[Hiring] Manager Transition of Care @Lehigh Valley Health Network

Role Description

The Manager Transition of Care (TOC) is a dynamic leader responsible for overseeing the daily operations for the TOC Associates. The manager drives operations to ensure scheduling of timely follow-up post-discharge, linkage to appropriate resources, and TOC-related quality metrics.

• Provides leadership to ensure the organization supports best practice TOC interventions in relation to value-based and quality contractual requirements.
• Responsible for administrative and operational workflows for TOC appointment scheduling.
• Ensures direct reports follow TOC outreach requirements and practice-based scheduling guidelines to comply with Transitional Care Management (TCM) requirements.
• Assigns and monitors direct reports for the completion of work for:
  • Pre-discharge appointment scheduling
  • Post-discharge TOC outreach
  • Post-ED calls for patients with multiple chronic conditions
  • Surgical pre-screens
  • Osteoporosis care gap closure
  • Additional quality care gaps as needs arise
• Ensures alignment with unlicensed staff members and collaborates closely with department leadership to ensure congruency between teams.
• Monitors the overall daily performance, quality improvement, and patient care activities of the assigned team through auditing and observation to ensure compliance for TCM billing and TOC-related quality metrics.
• Functions as a resource and educator for TOC services, including but not limited to:
  • TOC reports
  • TOC outreach
  • Pre-surgical screens
  • TOC scheduling
• Ensures delivery of all care coordination and programmatic activities in accordance with network policies, departmental procedures, proper billing and coding, regulatory requirements, and accreditation standards.
• Measures progress towards and/or deviation from project/production goals with commercial payers.
• Manages reporting needs with IT colleagues for compliance with turn-around times and performance outcomes for assigned team.
• Collaborates closely with LVPG leadership to develop TOC scheduling algorithms and practice communication workflows.
• Identifies strategies to improve individual and department productivity through monitoring performance against productivity metrics and programmatic key performance indicators (KPIs).

Qualifications

• Bachelor’s Degree in a health-related field
• Master’s Degree in a health-related field within 3 years of hire
• 5 years experience in an ambulatory practice setting, chronic disease management, care management, or related area

Requirements

• Master’s Degree in Business Administration (MBA) (preferred)

Physical Demands

• Lift and carry 25 lbs.
• Frequent sitting/standing
• Frequent keyboard use
• Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting, and performing CPR.

Work Shift

• Day Shift

Address

• 1200 S Cedar Crest Blvd

Primary Location

• REMOTE IN PENNSYLVANIA

Position Type

• Remote

Union

• Not Applicable

Work Schedule

• M-F; 8a - 4:30p

Department

• 1004-13010 COH-Payor Based Care Coordination