Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
Type of Opportunity: Full Time
Work Schedule: Days
Location: Rev Hugh Cooper Admin Center
Bachelors Degree required. 6 years of additional experience can be substituted in lieu of degree. Five years experience in healthcare management, healthcare data management, nurse case management and/or behavioral health case management, and information technology experience preferred. Demonstrated ability through education and experience with reporting and analyzing health care cost, quality and utilization data. Able to teach others in the use of care management tools, data and reporting tools for various levels of users. Able to follow-up on multiple tasks with varied customer groups and to influence others without direct reporting relationship
*Experience with configuring content
*Experience building, delivering, and running reports
Competencies and skills:
* Analytics skills
* SKILL-Accuracy and attention to detail are crucial
* SKILL-Microsoft Office
* Clinical Judgment and Action: Uses clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the patient care situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines to manage patient care. Critical Elements of Clinical Judgment and Action Performance *Consistently uses the nursing process to structure and revise care *Anticipates, recognizes, and responds to changes in condition *Accurately communicates with healthcare team members to relay changes in patient status *Consistently provides care based upon need and urgency *Consistently applies patient safety principles *Develops, plans, and evaluate patient short and long term care goals. Charts problems, plans and goals appropriately in NICP *Consistently follows policies, procedures, standing order sets, care bundles, core measure practices *Consistently follows red rules: Patient identification and hand-washing *Seeks consultation if uncertain on how to respond to patient needs *Adjusts care to establish and support care goals *Integrates technology into daily care of patient by appropriate initiation of technology, maintenance, troubleshooting, and discontinuation *Consistently and accurately documents care per policies & standards
* Patient Advocacy: Works on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation. Critical Elements of Patient Advocacy Performance *Maintains patient confidentiality/personal/medical information *Identifies ethical and clinical issues *Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues *Advocates for patient needs, values, and goals *Compliance with JC Rights and responsibilities of the Individual elements
* Clinical Inquiry: Uses high standards and evidence-based practices along with questioning, research and evaluation skills to provide informed and/or change practice Critical Elements of Clinical Inquiry Performance *Supports process/quality improvement initiatives and incorporation into practice *Follows and is informed on Department outcome measures *Actively participates in changes in practice/roll outs *Seeks advice and consultation on care from colleagues and interdisciplinary team
* Collaboration: Involves multidisciplinary team as well as patient/family to promote optimal and realistic goals and outcomes Critical Elements of Collaboration Performance *Provides and coordinates independent, interdependent, and dependent care interventions with interdisciplinary care team *Selects appropriate Screenings from HED to facilitate interdisciplinary care when needed *Appropriately delegates care, monitoring delegated team members care and responds as appropriate with the goal of optimizing care *Interactions with care team in respectful, professional manner
* Facilitation of Learning: Fosters patient/family learning to promote self-care using both formal and informal processes as applicable and at an appropriate level of understanding. Critical Elements of Facilitation of Learning Performance *Self: Completes all required learning modules, programs in specified time *Self: Uses available resources within system to enhance own continuous learning *Self: sets and achieves learning and performance goals yearly *Self: Consults, teaches, supports continuous learning with colleagues *Self: Actively seeks learning/mentorship *Patient: Assess patient's learning style, readiness to learn, challenges to learning and adapts patient education to meet needs *Patient: Incorporates patient in learning about diagnosis(es), care management, medications using appropriate verbal and written communication tools/resources
* Response to Diversity: Uses holistic body, mind, spirit approach in provision of care by recognizing, appreciating, and incorporating cultural, spiritual, gender, race, ethnicity, lifestyle, socioeconomic, age, and value differences in practice. Critical Elements of Response to Diversity Performance *Provides communication/ medical interpretation services for population served based upon language preference *Consistently provides care to population served with appreciation to diversity elements as designated above *Consistently communicates and documents patient diversity needs *Uses PHS established internal resources and vendors
* System Thinking: Manages environmental and system resources across the healthcare system and community to meet patient/family needs or provision of quality care. Critical Elements of Systems Thinking Performance *Utilizes internal and PHS resources to provide evidence-based care including policy, protocols, procedures, approved specialty resources *Incorporates all patient safety technology, tools, protocols, communications, and initiatives to optimize a safe patient environment *Deploy in the clinical environment processes to enhance care efficiency, cost containment *Plan, maneuver, and deliver services/technology that are available within the system to meet the care needs of the patient *Negotiates within the system to achieve the care needs of the patient
* Functioning as an Effective Contingent Member
* Demonstration of high degree of independent problem solving and critical thinking skills.
* SKILL-Demonstrate ability to work effectively in a team environment
* SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
* SKILL-Written communication
Performs highly complex level of technical, project management support and analytical work under minimal supervision and with close collaboration with information system technology staff in support of the successful management of the Care Management Software System (e.g. Click4Care) programs, clinical content and tools. Develops and maintains clinical content and assists with configuration for the care management software program functionality, coordinating input and review by appropriate parties such as Medical Directors, nurse managers, licensed behavioral health practitioners, care coordinators, long term care specialists, pharmacists, social workers and community health workers. Content includes physical, behavioral health and long term care. Assists with the development of training programs for the use of the system and ensures maximum use and benefits from the use of the care management software system by Health Services staff as well as other internal and external customers of various levels. Manages on-going development and interpretation of care management policies, procedures and guidelines for the use of the programs, reports and tools. Performs other compliance related functions as assigned.
Benefits are effective day-one (for .45 FTE and above) and include:
Full medical, dental and vision insurance
Flexible spending accounts (FSAs)
Free wellness programs
Paid time off (PTO)
Retirement plans, including matching employer contributions
Continuing education and career development opportunities
Life insurance and short/long term disability programs
About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.