Post-Acute and Care at Home Director
4 weeks ago
We are seeking a highly skilled and experienced RN Director of Post-Acute and Home Health to join our team at Navvis. As a key member of our Throughput and Post-Acute team, you will play a vital role in building collaborative workflows to optimize the quality and continuity of care patients receive post-discharge.
Key Responsibilities- Regularly review performance of Post-Acute Care Alliance members through quarterly scorecards, ACO expenditure reports, claims data, and other reporting methods as available to understand each facility's overall performance.
- Review referral acceptance rates, denials, and admissions to non-alliance members for trend analysis and improvement opportunities.
- Collaborate with the VP, Care Continuum to achieve efficient communication across the continuum.
- Meet with each transitional care unit/skilled nursing facility in the PAC alliance to create regular channels of interaction, communicate changes, review performance, and understand opportunities for improvement.
- Identify performance gaps in the alliance overall, as well as at an individual facility level, and develop strategies with corresponding action plans to improve performance.
- Lead a team of Post-Acute Care associates supporting patients in the transitional care unit/skilled nursing facility and post-acute care programs to ensure proactive discharge planning and coordinated care management.
- Ensure collaboration between PAC associates and other stakeholders for a streamlined process that allows for the most efficient management of patients.
- Work across transitional care unit (TCU)/skilled nursing facility (SNF), home health partners, and internal stakeholders to advance clinical capabilities in the TCU/SNF Alliance, to care for an increasingly complex patient mix.
- Work with internal Navvis and key client teams to ensure inpatient rehabilitation facilities and home health network are adequately serving the needs of the population.
- Collaborate with other key Navvis teams to ensure a coordinated approach to care delivery, including meeting regularly with appropriate stakeholders that intersect with post-acute and Care at Home performance.
- Annually, and as indicated, review overall alliance composition related to performance and collaboration, and provide recommendations for changes to the alliance membership as indicated.
- Provide regular report-outs to internal and external teams to allow visibility into post-acute and Care at Home performance.
- Participate in national PAC and Care at Home administrative meetings on a quarterly basis to collaborate and share best practices.
- Bachelor's degree in nursing, with Registered Nurse (RN) licensure for Massachusetts.
- 5 years of strategy, operational, or clinical leadership in the post-acute industry.
- Experience in operations or leadership within Care at Home or Home Health setting.
- Demonstrated history of developing and implementing data-based performance improvement strategies.
- An understanding of healthcare economics and regulatory requirements governing skilled nursing/home health, BPCI A, MSSP/ACOs, CMS Waiver Programs, etc.
- Organizational skills, with an ability to prioritize multiple requests and deadlines.
- Strong leadership and communications skills to achieve buy-in and collaboration toward objectives.
- Experience with Microsoft Office, Word, PowerPoint, Excel, and Teams, plus other virtual conferencing platforms.
- Must be in the Boston, MA area.
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