Care Coordination Post Acute Program Manager

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

This 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

Education and Experience:

• Bachelors in nursing, social work, or healthcare related field (equivalent work experience may be considered)
• Active RN license
• A 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
• LCSW license is preferred
• Experience with performance measurement, outcome analysis, monitoring tools; computer skills

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