Manager, Post Acute Complex Care

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We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Manager, Post-Acute Complex Care is a regional leadership position accountable for the direction, leadership and support of our Post-Acute Care Coordinators, Post-Acute Care Supervisors, and Post-Acute Care Managers in delivering the day-to-day programmatic acute care strategy. The incumbent will be responsible for clinical oversight of our care coordination efforts across the continuum of care, ensuring that our patients receive and experience the highest quality of care and post-acute facilities, leveraging all available resources, in line with the ChenMed model and Complex Care Team standards of care.
The Manager, Post Acute Complex Care will report to and collaborate closely with the Acute and Post-Acute Care leadership to ensure that the clinical needs of our patients are met in all facility-based healthcare environments (post-acute care) with high quality care and proper utilization of healthcare resource.
This role will collaborate closely with facility-based healthcare providers (post-acute care providers, case, and utilization management departments), strategic payor partners and our PCP-led care teams to ensure the patient’s progression through the continuum of care its effective, efficient, equitable, safe and achieves the desired clinical outcomes with effective resource utilization.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Manages a team of Post-Acute Care Coordinators, Post Acute Care Supervisors, & Post Acute Care Managers.
• Actively involved in the full employment cycle of direct reports, including but not limited to participation in the recruitment process, talent and performance management, day-to-day oversight of staffing/scheduling needs, problem solving, exit interviews and termination/counseling decisions.
• Supports the Complex Care and Clinical Strategy Teams in the day-to-day execution of our post-acute care standard operating procedures as well educating and ensuring that Post Acute Care Team delivers on these standards.
• Accountable for the overall performance and delivery of all Complex Care key performance indicators related to post-acute care management.
• Educates post-acute care management teams on appropriate levels of care in the post-acute setting (HHA, SNF, IRF, LTAC) in accordance with industry standard and federal and local guidelines.
• Ensures post-acute care management teams understand the key performance indicators and have all the necessary tools and resources to effectively deliver expected outcomes.
• Supports and educates the post-acute care team on identifying and managing safety risk (complete a social assessment), functional status (ADLs and PT needs), discuss medications and self-management at post-acute facility bedside, identify and correct knowledge deficits.
• Implements and supervises the Post Acute Care Managers Coaching Program.
• Ensures team has all available resources and knowledge to execute on overall length of stay mitigation that results in safe and effective discharge process to the next proper level of care.
• Ensures teams can identify from day one (1) of post-acute stay any barriers for a safe discharge back to the community and execute on the standards operating procedures to achieve readmission avoidance.
• Supports the care coordination of patients in post-acute care facilities (SNF, IRF, LTACH) in close collaboration post-acute physician and/or Regional Medical Director of Clinical Strategy (RMD-CS) and ensure a safe and effective transition to a lower level of care as soon as appropriate using a preferred provider network if further services are needed.
• Seeks assistance from ChenMed’s Specialty and Network Teams when needed to support the care of our patients in healthcare facilities.
• Assists with creation and implementation of SOPs as requested by Complex Care COE.
• Participates in surveys, studies, quality improvement initiatives and special projects as assigned by leader and requested by ChenMed and/or Complex Care COE.
• Assists with coverage for PTO and open positions as requested.
• Serves as a preceptor when assigned.
• Closely supports field and regional teams delivering care within the programs scope of practice for Post Acute Care Managers.
• Ensures high quality candidates are hired and onboarded in accordance with ChenMed and Complex Care COE standards.
• Provides structure, pr