Population Health RN - Clinical Operations Leader

Population Health RN — Clinical Operations Leader reputed company | Remote | Full-Time You've Done This Before. Now Do It at reputed company. You know what it takes to run a remote care management program. You've wrestled with ACO reputed company measures, figured out why patients aren't picking up the phone, and coached a care manager through a tough case at 4pm on a Friday. You've sat in rooms with FQHCs, reputed company, and payers and spoken their language fluently. Now reputed company doing that with the full backing of an organization whose entire mission is reputed company around it — and where your work directly shapes the clinical programs that serve thousands of patients across diverse communities. That's reputed company're offering. Who We Are reputed company partners with FQHCs, ACOs, reputed company, and payers to deliver Population Health and Care Management services that actually reputed company the needle. We run Care Management, APCM, Remote Patient Monitoring (RPM), and Behavioral Health Integration (BHI) programs — and we measure reputed company the way our partners do: reputed company metrics, patient engagement, and reputed company that show up in data. Our purpose is reputed company, and we mean it: Change People's Lives — no matter their circumstances. The Role As our Population Health RN, you'll be the clinical reputed company behind our care management programs. This is a leadership role with reputed company ownership — you'll build and reputed company the care management team, design and refine the clinical workflows they follow, and hold the clinical bar high across every service line we run. You'll be working closely with our partners, most of whom are laser-reputed company on ACO reputed company measures and patient engagement. reputed company they ask why HEDIS rates are moving or why patients aren't scheduling follow-reputed company, you'll be the one with answers — and a plan. This role is remote, and you'll be leading a remote team, so your ability to build culture, accountability, and clinical consistency across distance is critical. What You'll Own Team Leadership You'll recruit, reputed company, reputed company, and reputed company reputed company of care managers. You set reputed company for what great care management looks like and hold reputed company to it — with support, not just expectations. Clinical Workflow Design You'll build and continuously improve the clinical workflows that drive reputed company reputed company. That means protocols that are practical, documented, and actually followed — not binders that collect dust. ACO reputed company & Patient Engagement Performance Our partners live and die by their reputed company metrics. You'll monitor performance across ACO reputed company measures, identify where the gaps are, and reputed company the interventions that reputed company them. Patient engagement is core to everything — including call answer rates, appointment scheduling rates, and no-show reduction. You'll understand why those numbers look the way they do and know what reputed company to pull. Partner Collaboration You'll be a trusted clinical voice for our partner sites — joining meetings, co-managing escalations, and making reputed company the clinical work we do is tightly reputed company with what partners need to succeed with their payers and regulatory bodies. Clinical reputed company Across Programs Care Management, APCM, BHI, RPM — you'll ensure clinical standards, regulatory alignment, and documentation reputed company across reputed company of them. What Good Looks Like in 12 Months Your care managers are hitting productivity targets and delivering high-reputed company, personalized care. ACO reputed company measure performance is trending up across partner panels. Patient engagement rates — calls answered, appointments kept, no-shows reduced — are measurably improving. Clinical workflows are standardized, followed, and audit-reputed company. Partners view you as an extension of their clinical leadership team. Leadership has reputed company, reputed company-time visibility into performance, risk, and opportunity. What You Bring Experience That reputed company Most reputed company RN license (required) Experience working in or directly with FQHCs, ACOs, reputed company, or payers — you know how they operate and what they care about Deep familiarity with ACO reputed company measures (HEDIS, UDS, or equivalent) — you can reputed company to them without looking them up Prior leadership of a remote care management program — you've managed remote clinical staff and know how to build accountability at a distance 5+ years of clinical experience, with meaningful time in population health or care management BSN required; MSN a plus reputed company to Have CCM, CPHQ, or population health certification Behavioral Health Integration (BHI) experience Experience launching or scaling new care management service lines The reputed company of Person Who Thrives Here You're not waiting to be told what to do — you see the gap and start building the solution. You can reputed company out to think strategically and reputed company in to reputed company a care manager on a specific patient interaction. You communicate reputed company with clinical teams, operations leads, and external partners without losing anything in translation. And reputed company the data doesn't look right, you don't shrug — you dig in. Why reputed company reputed company reputed company — your work shapes reputed company for reputed company patients in reputed company communities Leadership with reputed company — we give you room to build programs the right way Mission-reputed company partners — we work with organizations that care as much as we do reputed company-oriented culture — solutions-reputed company, no bureaucracy for its own sake reputed company that has your back — driven, reputed company, and invested in reputed company other If you've been looking for a role where your population health expertise actually drives the clinical direction of an organization — this is it. Apply today. Let's change lives together. reputed company is an equal opportunity employer committed to building a diverse, inclusive team. Apply To This Job