Director Post Acute Network Management

Leads system-level strategies to monitor and improve post-acute quality, utilization, readmissions, length of stay, total cost of care, patient experience, and provider performance.

Develops measurable improvement plans, accountability processes, and escalation pathways in partnership with internal leaders and post-acute providers.

Drives standardization and reduces unwarranted variation across post-acute transitions, outcomes, utilization, and quality performance.

Leads development, management, and ongoing optimization of the preferred post-acute provider network in alignment with organizational strategy and patient choice requirements.

Establishes provider participation expectations, quality standards, performance scorecards, review cadence, and accountability processes in collaboration with key internal stakeholders.

Partners with joint venture and external post-acute providers to align referral processes, service expectations, quality outcomes, and escalation pathways.

Provides leadership oversight for outpatient care management programs, including the Readmission Avoidance Program and related transition support models.

Ensures workflows support effective patient engagement, care coordination, barrier resolution, documentation quality, escalation, and readmission reduction.

Partners across inpatient, outpatient, physician, hospital, population health, payer, and post-acute stakeholders to clarify ownership, reduce duplication, and improve transitions of care.

Represents Enterprise Care Management in interdisciplinary committees, work groups, and leadership forums related to post-acute strategy, readmissions, throughput, and network performance.

Uses enterprise dashboards, referral data, claims or payer data when available, quality reports, and operational analytics to identify trends, opportunities, and performance gaps.

Develops reports, scorecards, and presentations that translate performance data into actionable insights for clinical, operational, and executive leaders.

Aligns post-acute network management strategies with value-based care, population health, payer expectations, quality, cost, utilization, and patient experience priorities.

Ensures referral processes, patient choice practices, documentation expectations, provider engagement, and use of performance data align with applicable policies, regulations, and compliance guidance.

Builds and sustains a culture of accountability, collaboration, reliability, service excellence, and continuous improvement.

Provides leadership, coaching, professional development, and performance management for assigned team members.

Models effective communication, stakeholder management, critical thinking, and data-driven decision-making.

Supports succession planning, talent development, and role clarity within care management and post-acute strategy functions.