Director of Continuum Operations
hace 6 días
Job Overview
The Director of Continuum Operations will oversee the performance expectations for all areas of continuing care operations, including Home Health/Hospice, SNF, DME, Ambulance, Palliative Care, Social Services, Case Mgmt, and Continuing Care Utilization Management. This leadership role is responsible for the development, planning, management, and integration of operational system processes and standards of practice.
Main Responsibilities
- Partner with administrators of two large medical groups to develop strategic objectives and scope.
- Create structure and processes to develop, implement, and evaluate programs, policies, and standards for continuing care services.
- Ensure integration of quality, service, and efficiency improvements into day-to-day operations.
- Establish methods to define, categorize, and monitor claims and referred services.
- Oversight of data and reporting systems used to track the performance of continuing care operations.
- Collaborate with medical group and labor leadership to recommend service delivery changes or internalization of services where appropriate.
- Work with Regional continuing care leadership to establish appropriate case Mgmt programs to monitor and manage the care of members in outside facilities.
- Responsible for the efficient delivery of all continuing care services for members by overseeing the development, negotiation, and utilization of cost-effective, high-quality contracts with outside providers.
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