Population Health Clinical Team Lead

Through ongoing review & analysis of cases, data, and workflows, the Population Health Clinical Team Lead works collaboratively with the Manager and Director of Population Health to develop care coordination programs with defined populations to ensure safe and effective transitions of care, reduce IP/ED utilization, and reduce re-admissions.   As a clinical lead and point of contact for physicians, patients, families, caregivers, and nurse navigators, the Lead ensures that care plans are medically sound, cost-effective, aligned with clinical guidelines, and fulfilling quality measures. Additionally, the Lead serves as a resource for both patients and navigators, assisting in accessing clinical, supportive, and financial services within the St. Joseph Healthcare System and the community.  The Lead supports care coordination efforts with SNFs (skilled nursing facilities) and various visiting home health agencies, as required. The Lead actively contributes to the integration and optimization of population health documentation to streamline communication, care coordination, and data flow.

Qualifications
Work requires the knowledge of theories, principles and concepts normally acquired through completion of a Master's degree in Physician Assistant (PA),Nursing, or an Advanced Practice Nurse (APN) required. Three to five years of previous work-related experience. Licensure required as a NP, or PA by the State of New Jersey. Knowledge of value-based programs and Population Health required. Experience in program management and development preferred. Work requires analytical ability to collect information from diverse sources and apply professional principles in performing various analyses, and summarize the information and data in order to solve problems. Strong computer and data analysis skills are required

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.