Evergreen Nephrology

Program Manager

• As a Program Manager, Connected Care Program (CCP) with Evergreen Nephrology, you are responsible for Evergreen’s CCP operations on Fee For Service Chronic Care Management across multiple service provider accounts, overseeing a clinical team of 25–35 LVNs/LPNs and Care Managers.
• The PM owns: Staffing & span-of-control for large care teams
• KPI performance across multiple accounts
• Clinical workflow adherence
• Data hygiene
• Documentation quality
• Escalation oversight
• Client and provider partnership management
• Continuous improvement and operational scaling
• This is a high-accountability, metrics-driven, enterprise leadership role requiring exceptional operational discipline, clinical workflow insight, and the ability to create order and predictability across large, distributed care teams.

Program Manager, Connected Care Program

Financial Planning and Analysis

• Prepare regular monthly and/or quarterly financial reports for leadership, operators, investors, and other stakeholders
• Partner collaboratively with cross-functional teams to respond to questions and other requests regarding financial and operational analysis
• Collaborate with senior leaders to develop an annual budget and mid-year forecasts
• Oversee the operations and development of the company’s finance department including enhancing / automating processes, developing templates, and supervising junior finance resources
• Access, gather, and synthesize data from our accounting and reporting systems daily
• Support business and corporate development projects, as needed
• Other duties consistent with this role, as assigned.

Director, Strategic Finance

Manager

• Manage the overall care management of patient caseload by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations.
• Facilitate seamless transitions for nephrology patients from a Skilled Nursing Facility to home or community.
• Collaborate with hospital discharge planners, providers and SNF staff to ensure patients’ needs are addressed.
• Monitor patient progress in skilled nursing facilities and identify barriers to timely discharge.
• Actively participate in clinical huddles, IDT meetings, and patient care conferences for patients under your care management.
• Develop and implement strategies to optimize length of stay while maintaining high-quality care.
• Support seamless transitions of care as patients move between care settings, proactively addressing potential barriers and collaborating with internal and external care team stakeholders.
• Establish trusting relationships with patients and families to provide clinical and emotional support and foster collaboration throughout their care journey.
• Perform assessments and identify the needs, including social determinants of health, of caseload patients and caregivers based on values, care goals, and individual preferences, and translating these into patient-centric actionable care plans.
• Identify and develop SNF stakeholders and foster relationships for communication and coordination of care.
• Identify areas for improvement in post-acute care processes and share or implement evidence-based solutions.
• Engage in continuous, organizational process improvement to identify opportunities and execute action plans to optimize care management workflows, patient engagement processes, customer/patient care efforts, and other protocols.
• Prepare reports and other deliverables to communicate program changes or developments to appropriate stakeholders
• Collect data to prepare and deliver reports alongside program leaders on program success, patient outcomes, and patient/caregiver satisfaction.
• Other duties consistent with this role, as assigned.

Nurse Care Manager – Post Acute, RN/PT

Medical writer

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Program Manager, Connected Care Program

Director, Strategic Finance

Nurse Care Manager – Post Acute, RN/PT

Clinical Documentation Improvement Partner