Skilled Nursing Facility Engagement Manager, Remote

Aledade Care Solutions (ACS) is the patient-facing arm of Aledade. ACS works in collaboration with Aledade partner practices to improve patient outcomes, while reducing health care costs. Our integrated approach connects high cost, high need patients to focused care programs that enable patients to accomplish health goals. Our vision is to create a local health care community where every patient and every practice is engaged, known, and supported.
The ACS innovation team is launching a new program focused on improving transitions of care for Aledade patients who are in post-acute facilities. We are actively recruiting a SNF Engagement Manager (Transitional Care Lead) to become a foundational team member of this program. This role will initially work directly with skilled nursing facilities to coordinate the discharge plan for Aledade ACO  patients and connection back to their PCP in the community. The ideal candidate for this role is a self-starter with a track record of working with skilled nursing facilities, other post-acute care providers, or value based care  programs. This role allows the candidate to join ACS’ fast growing Innovation and Partnerships team, which focuses on testing and scaling new value based interventions with the potential to change the U.S. healthcare system. We are flexible with respect to geographic location of employees within the U.S.A. The ideal candidate will be comfortable working remotely and will be able to travel from time to time to establish or maintain relationships with high-volume facilities.

Duties and Responsibilities:

• Develop and maintain overall Aledade business relationships with key leaders in Skilled Nursing facilities prioritized for this program 
• Lead and/or support data review meetings with key Skilled Nursing Facility staff
• Track and monitor SNF patients, including care plan, length of stay, and communication between facilities and providers via 3rd party platform and other tools available
• Work on a cross-functional team to establish and improve our SNF transitions of care program
• Use an evidence-based, data-driven approach to optimize Value-Based outcomes for SNF patients 

Required Education and Experience:

• Bachelor's degree 
• Minimum 3 years experience working in a value based care environment

Preferred Education, Skills, and Experience:

• Clinical background (RN, LMSW, LCSW, PT/OT, or similar)
• Deep expertise in skilled nursing facility transitions (ie admissions, administration)
• Basic knowledge of performance improvement concepts and EMR documentation
• Experience working with post-acute care providers (including home care agencies and skilled nursing facilities) and other post-acute resources
• Experience working with cross-functional teams to implement or refine  programs

All prospective hires will be required to demonstrate that they have been fully vaccinated, including booster shots, against COVID-19 with a COVID-19 vaccine for which the U.S. Food and Drug Administration has issued a license or an Emergency Use Authorization prior to mutually-agreed upon start date at Aledade, unless they qualify for a medical or religious accommodation to this vaccination requirement.
If you are passionate about transforming the healthcare system into one that best serves the needs of patients, doctors, and society, we’d love for you to join us!
Who We Are:Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients.  We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. 
We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed.  From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO),  revamping the way they practice and getting them back to where they should be: quarterbacking their patients’ health care!
Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.
What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness, and a desire to learn.  You will work with team members that bring a wide range of experiences, interests, backgrounds, beliefs, and achievements to their work, united by a shared passion for public health and a commitment to the Aledade mission.
We’ve recently been recognized as a Top Workplace by The Washington Post, Bes