RN Program Development Specialist

Overview

As a Program Development Specialist - Registered Nurse (RN) you will play a pivotal role in the development implementation and management of programs within our value-based care framework. You will leverage your clinical expertise as a Registered Nurse to drive initiatives aimed at improving patient care quality enhancing care coordination and achieving cost-effective healthcare outcomes. This role requires a unique blend of clinical knowledge project management skills and a passion for advancing healthcare innovation.

Responsibilities

Program Development: Collaborate with cross-functional teams to conceptualize design and implement programs focused on value-based care initiatives such as care coordination chronic disease management preventive care and population health management inclusive of Nursing roles and non-clinical roles such as Care Guide and Community Health Worker. Including the following items:
Develop and implement care management programs to enhance patient outcomes and reduce healthcare costs including but not
limited to: Care pathways Assessments Workflows
Standards for documentation
Create Onboarding programs including training materials instructional aides programs and schedule to ensure success of New
Hires
Create developmental programs training materials instructional aides programs and schedule to ensure ongoing success of staff to
move from novice to expert in Population health Programs.
Needs Assessment: Conduct thorough needs assessments to identify gaps in services barriers to care and opportunities for improvement within current state
Collaboration: Collaborate with interdisciplinary team members like the Program Specialist for Pharmacy and Social Work. Ensuring programs are woven together and have seamless operations.
Clinical Expertise: Provide clinical insights and guidance throughout the program development lifecycle ensuring alignment with evidence-based practices industry standards and regulatory requirements.
Quality Improvement: Lead efforts to monitor evaluate and continuously improve the effectiveness of existing programs through data analysis performance metrics tracking and feedback mechanisms. Including the following components:
Develop and maintain quality assurance programs for RN and non-clinical roles to ensure compliance with regulatory standards.
Monitor clinical outcomes to identify areas for improvement and implement necessary changes.
Foster a culture of continuous quality improvement within the nursing and clinical teams.
Develop a system for rigorous repetitive tiered clinical reviews for regional and market-based teams.
Program Evaluation: Monitor and evaluate the effectiveness of programs and interventions using data-driven metrics to assess outcomes and make evidence-based recommendations for improvement. Including the following areas specific to operational excellence:
Implement best practices in care delivery and continuously assess and improve workflows.
Support initiatives to optimize resource allocation and operational effectiveness.
Support Health System and partner affiliates clinical outcomes teams which defines and validates its evidence of clinical impact.
Collaborate with Product and Clinical Operations teams to drive accuracy precision reliability and efficiency in clinical workflow.
Education and Training: Develop educational materials training sessions and resources to support healthcare professionals in implementing and adhering to program protocols and best practices.
Project Management: Coordinate project timelines milestones and deliverables to ensure successful execution of program initiatives within budget and scope.
Research and Innovation: Stay informed about emerging trends technologies and advancements in healthcare delivery and population health management to inform program development strategies and enhance organizational capabilities.
Performance Reporting: Prepare and present regular reports on program outcomes performance metrics and key insights to leadership stakeholders and regulatory bodies as required.
Performs other duties as assigned.

Qualifications

EDUCATION:

Required: Bachelors degree in nursing (BSN)
Preferred: Masters degree in nursing Healthcare Administration or related field.

EXPERIENCE:

Required: 5 years of clinical experience in healthcare settings with a focus on care coordination population health management or related areas in an integrated healthcare delivery system.

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

Required: Registered Nurse (RN) license in North Carolina.

Required Experience:

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