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Monogram Health logo
Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram Health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present. Employs a robust clinical team, leveraging specialists across multiple disciplines Available 24 hours a day, 7 days a week, and on holidays Proven to dramatically improve patient outcomes and quality of life while reducing medical costs

Float Clinical Performance Lead

Clinical OperationsClinical OperationsFull TimeRemoteLeadTeam 414Since 2019Company Site

Location

United States

Posted

66 days ago

Salary

0

Seniority

Lead

No structured requirement data.

Job Description

Float Clinical Performance Lead

Monogram Health

Role Description We are seeking a highly motivated Clinical Performance Lead to support our clinicians and front-line staff in caring for our members affected by renal disease. As a Clinical Performance Lead, you’ll play a vital role at Monogram Health. We are looking for a proactive individual that can help us continually improve and enhance our clinical performance. Roles and Responsibilities - Clinical Interventions – 30% - Review, update, and manage clinical interventions (CI), ad hoc tasking, and messages concerning visits. - Document CIs, coach and assist RNs on information needed for tasks. - Make calls to members or physicians to complete tasks. - Review Care Manager documentation for CI. - Review Holy Grail for records to complete tasks. - Assist APPs with requests and help with SalesForce. - Review appropriate sources for records of high-risk members/post-discharge members. - Perform concurrent review hospital calls. - Conduct root cause analysis on certain members. - Attend leadership meetings, as needed. - Delegate action to the Patient Support Specialist team to request and receive office visit records for review. - Patient Care and Treatment – 15% - Review and approve care plans. - Discuss patient care with field clinicians and provide support and guidance. - Facilitate case rounds, PPA clinical rounds, and high-utilizer review. - Execute scheduling needs for high risk, high utilizer members. - Perform data analysis, such as data mining for records lab. - Address concerns and requests from Pod leadership. - Speak and document member conversations as needed. - Delegate action to the PSS team to request and receive prescriptions and labs for review. - Quality Assurance and Compliance – 30% - Delegate action to the PSS team to request and receive labs results for review. - Audit medical charts and review missing team visit notes. - Conduct data analysis from various downloaded reports and create data spreadsheets. - Daily review of documentation and provide guidance on IEs & PHDV. - Review and correct care plans to ensure compliance with SLA. - Provide Bullet Train care coordination. - Provide support to field team for escalations, clinical issues, patient outreach, and RR follow up calls. - Training and Communication – 25% - Provide guidance and education on processes, workflows, and documentation to field staff. - Attend standard and ad-hoc operational meetings. - Prepare slides and content for standard and ad-hoc operational and clinical meetings. - Assist with scheduling needs, Teams chats, emails, and phone calls. - Build reports for specific members and their needs. Qualifications - Current, active unrestricted license as a Registered Nurse in assigned states/territories. - Minimum 2-years of Registered Nurse experience within the last 5 years, or equivalent clinical experience. - Demonstrated knowledge and proficiency using technology. Benefits - Comprehensive Benefits: Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts. - Financial & Retirement Support: Competitive compensation, 401k with employer match, and financial wellness resources. - Time Off & Leave: Paid holidays, flexible vacation time/PSSL, and paid parental leave. - Wellness & Growth: Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts. Company Description Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present. - Employs a robust clinical team, leveraging specialists across multiple disciplines. - Available 24 hours a day, 7 days a week, and on holidays. - Proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

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