Manager Post Acute Care Network (RN)

Stanford Health Care • Palo Alto, CA

5d • $84 - $111 • Onsite

About The Position

The Manager of Post-Acute Community (PAC) Network Operations plays a critical role in the operationalization of the post-acute community network, ensuring seamless patient transitions and high-quality care coordination. This position emphasizes performance monitoring, and escalation resolution with PAC partners, including Skilled Nursing Facilities (SNFs), Acute Rehabilitation Units (ARUs), Long-Term Acute Care Hospitals (LTACHs), and Home Health Agencies (HHA).

Requirements

• Bachelor’s Degree in Nursing required.
• 3-5 years of experience in healthcare coordination, discharge planning, or post-acute care setting required.
• Strong organizational and communication skills, with demonstrated experience in facilitating meetings and managing complex tasks.
• Proficiency in data management and performance reporting.
• Ability to collaborate effectively with clinical teams and external partners.
• Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, consulting, and advising, as well as flawless written communication.
• Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation.
• Ability to resolve conflicts and/or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships.
• Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients, and their families.
• Ability to develop project measures of success, analyze progress and evaluate outcomes.
• Ability to cultivate relationships in the post-acute space, including community agencies.
• Knowledge of Post-acute levels of care such as Home Health, Hospice, AIM, Palliative Care, SNF, LTAC, B&C, Sub-acute, Acute rehab.
• CA-RN (Registered Nurse) required

Nice To Haves

• Master of Science degree in MS, MBA, MPH, Nursing, Healthcare Administration, or a work-related discipline/field from an accredited college or university preferred.
• Knowledge of case management principles, processes, and their practical application.

Responsibilities

• PAC Relationship Management:
• Act as the primary point of contact for PAC network partners (LTACHs, ARUs, SNFs, HHAs) regarding program updates, performance, and issue resolution.
• Oversee communication efforts and organize scheduled meetings with PACFs to clinically review LLOS and complex discharge cases for timely patient placements.
• Oversee SHC capacity surge alert process, ensuring PAC facilities are informed of and can effectively respond to fluctuations in patient volume.
• Complex Discharge Coordination:
• Serve as a resource for complex discharge planning, facilitating coordination among, PAC providers, and clinical teams.
• Address escalated patient placement issues, including leased bed reviews for approval and managing long lengths of stay and complex discharge case escalations.
• Liaison for PAC & IP Case Management Collaboration:
• Serve as the liaison between PAC providers and TOC case management to enhance communication, streamline workflows, and improve hand-offs.
• Gather feedback from PAC providers to identify lessons learned and collaborate with Service Line leadership and TOC department to create educational opportunities that enhance care transition processes, and promote Service line specific workflows/programs.
• PAC Monitoring Reporting and Performance Reviews
• Assists Director in monitoring PAC declinations and analyze trends to identify service gaps and inform partnership improvements.
• Coordinate to maintain current scorecards, track performance metrics, and generate regular outcome reports to monitor patient outcomes with various post-acute care partners
• Prepares meeting agendas and performance scorecards, ensuring action items are tracked and followed up on effectively.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager