Program Manager Post Acute Services

Full Time
Phoenix, AZ 85018
Posted
Job description
Overview

***This position is hybrid in-office and work from home.

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first. Dignity Health MSO offers a competitive Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package.

Arizona Care Network is a Dignity Health joint venture. We access our employee benefits and Human Resources systems through DHMSO, a division of Dignity Health.

Responsibilities

Position Summary:

Arizona Care Network (ACN) is a clinically integrated (CI) physician network and Accountable Care Organization (ACO) sponsored by Dignity Health and Abrazo Health. The Program Manager, Post-Acute Services is an employee of Dignity Health Managed Services Organization (DHMSO), a wholly owned subsidiary of Dignity Health.

The Post-Acute Services Program Manager is responsible for leading a variety of operational and collaborative relationships related to post-acute services offered by ACN, including post-acute network design, post-acute care coordination services, post-acute provider relationship management, waiver program implementation and maintenance, post-acute program metric selection and reporting to internal and external stakeholders, as well as hospital system case management program partnerships.

Responsibilities may include:
  • In collaboration with the Director, Provider Network establishes/refines selection criteria and requirements for participating in ACN, and is the primary point of contact for conducting contracting activities with post-acute care provider organizations.
  • Responsible for initiating, onboarding, developing relationships and serving as the primary interface with ACN preferred post-acute facilities and provider organizations, including Skilled Nursing Facilities, Home Health Agencies, Rehabilitation Hospitals, Hospice, etc.
  • Serves as key partner with clinical and administrative leaders throughout the post-acute network to identify opportunities and drive improvement in key areas such as quality, cost of care, care coordination, network coordination, patient/consumer experience.
  • Leads the implementation, training, maintenance and evaluation of ACO waiver options available to ACN.
  • Prepares for and facilitates ongoing Post-Acute Care Committee meetings by working closely with ACN leadership and the Committee Chair.
  • Engage and collaborate with Dignity Health and Abrazo Community Health Network case management and physician leadership to maximize ACN’s post-acute care program by serving as the primary external interface to develop relationships with hospital and SNF case management to facilitate care transitions to the appropriate setting.
  • Works collaboratively with ACN’s Director of Analytics and with appropriate data/analytics vendors to design and build post-acute care program metrics and dashboard reports that allow for regular tracking of program performance, and the implementation of improvement opportunities throughout the network.
  • Participates in the periodic evaluation of technologies and other solutions being considered by ACN for post-acute providers.
  • Other duties as assigned.

Qualifications

Minimum Qualifications:

  • Minimum 3 years’ experience in clinical operations in a hospital or post-acute care setting, or as a Case Manager in a hospital, nursing home, or health plan setting.
- Bachelor’s Degree - BS/BA in Business/Healthcare or equivalent combination of education and experience required.
  • Must have excellent verbal and written communication skills; Must be able to communicate and interface effectively with internal and external customers. Able to summarize data findings concisely for internal and external stakeholders; able to make inferences and offer suggestions for improvements. Proficiency with the Microsoft Office suite of applications.
  • A solid knowledge of budgeting and financial practices.
  • Special skills:
Strong customer service skills with willingness to take initiative with lite to no direction. Demonstrated ability to analyze problems and issues from a variety of perspectives and to understand legal, privacy, risk, and operational impact of decisions. Knowledge of HIPAA, Title 22, security principles, guidelines, and standard healthcare practices in Arizona. Knowledge of information privacy and release of information laws. Detail-oriented and analytical skills required. Proficient in Windows operating system environment, information technology network infrastructures, access directory and Microsoft Office products. Excellent communication and interpersonal skills, both verbal and written. A demonstrated commitment to high professional ethical standards and a passion for organizational compliance. Knowledgeable of Accountable Care Organization requirements and structures. Ability and willingness to look at situations from several points of view. High comfort level working in a diverse environment. Demonstrated understanding of post-acute care operations and strategic positioning of post-acute programs and services. Able to articulate an understanding of the continuum of care, including acute, post-acute, and community-based services.

Preferred Qualifications:

  • Clinical certificate or license (e.g., medical assistant (MA), Licensed Practice Nurse (LPN), RT, Registered Nurse (RN), or similar) preferred.

~LI-DH

Available Pay Transparency Information

$27.77 - $40.27 /hour

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