Consultant, VBC Programs

Directly support the Orlando Health Network’s population health activities in various value-based care programs by coordinating clinical care delivery and supporting administrative services rendered to aligned patients. Serves to ensure high quality, efficient care is provided to such patients in all care settings, including pre-clinical/physician clinics, acute care hospitals, and post-acute facilities. Works with multi-disciplinary teams to support patients in the assessment of individual risk factors, development of comprehensive care pathways, clerical/ administrative functions, and the advocacy for the patient to receive the best care possible.

Education/Training

• Bachelor’s degree in health-related field (i.e., Healthcare Administration, Nursing, Social Work, or Health Information Management) required. Master’s degree in health-related field (i.e., Healthcare Administration, Nursing, Social Work, or Health Information Management) degree in a health-related field preferred. Proficient in Microsoft Office software suite (specifically, Excel, PowerPoint, and Word).

Licensure/Certification

Current Florida Registered Nursing (RN) license, current Florida Licensed Clinical Social Worker (LCSW), and/or current Florida Physical/Occupational Therapist (PT/OT) is preferred but not required.

Experience

One (1) or more years of direct patient care experience in a hospital, post-acute care, physician office setting, value-based care/population health department, and/or other similar care coordination settings.

Essential Functions

• Coordinates with partner organizations and services to mitigate barriers to care, such as prescription drug programs, health and wellness programs, housing support services, durable medical equipment vendors, and public and private agencies, among others.
• Advocates for patients to optimize their own health and wellbeing using evidence-based standards of care, encouraging effective self-management strategies, and via referrals to in-person and virtual resources.
• Completes chart reviews to assess unique patient needs to assist with designing broad and individualized care plan strategies, targeted health literacy and education materials, social determinants of health resources, and caregiver support plans.
• Contributes to problem solving through communication, collaboration, data collection, critical thinking, evaluation of options and potential solutions to further patient progress towards care plan goals.
• Maintains effective and efficient communication to guide the patient through their care journey using clinical pathways, by providing outreach services and advocating for the patient, as appropriate.
• Provides administrative support to assist with patient tracking, reporting, and stratification.
• Helps support system objectives and strategic imperatives by implementing plan level or program level strategies.
• Takes initiative to develop knowledge, skills, and abilities to perform at a high level, including staying abreast of Centers for Medicare & Medicaid Services (CMS) programs and guidelines.
• Communicates effectively with multidisciplinary teams across Orlando Health as appropriate and necessary, to ensure patients receive the most coordinated care possible in collaboration with all external stakeholders.
• Collaborates with various healthcare entities and physician practices to foster integrated relationships with patients, families, and caregivers, and to facilitate a streamlined patient experience across the continuum of care.
• Maintains a high level of proficiency with organizational information systems, including ELLiE and the associated Healthy Planet modules, to ensure collaborative support for the covered populations is efficient, timely, and effective.
• Attends team meetings regularly with active engagement and collaboration.
• Supports the OHN Medical Directors and network leadership regarding clinical transformation efforts to support the Quadruple Aim within the clinically integrated network.
• Participates in multidisciplinary teams to review standards and suggest care pathway improvements for use in applicable clinically integrated network business and clinical engagements.
• Actively supports ELLiE deployments, product development, and system maintenance post-implementation, specifically, as it pertains to the Epic Healthy Planet module.
• Leads and organizes multi-party collaborative project meetings, including preparation of agendas, plans, and recommendations related to program performance, opportunity assessment, and care strategies.
• Acts as a brand ambassador to create awareness and promote the department by serving as a spokesperson to encourage collaboration across the system and achieve strategic imperatives.
• Understands broad principles related to care management, healthcare operations, value-based care, insurance and payor relationships, organizational and departmental strategies, patient engagement, physician relations, and all other relevant clinical care delivery requirements.
• Performs other duties as assigned to support the health system’s overall population health and value-based care team objectives.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

• Works comfortably in teams as a participant, including temporary teams for project-based initiatives.
• Possesses the ability to prioritize and work independently in addition to being an integral part of the care team.
• Communicates effectively through all forms of media and leverages critical thinking skills to effectively solve problems.
• Documents work efforts in an organized and accessible fashion while respecting confidentiality/privacy standards.
• Contributes to environment of psychological safety where ideas are welcomed, considered, and appreciated.

Orlando Health is a 3,200-bed system that includes 15 wholly-owned hospitals and emergency departments; rehabilitation services, cancer institutes, heart institutes, imaging and laboratory services, wound care centers, physician offices for adults and pediatrics, skilled nursing facilities, an in-patient behavioral health facility, home healthcare services in partnership with LHC Group, and urgent care centers in partnership with CareSpot Urgent Care. Nearly 4,200 physicians, representing more than 80 medical specialties and subspecialties have privileges across the Orlando Health system, which employs nearly 22,000 team members. Areas of clinical excellence are orthopedics, heart and vascular, cancer care, neurosciences, surgery, pediatric specialties, neonatology, women’s health and trauma.

Salary : $50,900 - $64,500