Provide leadership and direction to Nursing Home Services ARNPs and the multi-disciplinary professional practice team providing care for our members during sub-acute or residential stays at community nursing homes. Develops coordinated care and service planning and evaluation.
Accountable for development and continuous evaluation and assessment of population management programs, tools and delivery of care coordination services. Collaborates with system and regional leadership to optimize processes and metrics.
Provide oversight of delegation of the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies.