Administrative Length of Stay Lead

Job Summary

The Length of Stay (LOS) Administrative Lead is responsible for the day‑to‑day operational leadership, coordination, and execution of regional and / or hospital level LOS reduction efforts. This role serves as the central integrator across LOS Physician Leads, Patient Flow Coordinators, Care Management, Nursing, Utilization Management, and operational leaders to ensure reliable execution of standard work, effective escalation, and measurable improvement in LOS performance.

Acting as the primary administrative and operational owner for LOS initiatives, working in partnership with the LOS physician lead, the LOS Administrative Lead ensures consistent implementation of progression rounds, escalation pathways, and complex case review processes. The role partners closely with LOS Physician Leads to translate clinical direction into operational action and supports Progression Expeditors by providing structure, prioritization, and accountability for barrier resolution and care progression efforts.

The LOS Administrative Lead oversees LOS escalation processes, supports complex and prolonged‑stay reviews, and ensures issues are surfaced, prioritized, and resolved through the appropriate clinical and operational channels. This role also coordinates data review, performance monitoring, and standard‑work adherence to identify trends, recurring barriers, and opportunities for hospital‑level improvement.

In addition, the LOS Administrative Lead plays a key role in developing, maintaining, and refining LOS workflows, tools, and serves as a liaison between frontline teams, hospital leadership, and region‑level forums. Success in this role requires strong operational judgment, the ability to influence without direct authority, and the skill to align multidisciplinary stakeholders around shared LOS goals.

Performance is measured through sustained improvement in observed‑to‑expected LOS, reduction in avoidable days and opportunity days, effective escalation and resolution of barriers, consistent execution of progression rounds, and strong collaboration between physician, nursing, and operations teams in advancing patient care progression and reducing LOS.

Essential Functions

• LOS Operational Leadership & Program Ownership

  • Serve as the day to day operational lead for hospital and system length of stay (LOS) improvement efforts

  • Partner closely with LOS Physician Leads to translate clinical direction into operational execution

  • Provide oversight and coordination for LOS related initiatives across nursing, care management, utilization management, and ancillary services

  • Ensure alignment between frontline execution, physician leadership, and system level LOS priorities

• Progression Rounds & Standard Work Oversight

  • Ensure consistent implementation and reliability of multidisciplinary progression rounds in accordance with system standard work

  • Uses progression rounds audit findings to drive accountability, coaching, and continuous improvement

  • Identify gaps in execution and partner with leaders to address variation in practice across units or sites

• Escalation & Complex Case Management

  • Own the LOS escalation process, including maintenance of escalation pathways, tools, and education

  • Ensure timely identification, prioritization, escalation, and resolution of LOS driving barriers

  • Lead or support complex and prolonged stay patient review processes to remove clinical, operational, or disposition barriers

  • Coordinate escalation across physicians, care management, operational leaders, patient flow coordinators and system forums as appropriate

• Data Review, Performance Monitoring & Accountability

  • Partner with analytics and operational teams to review LOS related data, trends, and performance metrics

  • Use data to identify high impact opportunities, recurring barriers, and units or populations requiring focused intervention

  • Track action plans, escalation outcomes, and improvement progress to ensure sustained LOS performance

• Cross Functional Collaboration & Communication

  • Facilitate collaboration across physicians, nursing, care management, utilization management, therapy, and operational leaders

  • Serve as a key liaison between frontline teams, hospital leadership, and system level LOS teams

  • Communicate expectations, progress, and barriers clearly to stakeholders at multiple levels of the organization

• Continuous Improvement & Program Development

  • Identify systemic LOS drivers and contribute to development of standardized workflows, tools, and best practices