El Camino Health is seeking a Clinical Program Manager, Integrated Care to lead cross-functional teams in planning, development, coordination, and implementation of complex enterprise-wide inpatient and outpatient integrated care, post-acute, transitional care, and performance improvement initiatives. The role serves as the clinical leader for advancing care of designated patient populations across the continuum, including acute, ambulatory, home, and post-acute settings. The focus includes CMS Transforming Episode Accountability Model (TEAM), bundled payments, transitional care, and value-based reimbursement initiatives, supporting episode performance, transitions of care, post-acute network effectiveness, and measurable improvements in quality, utilization, patient outcomes, and patient experience. Responsibilities include leading performance improvement through clinical expertise and collaboration with clinical and non-clinical stakeholders, adopting AI-enabled tools, analytics platforms, Epic enhancements, and emerging technologies to improve outreach, care coordination, documentation, and program performance. The role collaborates with leadership and cross-functional teams to improve evidence-based practice, clinical outcomes, patient experience, workflow efficiency, and program performance, and oversees post-discharge follow-up workflows, caregiver coordination, continuity of care, and timely follow-up for designated patient populations. It serves as a clinical liaison between hospital-based providers, patients, caregivers, primary care providers, physician offices, a
El Camino Health is seeking a Clinical Program Manager, Integrated Care to lead cross-functional teams in planning, development, coordination, and implementation of complex enterprise-wide inpatient and outpatient integrated care, post-acute, transitional care, and performance improvement initiatives. The role serves as the clinical leader for advancing care of designated patient populations across the continuum, including acute, ambulatory, home, and post-acute settings. The focus includes CMS Transforming Episode Accountability Model (TEAM), bundled payments, transitional care, and value-based reimbursement initiatives, supporting episode performance, transitions of care, post-acute network effectiveness, and measurable improvements in quality, utilization, patient outcomes, and patient experience. Responsibilities include leading performance improvement through clinical expertise and collaboration with clinical and non-clinical stakeholders, adopting AI-enabled tools, analytics platforms, Epic enhancements, and emerging technologies to improve outreach, care coordination, documentation, and program performance. The role collaborates with leadership and cross-functional teams to improve evidence-based practice, clinical outcomes, patient experience, workflow efficiency, and program performance, and oversees post-discharge follow-up workflows, caregiver coordination, continuity of care, and timely follow-up for designated patient populations. It serves as a clinical liaison between hospital-based providers, patients, caregivers, primary care providers, physician offices, a
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