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We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Manager, Post-Acute Complex Care is a regional leadership position accountable for the direction, leadership and support of our Post-Acute Care Coordinators, Post-Acute Care Supervisors, and Post-Acute Care Managers in delivering the day-to-day programmatic acute care strategy. The incumbent will be responsible for clinical oversight of our care coordination efforts across the continuum of care, ensuring that our patients receive and experience the highest quality of care and post-acute facilities, leveraging all available resources, in line with the ChenMed model and Complex Care Team standards of care.

The Manager, Post Acute Complex Care will report to and collaborate closely with the Acute and Post-Acute Care leadership to ensure that the clinical needs of our patients are met in all facility-based healthcare environments (post-acute care) with high quality care and proper utilization of healthcare resource.

This role will collaborate closely with facility-based healthcare providers (post-acute care providers, case, and utilization management departments), strategic payor partners and our PCP-led care teams to ensure the patient’s progression through the continuum of care its effective, efficient, equitable, safe and achieves the desired clinical outcomes with effective resource utilization.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

+ Manages a team of Post-Acute Care Coordinators, Post Acute Care Supervisors, & Post Acute Care Managers.

+ Actively involved in the full employment cycle of direct reports, including but not limited to participation in the recruitment process, talent and performance management, day-to-day oversight of staffing/scheduling needs, problem solving, exit interviews and termination/counseling decisions.

+ Supports the Complex Care and Clinical Strategy Teams in the day-to-day execution of our post-acute care standard operating procedures as well educating and ensuring that Post Acute Care Team delivers on these standards.

+ Accountable for the overall performance and delivery of all Complex Care key performance indicators related to post-acute care management.

+ Educates post-acute care management teams on appropriate levels of care in the post-acute setting (HHA, SNF, IRF, LTAC) in accordance with industry standard and federal and local guidelines.

+ Ensures post-acute care management teams understand the key performance indicators and have all the necessary tools and resources to effectively deliver expected outcomes.

+ Supports and educates the post-acute care team on identifying and managing safety risk (complete a social assessment), functional status (ADLs and PT needs), discuss medications and self-management at post-acute facility bedside, identify and correct knowledge deficits.

+ Implements and supervises the Post Acute Care Managers Coaching Program.

+ Ensures team has all available resources and knowledge to execute on overall length of stay mitigation that results in safe and effective discharge process to the next proper level of care.

+ Ensures teams can identify from day one (1) of post-acute stay any barriers for a safe discharge back to the community and execute on the standards operating procedures to achieve readmission avoidance.

+ Supports the care coordination of patients in post-acute care facilities (SNF, IRF, LTACH) in close collaboration post-acute physician and/or Regional Medical Director of Clinical Strategy (RMD-CS) and ensure a safe and effective transition to a lower level of care as soon as appropriate using a preferred provider network if further services are needed.

+ Seeks assistance from ChenMed’s Specialty and Network Teams when needed to support the care of our patients in healthcare facilities.

+ Assists with creation and implementation of SOPs as requested by Complex Care COE.

+ Participates in surveys, studies, quality improvement initiatives and special projects as assigned by leader and requested by ChenMed and/or Complex Care COE.

+ Assists with coverage for PTO and open positions as requested.

+ Serves as a preceptor when assigned.

+ Closely supports field and regional teams delivering care within the programs scope of practice for Post Acute Care Managers.

+ Ensures high quality candidates are hired and onboarded in accordance with ChenMed and Complex Care COE standards.

+ Provides structure, process and mentoring in the consistent implementation of post-acute care standards with SOPs and policies across all ChenMed cities.

+ Leverages technology and data to manage performance, improve results, and team effectiveness.

+ Identifies gaps and recommends enhancement related to new and/or existing technology, processes, and existing products and/or services based on feedback and experience from post-acute care team members.

+ Ensures all operating processes are compliant and executed at the highest standards of service excellence.

+ Assists with quality audits and data analyses to identify opportunities for improvement.

+ Accountable for the performance and execution of transitional care, and post-acute partnerships. This includes:

+ Ensuring successful operation of Event Notification System (ENS) alerts including ensuring successful data capture from our Health Information Exchanges and payor census files

+ Responsible for quarterly audit of authorization files to ensure accurate capture of IP/Obs/Denials in HITS

+ Oversight and management of the Post Acute Care Coordinators in the region/market

+ Support maintenance of ENS/DNS integration to our system in collaboration with IT/Analytics team.

+ Supports the care coordination of patients in post-acute care facilities (SNF, IRF, LTACH) in close collaboration post-acute physician and/or Regional Medical Director of Acute and Post Acute Care (RMD-HC) and ensure a safe and effective transition to a lower level of care as soon as appropriate using a preferred provider network if further services are needed taking in account a proper allocation of resources

+ Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

+ Strong interpersonal and communication skills and the ability to work effectively with a wide range of internal and external stakeholders

+ Critical thinking skills required and ability to work autonomously

+ Leadership skills to direct others toward objectives that contribute to the success of the team, region and ChenMed

+ Ability to cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously

+ Understands and is committed to maintaining highest level of confidentiality and patient care standards

+ Flexibility with schedule, including off-shifts, weekends and holidays to meet the needs of patients, families or staff

+ Knowledge of the standard operating procedures of care coordination, length of stay management and readmission mitigation

+ Understanding of case and utilization management procedures in post-acute care settings and how to leverage with inpatient staff for possible reduction of medical cost on long length of stay patients

+ Basic understanding of healthcare economics, cost drivers for Medicare Part A, B and D and cost mitigation strategies

+ Understanding of Managed Medicare guiding principles

+ Ability to monitor, assess and record patients’ progress and adjust and plan accordingly

+ Ability to plan, implement and evaluate individual patient care plans

+ Knowledge of nursing and case management theory and practice; patient care charts and histories; clinical and social services documentation procedures and standards

+ Knowledge of community health services and social services support agencies and networks

+ Organizing and coordinating skills

+ Ability to communicate technical information to non-technical personnel

+ Above average proficiency in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software

+ Ability and willingness to travel locally, regionally, and nationwide up to 10-20% of the time or onsite at post-acute setting for co-location efforts

+ Spoken and written fluency in English, bilingual preferred

+ This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

+ A valid, active Registered Nurse (RN) license in State of employment plus one of the following degree conditions is required:

+ Bachelor’s Degree in Nursing (BSN); **OR**

+ Associate degree in Nursing (ADN) with 5 years of recent experience in an acute or post-acute healthcare facility, case management or discharge planning work experience; **OR**

+ Bachelor’s degree in a health-related discipline

+ Compact license required if available in state

+ Five (5) years of recent experience in an acute or post-acute healthcare facility

+ Minimum five (5) years of care management experience

+ Minimum two-three (2-3) years nursing leadership/management position experience is required in an acute, post-acute care facility or primary care coordination setting.

+ Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment

+ BA/BS degree in Healthcare Administration or a closely related field, preferred; Master’s degree a plus

+ This position requires possession and maintenance of a current, valid Driver’s License

+ Training and experience in using operational and quality improvement skills including – lean, process improvement preferred

+ Leadership experience in a healthcare setting working with health plans, specialists, acute providers, and post-acute providers, including hospital, skilled nursing facilities, home health, behavioral health, social service, and other agencies

+ Current, relevant, and substantial knowledge of areas related to medical cost, quality and value, and other clinical issues, especially within a managed care environment, required

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current Employee apply HERE (https://careers.chenmed.com/i/us/en/homerevisited)

Current Contingent Worker please see job aid HERE to apply