are comprised of clinicians, administrators and operational support staff. Oversees and advises the development, implementation, and evaluation of designated projects related to the PCMH accreditation and standards. Collects and critically analyzes information. Prepares reports and presentations backed by data. Collaborates across URMC primary care sites and with other organizational work groups, committees and councils.
Ensures compliance with PCMH standards through intracycle monitoring process, intracycle calls and onsite survey activities. On a regular and on-going basis, analyzes and interprets PCMH program information, identifying key drivers and underlying issues, performs appropriate drill down queries, summarizes and presents findings and opportunities. Works with practice staff to identify roles and responsibilities within the medical home model. Monitors the financial reimbursement process for all sites to ensure realization of all available revenue. Work requires both independent and team-based design and completion of analyses.
Coordinates the development and implementation of PCMH Clinical Practice Guidelines, Protocols and Standards. Manages the entire process from development, tracking, review, committee approvals, posting of updated documents and communication of changes. Formulates and prepares project plans with activities, dependencies, dates and timeframes, resource requirements, milestones and deliverables. Monitors progress of project activities, insures all critical implementation criteria are met and provides status reports to Care Management Organization and Primary Care leadership and fellow team members. With a data-driven approach, spearheads the development of appropriate project metrics and outcomes during the design phase of new clinical and operational projects.
Works with Medical Directors, Practice Managers, and Care Management leaders to ensure that respective areas are integrated effectively. Develops and executes a project communication plan ensuring clear and effective communication to project team and across project teams. Maintains continuous feedback loop between practices and Care Management Organization Troubleshoots breakdowns in communication in a timely manner as issues arise. Guide and participate in optimization and quality improvement cycle to ensure continued excellence of PCMH workflows.
Collaborates with others both locally and nationally to help advance PCMH at University of Rochester Medical Center. Serves as liaison between URMC and NCQA in the planning and implementation of PCMH programs. Serving as an internal expert on PCMH accreditation requirements and process. Ensures that workflows are based upon the latest literature, research and best practices. Utilizes evidence-based practices when applicable. Stays abreast of industry trends and maintains knowledge of professional practice changes through participation in professional organizations.
Bachelor's degree in Healthcare Administration, or a related field; 5 years of healthcare management level experience or an equivalent combination of education and experience.
Excellent verbal and written communication and interpersonal skills, proficiency and ability to learn new software and skills within a Windows based environment (MS Word, Excel, Outlook, Powerpoint, Access and SharePoint). Proficiency in data analytics. Ability to handle multiple priorities; strong organizational skills and the ability to meet deadlines in a fast-paced environment essential. Proven team member and ability to build stakeholder consensus in a complex environment. Ability to balance multiple demands and work on multiple projects simultaneously. Must possess exceptional judgment and ability to learn the needs of different components of the UR Medicine Enterprise. Work independently with minimal guidance. Demonstrates efficiency in prioritizing assignments, skill in proactively resolving problems and recommending and implementing continuous quality improvement and strong organizational skills. Strong oral and written communications skills are essential. Ability to multi-task required. Demonstrates accurate, grammatically correct documentation in all correspondence.
EOE Minorities/Females/Protected Veterans/Disabled
Job Title: PCMH Administrator
Location: Strong Memorial Hospital
Job ID: 208294
Full/Part Time: Full-Time