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Job Description

There are 3 RCI Throughput initiatives currently in scoping with our clients EPMO team. The scoping exercises are aimed at determining what technical enhancements we will implement for the organization. Here is an overview of the initiatives below. The PM will be responsible for confirming technical build requirements, resources requirements, project costs once the scoping exercises are complete as well as implementations. The resource will be working with IT PMO and EPMO team members supporting the client. There are 11 PMs in the IT PMO with whom they will work.

One additional item to note is project estimation experience would also be ideal.

RCI Throughput Length of Stay:

Opportunity to promote appropriate progression of care, appropriate level of care, and timely discharges by optimizing care team members working collaboratively and communicating effectively in a standardized, interdisciplinary forum to plan care priorities, estimated date of discharge, and discuss discharge plans, barriers to discharge, and patient goals.

A team of stakeholders is participating in the IHI Hospital Flow program. This program includes a framework for improvement of throughput and patient flow within a health system. A gap analysis of this framework to the client's current state is in progress. This will inform tactics.

RCI Throughput - Denials / UM:

There is an opportunity to reduce Commercial PPO inpatient medical necessity denial rate by requiring physician review of IP medical necessity criteria upon admission and enhancing the UM model to support a robust medical necessity review process.

Physician review of IP medical necessity criteria for all Commercial PPO patients would result in reduction of denials

Increased UR nurse review against medical necessity criteria within 24 hrs of admission (including weekend admissions) would result in reduction of denials

RCI Throughput - Patient Flow Scoping:

Opportunity to improve throughput and patient flow by focusing on key success factors and tactics for delivering positive results specific to identifying the barriers and challenges along with listening to teams share common pitfalls and problems associated with LOS and throughput

Integrating employee engagement tactics and building on foundation work further develops strong relationships with key stakeholders

Identifying opportunities for quick wins will help to drive results forward and promote active team participation

Competing priorities impacts engagement of key stakeholders

Disengagement among physicians and other members of the care team

Limited time to ensure culture change among key stakeholders, care teams, and frontline staff

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

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Skills and Requirements

- 3-5+ years of IT project management experience within healthcare

- Experience in revenue cycle management

- Experience leading Epic based projects with workflow changes.

- Experience doing project estimation

- 5+ years of PM experience in IT; minimum of 1 year experience with Epic, minimum of 2 years of project management in healthcare setting. null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].