Clinical Effectiveness Manager (Finance)
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
The Clinical Effectiveness Manager serves as a leader working under the guidance of the Director of Performance Management in partnership with the Chief Clinical Officer, Medical Staff Office, Clinical Executive Committees and prioritized service line leadership to achieve the best patient outcomes at UC Health. The Clinical Effectiveness Manager will be responsible for the concurrent and retrospective review of outcomes performance including data abstraction and analysis required by UCH, CMS, TJC and/or other external rating and rankings. The performance outcomes manager coordinates and supervises data abstraction, training, analysis, and data submission as required. The Clinical Effectiveness Manager will collaborate with clinical and non-clinical stakeholders to educate and recommend areas for improvement based on findings. This role will work with site based, unit based clinical teams and Chief Clinical Office resources to achieve transformational and sustainable outcomes via collaborative clinical improvement projects.Minimum Required: Bachelor's Degree - Performance Improvement, Healthcare Administration, Quality & Safety, Nursing or equivalent. Preferred: Performance Improvement, Healthcare Administration, Quality & Safety, Nursing or equivalent.
Minimum Required: 6 - 10 Years equivalent experience.
Preferred: 11 - 15 Years equivalent experience.Strategy Development and Implementation for Key Quality Indicators:
• Lead strategy/communication plan for transparency efforts internally and externally, identifying performance deficiencies and ensuring data quality across hospital-wide and service-specific processes.
• Develop and implement clinical outcome measures, protocols, policies and procedures across sites, clinical executive committees and strategic service lines to improve care delivery and patient outcomes.
• Transform hospital-wide processes for collecting, reporting, and improving system-level and condition-specific quality measures for payors, regulatory agencies, state-required public reporting, and other third parties.
• Reduce practice variation and enhance efficiency, aiming to achieve recognition for exceptional clinical outcomes.
• Partner with Payor Relations to ensure data being shared with external payors is relevant and accurate.
External Ratings & Rankings Measurement and Reporting:
• Utilize best evidence, benchmarks and clinical databases to continuously identify opportunities for outcome improvement, cost reduction, decreased length of stay, and enhanced patient satisfaction.
• Create and manage the process of gathering and synthesizing customer intelligence and market insights; collaborate with key stakeholders to define organizational quality care and the organizational communication of these tactics for improvement
• Develop visualization tools to prioritize quality planning work for the organization.
• Work with data analysts to ensure integrity and quality of clinical data abstraction and electronic data entry through continuous quality monitoring.
Clinical Quality Data and Compliance:
• Oversee and coordinate clinical quality data submittals and programs to ensure compliance with regulatory requirements.
• Manage processes for regular and detailed audits of clinical care processes and clinical documentation accuracy through chart abstraction.
• Ensure clinical audits are used effectively for quality improvement, reviewing best practices to drive improvement.
Performance Managing and Coaching:
• Lead, manage, coach and develop team members to enable efficient data abstraction and monitoring, training, analysis and data submission as required.
• Enhance team members' ability to educate, analyze in context and recommend improvement areas based on findings to key stakeholders once reviewed by VP of Quality & Safety.
Other duties as assigned Strategy Development and Implementation for Key Quality Indicators:
• Lead strategy/communication plan for transparency efforts internally and externally, identifying performance deficiencies and ensuring data quality across hospital-wide and service-specific processes.
• Develop and implement clinical outcome measures, protocols, policies and procedures across sites, clinical executive committees and strategic service lines to improve care delivery and patient outcomes.
• Transform hospital-wide processes for collecting, reporting, and improving system-level and condition-specific quality measures for payors, regulatory agencies, state-required public reporting, and other third parties.
• Reduce practice variation and enhance efficiency, aiming to achieve recognition for exceptional clinical outcomes.
• Partner with Payor Relations to ensure data being shared with external payors is relevant and accurate.
External Ratings & Rankings Measurement and Reporting:
• Utilize best evidence, benchmarks and clinical databases to continuously identify opportunities for outcome improvement, cost reduction, decreased length of stay, and enhanced patient satisfaction.
• Create and manage the process of gathering and synthesizing customer intelligence and market insights; collaborate with key stakeholders to define organizational quality care and the organizational communication of these tactics for improvement
• Develop visualization tools to prioritize quality planning work for the organization.
• Work with data analysts to ensure integrity and quality of clinical data abstraction and electronic data entry through continuous quality monitoring.
Clinical Quality Data and Compliance:
• Oversee and coordinate clinical quality data submittals and programs to ensure compliance with regulatory requirements.
• Manage processes for regular and detailed audits of clinical care processes and clinical documentation accuracy through chart abstraction.
• Ensure clinical audits are used effectively for quality improvement, reviewing best practices to drive improvement.
Performance Managing and Coaching:
• Lead, manage, coach and develop team members to enable efficient data abstraction and monitoring, training, analysis and data submission as required.
• Enhance team members' ability to educate, analyze in context and recommend improvement areas based on findings to key stakeholders once reviewed by VP of Quality & Safety.
Other duties as assigned
