Apply on Employer Site

Wellvana · 3 days ago

Copy of Manager, Site of Care Services

Nashville, TN

Full-time

Onsite

Senior Level

5+ years exp

Wellvana is focused on enhancing patient management at high-volume Skilled Nursing Facilities. The Manager, Site of Care Services will oversee the implementation of care delivery models and collaborate with partners to improve patient outcomes and operational efficiency.

Health CareIT InfrastructureMedical

Responsibilities

Collaborate with ACO partners to design, implement, and refine care pathways that improve patient outcomes and reduce unnecessary utilization

Analyze post-acute care trends, SNF performance metrics, and readmission rates to identify opportunities for improvement

Guidance of cross-functional teams in developing strategic initiatives that align with ACO goals and CMS benchmarks

Facilitate stakeholder engagement, including clinical teams, care coordinators, and external providers, to ensure alignment and accountability

Production of training materials, workflows, and toolkits to support care pathway adoption

Leverage data analytics and visualization tools to communicate insights and drive strategic planning

Stay current on regulatory changes, CMS guidelines, and industry best practices related to value-based care and post-acute management

Review data trends from monthly claims files for assigned partners using Next Site of Care Dashboard

Compare current data with KPIs to determine any course corrections needed (i.e. action plans)

Incorporate data findings into action planning meetings and report out on any care redesign initiatives in progress along with recommendations for other care redesign efforts supported by the data

Review and prepare SOC action slides for Action Planning and JOC meetings

Work with Partner Success and Clinical Consultants to determine Acute Care Redesign activities for success

Conduct weekly patient management calls with In Network top 3 volume SNFs

Engage with SNF and HHA interdisciplinary teams to perform care redesign

Evaluate, build and maintain SNF and HHA performance networks

Improve network utilization, discharge patterns and readmissions

Coordinate and lead quarterly meetings with leadership at each performance top 3 volume facility/agency to report outcomes and recommend process improvements

Collaborate with cross-functional team to communicate PAC interventions to partners

Manage SNF LOS, Readmissions and Ensure Continuity of Care

Work with PAC partners to help identify new value-based care patients entering their care and begin transitional care planning from admission

Obtain weekly updates on patient status, transition challenges and anticipated discharge date and engage on challenges to ensure appropriate SNF length of stay

Consistent, daily use of the technology (Clarity) platform

Qualification

Healthcare operations experienceData analysis skillsProject management skillsACO modelsData visualizationClinical License preferredExperience in care coordinationMicrosoft Excel proficiencyMicrosoft PowerPoint proficiencyCommunication