Job Description

Steward Health Care Network (SHCN) takes pride in its community-based care model, which drives value-added tools and services to our communities, patients, physicians, and hospitals across the continuum of care. In addition, Steward Health Care Network promotes care coordination and collaboration within the network in order to provide high-quality, efficient care to patients. With Steward in the community, all residents can be sure that there is a world class doctor close to where they live.

The network is also responsible for the implementation and execution of our managed care contracts, medical management services, quality improvement programs, data analysis, and information services.

Position Purpose:

The Senior Manager, Clinical Integration and Post-Acute Care RN will manage both clinical and strategic initiatives across Steward Health Care Network clinical programs. Under the direction of the Executive Director of Clinical Integration, this position will oversee the day to day management of Steward’s national Post-Acute Care (PAC) strategy including Bundled Payments Care Integration – A (BPCIA) and PAC while ensuring that clinical best practices are integrated across all clinical ops programs. The PAC strategy includes a comprehensive and integrated approach to home health, hospice/ palliative care and sub-acute facility performance. Oversight in this role is inclusive of all at-risk populations regardless of payer profile. The position requires travel in order to meet with key stakeholders to drive high quality, cost efficient care redesign and post-acute care utilization. Success will be measured by meeting key performance indicators such as discharge disposition, program enrollments, readmission prevention, etc. This position is cross functional across various Steward departments including, but not limited to contracting, business unit, quality and works closely with various members of hospital leadership. This role will perform the majority of day to day management from the main office in Needham, Massachusetts- however; travel to all of Steward’s markets is required to build relationships that drive performance.

  • Build collaborative relationships across multiple departments and services lines within Steward
  • Build collaborative relationships and drive performance with non-Steward entities such as Home Care Agencies, Hospice/Palliative Care, Sub-Acute Facilities (Skilled Nursing Facility, Long Term Acute Care, Acute Inpatient Rehab) and Technology Vendors, etc.
  • Work closely with SHCN leadership and under the direction of the Executive Director of Clinical Integration to ensure that key SHCN messaging and initiatives are performing
  • The position requires the understanding and ability to articulate BPCIA and ACO strategy to drive performance
  • Manage BPCIA RN Regional Managers and their teams to drive regional performance
  • Under the direction of the ED Clinical Integration, this position will monitor initiatives that drive high quality and cost efficient care in the new markets. Examples include:
    • Development and/or implementation of evidenced based CHF/ UTI/ COPD protocols for patients who fall into one or more of Steward’s high risk categories
    • Development of payer-agnostic, critical workflows to improve PAC utilization
  • Responsible for developing appropriate metrics as well as tracking and reporting data to monitor trends in performance daily, weekly and monthly in the aforementioned programs
  • Must be able to trend data and identify early signals of performance deviation
  • Attends SHCN key cross functional meetings such Business Unit Operations, Contracting or hospital leadership meetings
  • Provides input on monthly strategy and implements tactics to drive performance improvement
  • The Executive Director of Clinical Integration will review the Senior Managers monthly performance. Performance is determined by how well the program is meeting key metrics, the manager’s ability to build internal and external relationships across the network, maximize team retention, work in a fast-pace/matrixed environment and drive improvement

Education / Experience / Other Requirements

Education:

  • Graduate of a state-approved school of nursing; BSN preferred
  • MPH, MHA, MBA recommended, but not required

Years of Experience:

  • Minimum of three years’ relevant clinical nursing experience required
  • At least three years of program and staff management experience required
  • Knowledge of Care Management is strongly preferred

Specialized Knowledge:

  • Possess a current unrestricted RN license in the Commonwealth of Massachusetts
  • Must maintain Basic Cardiac Life Support (BCLS) certification
  • Certified Case Management (CCM) or CCM eligible strongly preferred
  • Highly proficient with applications such as Microsoft office (Word, PowerPoint, Excel, Outlook)
  • Ability and willingness to learn new computer programs/software with appropriate training
  • Must exhibit strong critical thinking and problem solving skills
  • Strategic thinking
  • Ability to collaborate
  • Critical Thinking
  • Highly motivated and self-directed
  • Ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care
  • Demonstrated ability to prioritize, multitask, and work in a rapidly changing environment with multiple demands
  • Ability to utilize tools for the effective documentation of the care management process
  • Ability to travel to targeted facilities in all regions that Steward Healthcare has representation up to 40% of time

Application Instructions

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