Registered Nurse (RN) - Care Manager, Value Based Programs (Full-Time, M-F)

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    "description": "<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Organization Overview, Mission, Vision, and Values</strong></span></span></p>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"background-color:#ffffff\"><span style=\"color:#000000\">Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/main/about-us\" target=\"_blank\">Washington Regional Medical System</a></span><span style=\"color:#000000\"> is a community-owned, locally governed, non-profit health care system located in </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/main/northwest-arkansas-links\" target=\"_blank\">Northwest Arkansas</a></span><span style=\"color:#000000\"> 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 </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/main/news/washington-regional-named-1-hospital-in-arkansas-f-480\" target=\"_blank\">#1 hospital in Arkansas</a></span><span style=\"color:#000000\"> for four consecutive years by U.S. News &amp; World Report. We employ 3,400+ team members and serve the region with over 45 clinic locations, the area&rsquo;s only Level II trauma center, and five Centers of Excellence - the </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/neuroscience-institute/neuroscience-institute\" target=\"_blank\">Washington Regional J.B. Hunt Transport Services Neuroscience Institute</a></span><span style=\"color:#000000\">; </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/walker-heart-institute/walker-heart-institute\" target=\"_blank\">Washington Regional Walker Heart Institute</a></span><span style=\"color:#000000\">; </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/womens-health/womens-health\" target=\"_blank\">Washington Regional Women and Infants Center</a></span><span style=\"color:#000000\">; </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/total-joint-center/total-joint-center\" target=\"_blank\">Washington Regional Total Joint Center</a></span><span style=\"color:#000000\">; and </span><span style=\"color:#000000\"><a href=\"https://www.wregional.com/senior-health/senior-health\" target=\"_blank\">Washington Regional Pat Walker Center for Seniors</a></span><span style=\"color:#000000\">. </span></span></span></span></p>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"background-color:#ffffff\"><strong><span style=\"color:#000000\">Position Summary</span></strong></span></span></span></p>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\">The role of the Value-Based Care Manager reports to the Director of Value-Based Programs. This position is responsible<span style=\"color:#000000\"> for supporting value-based care initiatives within primary care clinics, ensuring high-quality patient outcomes, efficient care coordination, and alignment with performance-based reimbursement models. This position works collaboratively with providers, care teams, coding, and leadership to implement workflows that improve patient care, identify and close care gaps, and enhance clinic performance in quality and cost metrics. </span></span></span></p>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Essential Position Responsibilities</strong></span></span></p>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><em><span style=\"color:#000000\">Care Coordination &amp; Patient Management</span></em></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Assess patients&#39; needs, both physical and psychosocial, and develop individualized care plans to address those needs.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Conduct care management calls to identify and follow-up on care gaps, long-term care management, ER visits, and inpatient stays.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Perform medication reconciliation and assist in chronic disease management.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Provide education and support to patients and their families, empowering them to actively participate in their care and manage their health condition, including education for self-management strategies, preventive care, and treatment adherence.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Facilitate transitional care management (TCM) for recently discharged patients. </span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\">Perform other care and assessment activities as needed, including Medicare annual wellness visits.</span></span></li>\r\n</ul>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><em><span style=\"color:#000000\">Quality Improvement &amp; Value-Based Care Support</span></em></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Monitor and report on key quality measures, including HEDIS, Medicare Advantage Star Ratings, ACO benchmarks.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Partner and collaborate with clinic leadership and providers to implement workflows that optimize value-based care performance.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Assist in identifying care gaps and developing strategies to improve patient outcomes.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Participate in risk stratification and population health initiatives to identify high-risk patients.</span></span></span></li>\r\n</ul>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><em><span style=\"color:#000000\">Data &amp; Reporting</span></em></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Serve as the primary source of value-based care data for the clinic, ensuring accurate reporting and performance tracking.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Analyze clinic-level quality data to identify trends, root causes, and areas for improvement.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Provide ongoing updates to clinic staff on progress toward value-based goals and best practices.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Manage and maintain patient charts and upload information into payor portals. </span></span></span></li>\r\n</ul>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><em><span style=\"color:#000000\">Team Collaboration &amp; Clinic Operations</span></em></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Conduct regular clinic meetings to inform staff about performance metrics and value-based initiatives.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Implement workflows that align with value-based contracts and population health measures and provide ongoing education and training to clinic staff, physicians, and leadership ensuring efficiency and effectiveness of care team. </span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Support front-office and clinical staff in understanding value-based care documentation and coding.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Actively participate in interdisciplinary team meetings.</span></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><span style=\"color:#000000\">Facilitate quality improvement projects aligning with areas of improvement, using PDSA cycles. </span></span></span></li>\r\n</ul>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Qualifications</strong></span></span></p>\r\n\r\n<ul>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Education:</strong>&nbsp;Graduate of an accredited nursing program<strong>.</strong></span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Licensure and Certifications: </strong>Unencumbered registered nursing license and CPR required.</span></span></li>\r\n\t<li><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Experience: </strong>Previous clinic system experience and value-based programs, population health, or quality improvement preferred. </span></span></li>\r\n</ul>\r\n\r\n<p><span style=\"display:block;font-size:14px;\"><span style=\"font-family:Times New Roman,Times,serif\"><strong>Work Environment: </strong>This position will spend a majority of time working in a standard office environment where 80% of time is sitting or standing, performing office/clerical work and 20% of time walking. This position may lift up to 50 lbs. Intermittent travel between clinics and hospital may be required. </span></span></p>\r\n\r\n<p>&nbsp;</p>\r\n\r\n<p>&nbsp;</p>\r\n",
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