Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.
Location: Durham, North Carolina
The Quality PHCM is responsible for performing professional duties related to assessing, planning, implementing, and evaluating performance improvement and strategies of Duke Population Health Management Office (PHMO). Participation with productivity and quality measures/metric development and implementation. Participate with program accreditation and ongoing program improvements. Under the supervision of the Quality Manager will identify, plan and execute activities to promote effective care management, performance improvement initiatives and to ensure compliance according to policies and procedures.
Duties and Responsibilities of this Level
Assist with design and execution of strategies or activities intended to improve performance in care management quality and policy/procedure compliance.
Provide a clinical focus to quality management by assessing, planning, implementing and evaluating quality performance.
Involvement in the development and regular review of PHMO policies and procedures.
Identify quality issues and conduct audits to further investigate issues. Analyze audit results and submit reports on findings to PHMO leadership. Based on audit findings, recommend and implement educational efforts.
Identify areas of learning needs and report to Quality Manager for development of care management staff and programs.
Regularly review care management documentation, staff productivity and quality improvement opportunities to assess and identify trends.
Recommends and implements process changes, policy changes and updates, staff training or other appropriate mitigating factors in response to identified trends.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Working knowledge of care management, quality management and payor requirement strongly preferred.
Ability to provide effective, constructive feedback regarding quality trends.
Maintains confidentiality of employee and patient information.
Promotes quality, comprehensive services through a team approach.
Excellent interpersonal communication and organizational skills required.
Bachelor's degree in a clinical field such as Nursing, Counseling, SocialWork, Therapy, Allied Health, or community health related fields.
3 years of clinical experience required.
Degrees, Licensures, Certifications
Must have a current license in at least one of these areas: current or compact RN licensure in the state of North Carolina, current licensure as a licensed clinical social worker by the NC Social Work Certification and Licensure Board, current licensure as a Licensed Professional Counselor by the stateof NC, or current licensure as a Licensed Addiction Specialist by the state of North Carolina. Requires ACM or CCM certification within 3 years of hire date or by December 31, 2020.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.
To improve the patient experience by providing health care providers; patients and their families; and others with information, education, networking opportunities, and related resources focused on best practices.