Clinical Outcomes Specialist (RN required) - REMOTE

Discover Vanderbilt University Medical Center:  Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

Post-Acute Transition

Job Summary:

JOB SUMMARY
The VHAN Clinical Outcomes Specialist utilizes existing reports and collaborates on the development new reports that identify population health aggregate trends and ensures their incorporation into workflows as appropriate. This role also collaborates on the development of strategies to mitigate negative trends in financial or clinical performance to improve quality metrics and promote optimal clinical outcomes.

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KEY RESPONSIBILITIES

• Collaborate with enterprise analytics to apply clinical context to data trends and analysis.
• Ensure payer and other reports are reviewed and prioritized for clinical impact, assisting with process design to incorporate into care management workflow.
• Based on data trends and in-depth clinical reviews, advise care and utilization management leadership team of recommendations for changes in practice to effectively utilize care management outreach and other programs as available most effectively.
• Assist in the development strategies to impact utilization KPIs based on clinical knowledge and data trends.
• Support program development by applying knowledge of clinical standards and best practices to determine appropriate utilization of human resources and other tools for patient engagement (home-based services, remote patient monitoring, digital outreach, etc.) in partnership with case and utilization management leadership.
• Provide clinical support to various utilization workgroups, including but not limited to ED utilization, Readmissions, and Total Cost of Care.
• Serve as a clinical liaison for various VHAN partnerships as needed.

TECHNICAL CAPABILITIES

• Quality Management (Advanced): Developing a systematic process of checking to see whether a process or service is meeting specific requirements.
• Networking (Advanced): Build relationships through industry contacts, professional organizations, and individuals.
• Peer Leadership (Advanced): The ability to show leadership and influence people of equal rank in an effort to accomplish team goals.
• Process Improvement (Advanced): Identifies, analyzes and improves upon existing business processes for optimization and to meet standards of quality.
• Program Management (Advanced): Planning, organizing, and managing resources to bring about the successful completion of specific program goals and objectives.
• Medical Terminology & Documentation (Novice): Possesses sufficient fundamental proficiency to successfully demonstrate medical terminology and documentation in practical applications of moderate difficulty.
• Analysis (Advanced): Capable of reducing quantitative and conceptual problems and situations to basic elements and parts, then classifying, evaluating, and drawing conclusions. Demonstrates the ability to sift through data to determine its most significant elements. Able to turn discrete data into meaningful and valuable information which contributes to the successful completion of job assignments. Clearly recognizes cause and effect relationships.

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and