Job Summary and ResponsibilitiesThis is a remote position located in CA.The incumbent much reside in CA with 25% to 50% travel.The Program Manager, Post-Acute Care role collaborates to decrease acute Length of Stay (LOS) by assisting in the placement of complex, hard to place patients. This role develops and maintains a Post-Acute Care (PAC) Narrowed Network of high quality collaborative providers. This position will evaluate the gaps in post-acute care options and work to identify providers that may fill these gaps, be they alternative care settings, alternative home settings, or other innovative care delivery mechanisms. The position oversees a mix of clinical, operational, and business activities related to PAC partnerships, working closely with post-acute providers as well as those we partner with to facilitate care for our patients in an array of post-acute settings. The PAC PM works with a multidisciplinary team of Physicians, Nursing, Rehab Services, Acute Care Coordination, Ambulatory Care Coordination, and Community Health staff to ensure a seamless transition of care for our patients.
- LOS Management
- Readmission prevention
- Management and oversight of BPCI-A program as appropriate, including driving and tracking of KPI's of first PAC setting, readmission rate, and SNF LOS
- Management of Contracts
- Oversight of the Post-Acute Care Narrowed Network (PACNN)
- Durable Medical Equipment (DME) Escalations
- Transportation Escalations
- Co-lead the Market Care Coordination Cross Continuum Council(s)
- Outcomes analysis and communication
- Assesses, reports, and communicates PAC program status on a periodic basis to all program stakeholders
Job RequirementsEducation and Experience:- Bachelors in nursing, social work, or healthcare related field (equivalent work experience may be considered)
- Active RN license or LCSW
- Minimum five (5) years' experience providing program management
- Minimum five (5) years' experience in acute care hospital and/or post-acute care
- Experience/knowledge of moving patients throughout the continuum of care; current clinical knowledge and experience, particularly with the senior population
- Three (3) years' experience in Care Coordination preferred
- Experience with performance measurement, outcome analysis, monitoring tools; computer skills
#LI-CSH
