Manager Transition of Care

Lehigh Valley Health Network

3d•Remote

About The Position

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. Lehigh Valley Health Network (LVHN) is the region’s largest employer and health care provider of choice. Our nearly 20,000 health care professionals take pride in what they do and are driven by our mission to heal, comfort and care for the people of our community. LVHN is honored to be certified as a Great Place to Work®. LVHN’s culture of trust – and the positive things colleagues said about working at LVHN when surveyed by Great Place to Work and Fortune – align perfectly with what makes a great workplace. This designation tells you that LVHN is a great place to work from hire to retire. If you are someone who aligns with LVHN’s core values – Compassion, Integrity, Collaboration and Excellence – you will have a rewarding and successful career here.

Requirements

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.

Nice To Haves

Master’s Degree in Business Administration (MBA).

Responsibilities

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 and 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, and 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, and 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).