Clinical Practice Transf. Spec.- Rural Health

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Regular Full Time Medium Remote Full-Time, Wallingford, CT, US 1 Attachments

30+ days ago Requisition

Salary Range: $70,500.00 To $94,000.00 Annually

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking five (5) Clinical Practice Transformation Specialists for the Rural Health Transformation (RHT) Program.

The Rural Health Transformation (RHT) Program is a federal grant that empowers states to strengthen rural communities across America by improving healthcare access, quality, and outcomes by transforming the healthcare delivery ecosystem.

Primary Responsibilities:

• Work with the qualifying Connecticut Medical Assistance Program (CMAP) primary care practices enrolled in in the Connecticut Department of Social Services (DSS) Rural Health Transformation Program (RHTP) on obtaining/maintaining national Patient-Centered Medical Home (PCMH) recognition and on quality improvement (QI) efforts.
• Reports to the Team Lead, Rural Health Transformation Program in conjunction with the QM Team Lead, PCMH Program Administrator.

Tasks Performed:

• Support DSS PCMH enrolled practices to utilize data to drive improvements in health outcomes of the Medicaid population through practice transformation strategies and actionable interventions that complement value-based payment models.
• Ensure practices are using tools available to the practices, such as gaps-in-care reports and analytic tools to improve provider performance on quality metrics and patient outcomes.
• Manage quality work plan interventions and collaborate with others on quality initiatives to improve company performance and member health outcomes.
• Maintain a collaborative relationship with CMAP primary care practices clinics enrolled in the DSS PCMH program; meeting DSS PCMH program RHTP criteria and NCQA PCMH recognition.
• Offer direct support to newly enrolled practices, completing all NCQA requirements for and with the practices, with a long-term goal of assisting them to develop their own resources and skills to manage their Medicaid population effectively.
• Educate DSS PCMH program practices on evidence-based guidelines and standards of care at the population level.
• Provide access to community-based resources through a referral to CHNCT Community Health Workers and ICM staff.
• Required to obtain NCQA Patient-Centered Medical Home CEC and must adhere to the certification requirements to obtain annual CEUs to renew and maintain their certification.
• Other duties as assigned by the Team Lead, Rural Health Transformation Program in conjunction with the QM Team Lead, PCMH Program Administrator.

Essential Functions:

• Communicate effectively to provide education and guidance to the CMAP primary care practices so they can successfully obtain certification as a PCMH practice.
• Monitor and evaluate DSS PCMH program progress toward RHTP deliverables while providing clinical and non-clinical support needed to facilitate optimal outcomes.
• Conduct practice profile visits to convey the importance of improving or achieving high-performance results on key quality measures while identifying barriers that exist at the practice level and among patient populations.
• Implement effective practice transformation approaches to develop initiatives that will improve patient outcomes. Work collaboratively with primary care providers and their respective clinical teams to identify, stratify and support Medicaid beneficiaries in reaching their health potential to address health care disparities including those members with disabilities and chronic conditions.
• Assist with…