Job Description

Category:
Management/ Professional

Facility:
Steward Health Care Network

Department:
Steward Health Care Network

Req Number:
54735

Job Details:

Position Purpose:

Under general direction of departmental leadership the program manager will focus on End of Life Program Development. The Program Manager oversees, monitors, coordinates, and supervises the daily operations of Steward Health Care Network's Hospice and Serious Illness Care program. Works collaboratively with the care management team and other internal and external stakeholders to maintain optimal processes and procedures to ensure an excellent level of service and clinical care.

Essential Duties and Primary Accountabilities:

* Coordinates hospice referrals for patients in the Accountable Care Organization (ACO) and provides direct management of process and assessment of performance by external and internal hospice programs.
* Helps identify ACO patients appropriate for hospice referrals, completion of paperwork as needed to facilitate transitions. Ensures documentation of activities is captured in the appropriate system(s).
* Provides clinical guidance, counseling and clinical expertise to key internal and external stakeholder's to assist in continually improving clinical care and performance using best practices and data to improve performance.
* Meets regularly with internal and external staff to facilitate quality hospice services to ACO patients and helps transition patients to hospice when appropriate.
* Helps provide services and education to key stakeholders to promote best practices and implementation of quality of care (e.g. Advanced Directives, palliative care, end of life services etc.).
* Stays informed of changes in nursing and hospice practice and informs appropriate organizational personnel.
* Assists leadership in developing and growing the program promoting hospice referrals in the community and managing the clinical teams in the program.
* Responsible for growing the program in 2019 from hospice services to more broadly incorporate serious illness planning and initiatives.
* Assists with the development, management, and forecasting of department budget. Monitors expenses within approved budget. Maintains vendor services agreements as needed.
* Assists key stakeholders in implementing care via agencies and evaluating clinical status and needs of the patient, family / caregiver care as indicated.
* Works with analytics and IT to obtain risk-adjusted data with the goal of optimizing patient management and assignments. Creates and optimizes hospice provider dashboards.
* Works collaboratively with the department leaders and the IT department to ensure the maintenance of care management databases and use of care management documentation systems. Proactive about identifying and advocating for system enhancements that may be required to deliver high quality care management services. Collaborates with IT teams to implement, test, and deploy system upgrades and enhancements.
* Responsible for the implementation of Care Improvement (LEAN) initiatives and principles related to achieving quality and patient satisfaction outcomes.
* Demonstrates leadership that creates and fosters a culture of continuous improvement in the department.
* Performs all job functions in compliance with applicable federal, state, local, and company policies and procedures.
* Travels throughout the SHCN network for meetings with internal and external stakeholders as needed.
* Other duties as assigned.

Education / Experience / Other Requirements

Education:
* Certified RN
* Minimum 4 year degree

Years of Experience:
* Minimum five years' experience in hospice management role

Work Related Experience:
* Demonstrated ability to interact with and influence internal and external key stakeholders
* Helping promote the hospice concept and growing programs

Specialized Knowledge:
* Excellent critical-thinking, observation, written /verbal skills, problem-solving, and analytical skills.
* Ability to lead and motivate others to execute a plan in a rapidly changing environment.
* Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
* Knowledge of hospice governmental rules and regulations and ACHC standards
* Strong current working knowledge of hospice; knowledge of Accountable Care Organization (ACO) desirable.
* Knowledge of leading practice in clinical care and payer requirements.
* Familiarity with the compliance and regulatory standards governing health plans and patient care including NCQA, URAC, federal, state, and other regulatory requirements.
* Ability to use Microsoft Office tools including Word PowerPoint, Excel, and Outlook;
* EHR proficient.
* Current State RN license.
* Valid driver's license and an insured vehicle in proper working order for local travel.


Physical and Mental Demands:

These physical and mental demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Examples Only:
* Must be able to effectively communicate with internal and external customers via telephone and email.
* Able to accurately receive information through oral communication.
* Able to accurately review data and figures both in hard copy and electronic formats.
* Utilize a computer (including but not limited to a mouse and keyboard) and telephone intermittently throughout entire shift, for periods of up to four (4) hours at a time.
* Able to accurately sort through data and think through issues in a time?pressured environment.
* Able to focus on a specific event or activity for up to four (4) hours at a time without interruption.
* Able to maintain a calm and collected presence while addressing the concerns from an internal and external customer
* Able to accurately learn and retain new information, knowledge and skills.
* Able to efficiently manage multiple tasks, with varying degrees of priority, at the same time.



Application Instructions

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