Virtual Patient Manager

Remote Full-time
About the position

The Virtual Patient Manager at CVS Health is responsible for overseeing the day-to-day operations of post-acute care performance networks. This role focuses on managing relationships with skilled nursing facilities (SNFs) and home health agencies, ensuring effective patient transitions and stability post-discharge, and leading initiatives to improve care performance and efficiency.

Responsibilities
Ā• Manage and develop relationships with SNF and Home Health Agencies
,
Ā• Communicate and collaborate with internal client team
,
Ā• Engage with Skilled Nursing Facility Interdisciplinary Teams to achieve appropriate length of stay for ACO and Value Based Care patients and ensure patient stability post-discharge
,
Ā• Coordinate and lead monthly meetings with leadership at each performance network facility/agency to report outcomes and recommend process improvements
,
Ā• Identify high priority care redesign interventions to improve performance and efficiency of facilities within local network
,
Ā• Work within CVS' patient tracking software platform daily
,
Ā• Collaborate with Clinical Strategists and Site of Care Manager to communicate PAC interventions to partners
,
Ā• Confirm start of care date for HHA including any documentation of any delays in start of care or if readmitted
,
Ā• Review and initiate SNF escalations for patients with SDOH or Clinical barriers to DC
,
Ā• Review readmission reasons and initiate process improvements with SNF/HHA

Requirements
Ā• 6+ years experience in healthcare and/or business
,
Ā• Strong critical thinking needed to analyze medical data and reports
,
Ā• Patient assessment and evaluation experience, ability to exercise independent judgment
,
Ā• Understanding of Care Transition Models (Naylor, Coleman, Boost, etc..) is a plus
,
Ā• Case management and discharge planning experience are preferred but not mandatory
,
Ā• Bachelor's degree required

Nice-to-haves

Benefits
Ā• Full range of medical, dental, and vision benefits
,
Ā• 401(k) retirement savings plan
,
Ā• Employee Stock Purchase Plan
,
Ā• Fully-paid term life insurance plan
,
Ā• Short-term and long-term disability benefits
,
Ā• Well-being programs
,
Ā• Education assistance
,
Ā• Free development courses
,
Ā• CVS store discount
,
Ā• Discount programs with participating partners
,
Ā• Paid Time Off (PTO) or vacation pay
,
Ā• Paid holidays throughout the calendar year

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