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
About Company
St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics.
The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.
Company
St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)
- Competitive salary*
- Robust benefits with health, dental, Rx and vision plans
- 403b retirement plan options with company match**
- Health & Wellness*
- Non-Profit Health System – eligible for Federal Student Loan Forgiveness
- PTO, and paid holidays
- Tuition reimbursement
- Employee Assistance Program
- LTD : Long Term Disability
- Life Insurance Options
- Onsite Day care Program
*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.
**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.
Pay transparency: St. Joseph’s Health provides a salary range to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary range does not include incentives, differential pay or other forms of compensation.