Post Acute Care Manager
4 days ago
West Palm Beach
Job Description Job Description Job Title: Post Acute Care Manager Department: Network Development Team Reports To: Director of Home Health & Therapy FLSA Status: Exempt DISCLAIMER: Job descriptions are not meant to be all-inclusive, and/or the job itself is subject to change. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Summary: The Post-Acute Care Manager is responsible for overseeing patient transitions from inpatient settings to post-acute care providers such as skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), home health agencies (HHAs), and hospice. This role ensures high-quality, cost-effective, and coordinated care across the continuum, supporting improved patient outcomes, reduced readmissions, and overall performance in value-based care programs such as ACOs. Key Responsibilities • Care Coordination, • Oversee transitions of care for patients discharged from hospitals into post-acute settings., • Collaborate with case managers, providers, SNFs, HHAs, and families to develop and implement care plans., • Monitor patient progress and facilitate timely discharges from post-acute facilities., • Network & Provider Management, • Develop and maintain relationships with preferred post-acute providers to ensure high-quality, efficient care delivery., • Track utilization and quality outcomes of network facilities, escalating concerns when needed., • Assist with network development through strategic relationship building with post-acute facilities and agencies., • Performance & Reporting, • Monitor length of stay (LOS), readmissions, and cost per member per month (PMPM) in post-acute settings., • Use tools such as CarePort or similar platforms to provide real-time data and actionable insights., • Track and report key performance indicators (KPIs) to the Directors of Home Health & Therapy and Skilled Nursing, • Assist the Directors of Home Health & Therapy and Skilled Nursing in team management with oversight of Post Acute Transition Coordinators, • Quality & Compliance, • Ensure adherence to evidence-based practices, CMS guidelines, and value-based care requirements., • Support care team huddles, case reviews, and audits to drive continuous improvement., • Skilled Nursing Facility (SNF) Length of Stay (LOS), • 30-Day Readmission Rate, • Preferred Network Utilization, • Cost per Member per Month (PMPM) – Post-Acute Supervisory Responsibilities Assists Directors in supervising Post-Acute Transition Coordinators and other assigned staff supporting post-acute initiatives. Qualifications Education & Experience • Associate or Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field required, • Minimum of 2–5 years of administrative experience in a healthcare setting, • Project management experience preferred, • Demonstrated success managing teams and performance, • Experience in post-acute care settings (SNF, HHA, rehab, etc.) and using care coordination platforms (e.g., CarePort, Epic, or similar), • Proficiency in Microsoft Office (Excel, Outlook, Word), • Excellent organizational and time-management skills, • Strong written and verbal communication abilities, • Ability to multitask and work collaboratively in a fast-paced environment, • Strong leadership and team management skills, • Excellent consulting and relationship management skills, with a proven ability to engage physicians and practice leaders. Language Skills: Ability to read and comprehend simple instructions, correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one situations to visitors, clients, physicians, healthcare entities, leadership and other employees of the organization. Reasoning Ability: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Computer Skills: MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint), SQL, Power BI, SSRS, relational databases, and other related software/technology. Other Skills and Abilities: • Commitment to confidentiality, integrity, and professional ethics, • High integrity, confidentiality, and professional judgment Physical Demands: While performing the duties of this Job, the employee will have a combination of standing, sitting, bending, and reaching. May work at a computer monitor for prolonged periods. The employee may lift and/or move up to 10 pounds.