Director, Acuity Care

At
** Duly Health and Care**, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.
With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

** Benefits:*
* • Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.  
• Access to a mental health benefit at no cost.  
• Employer provided life and disability insurance.  • $5,250 Tuition Reimbursement per year.  
• Immediate 401(k) match.  
• 40 hours paid volunteer time off.  
• A culture committed to community engagement and social impact.  
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
The Director, High Acuity Care provides strategic and operational leadership over the programs that identify, engage, and manage Duly's highest-risk patients within the Value-Based Care Primary Care population. This role has direct accountability for three integrated programs: the Care Ally Program, the Shared Decision Making (Advance Care Planning) Program, and High Intensity Care (HIC) patient curation, scheduling, and review. The Director partners closely with Clinic Managers and clinical leadership to standardize workflows, scale program capacity, and drive measurable improvement in patient outcomes and total cost of care.

** Key Responsibilities
**** 1. Care Ally Program Leadership & Clinic Partnership
*** Support end-to-end performance of the Care Ally Program, including panel management, scheduling, and hospital discharge intervention workflows across all clinics.
* Serve as the executive escalation point for Clinic Managers on Care Ally performance, staffing, and workflow issues; resolve barriers that Managers and Care Allies cannot resolve independently.
* Direct oversight of program performance domains: panel management, patient outreach and scheduling, admissions and readmissions, Transitional Care Management (TCM), and care management productivity.
* Review performance trends and dashboards regularly; translate findings into action plans with clinic and care management leadership, and track results to close the loop.
* Lead capacity planning, resource allocation, and staffing-coverage strategy across the Care Ally team in partnership with Clinic Managers.
* Sponsor pilot programs and new workflow initiatives, and drive change management for adoption across clinics.
** 2. Shared Decision-Making Program Leadership & Expansion
*** Direct the Shared Decision Making (Advance Care Planning) Program, partnering with Advanced Practice Providers (APPs) and Social Workers to deliver goals-of-care and advance care planning conversations for high-risk patients.
* Build and execute an expansion strategy to scale the program's reach, staffing model, and clinic coverage in line with population growth and risk-contract requirements.
* Establish standardized workflows, documentation standards, training, and best practices for APPs and Social Workers delivering Shared Decision Making conversations.
* Define and monitor program KPIs, including advance care planning completion rates, documentation compliance, and downstream impact on utilization and cost.
* Partner with Clinic Managers, palliative care, hospice, legal, and compliance stakeholders to ensure the program…