Director, Post Acute; Hybrid-Remote​/In-Market Boston, MA

Description

About Us:

Navvis is a leading population health company, driving performance in value-based care. As an operating partner to some of the country’s most innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care. Our approach is market- based – we respect the unique needs of populations in each community, including access to care, culture, values, and capabilities.

Together with our partners, we set a new national standard in healthcare performance that delivers the affordability, quality, access, and experience that all patients deserve.

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What if we routinely asked every person involved in providing or receiving care: "What matters to you and why?" How would understanding "what matters" enhance our ability to transform health in communities and strengthen the connective process, leading to deeper levels of interaction and integration? The post-acute team, as part of Care Continuum, is deeply passionate about understanding what matters to people to ensure the delivery of Real-Person Care.

We create an ecosystem that builds a foundation for better physical, social, and emotional health. Our Care Solutions, Analytics, Implementations, Clinical and Business Operations, and Learning and Development teams work tirelessly in partnership with our clients and stakeholders in communities to address the real-life healthcare needs people have every day.

• Implement and monitor data driven performance dashboards for Post-Acute Alliance reporting.
• Regularly review, and report monthly, on the performance of Post-Acute Care Alliance providers through quarterly performance scorecards, ACO expenditure reports, claims data, and other reporting to drive performance within value-based payment models and risk-based contracts. Identify performance gaps, highlight trends, and develop corrective action strategies to progress toward goals.
• Provide regular report-outs to internal and external teams to allow visibility into post-acute performance.
• Meet routinely with post-acute providers to enhance performance and facilitate the exchange of best practices. Conduct sessions with each skilled nursing facility in the PAC alliance to maintain open lines of communication, confirm progress toward shared goals, pinpoint areas for improvement, and create action plans to support goal achievement.
• Work across skilled nursing facility (SNF), home health partners, and internal stakeholders to advance clinical capabilities in the SNF Alliance, to care for an increasingly complex patient mix.
• Lead a team of Post-Acute Care associates in delivering high-performance case management by improving proactive discharge planning timeliness ensuring compliance with care coordination standards across all skilled nursing facilities and post-acute care programs.
• Ensure collaboration between PAC associates and key client partners
  —including Care at Home (Home Health), hospital care management, ambulatory care management, value-based care program leads, and health plans—to streamline processes, efficiently manage patients, and provide a coordinated approach to care delivery and outcome optimization.
• Review performance metrics of non-alliance agencies/facilities evaluating performance opportunities. Such review may include CMS care compare ratings, referral acceptance rates, denials, and readmissions.
• Collaborate with the market leadership and other members of the executive and enterprise leadership team to achieve outcome measures through efficient communication across the care continuum.
• Present and communicate post-acute strategy and performance to fellow leaders and executives.
• Other duties as required.

• As a member of the Navvis Boston market Post Acute team, you will play a key role in developing collaborative workflow standards to enhance care continuity, improve quality, and support the efficient use of resources for patients following discharge through ongoing, data-informed…