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Manager, Transition of Care
Lehigh Valley Health Network. Provides leadership to ensure the organization supports best practice TOC interventions in relation to value-based and quality contractual requirements .
About the role
Key responsibilities & impact- Provides leadership to ensure the organization supports best practice TOC interventions in relation to value-based and quality contractual requirements
- Responsible for administrative and operational workflows for TOC appointment scheduling and ensures direct reports follow TOC outreach requirements and practice-based scheduling guidelines to comply with Transitional Care Management (TCM) requirements
- Assigns and monitors direct reports for the completion of work for pre-discharge appointment scheduling, post-discharge TOC outreach, post-ED calls for patients with multiple chronic conditions, surgical pre-screens, osteoporosis care gap closure, and additional quality care gaps as needs arise
- Ensures alignment with unlicensed staff members and collaborates closely with department leadership to ensure congruency between teams
- Monitors the overall daily performance, quality improvement and patient care activities of the assigned team through auditing and observation to ensure compliance for TCM billing and TOC-related quality metrics
- Functions as a resource and educator for TOC services, including but not limited to, TOC reports, TOC outreach, pre-surgical screens, and TOC scheduling
- Ensures delivery of all care coordination and programmatic activities in accordance with network policies, departmental procedures, proper billing and coding, regulatory requirements, and accreditation standards
Requirements
What you’ll need- Bachelor’s Degree in a health-related field and Master’s Degree in a health-related field within 3 years of hire
- 5 years experience in an ambulatory practice setting, chronic disease management, care management, or related area
Benefits
Comp & perks- Health insurance
- Work schedule: M-F; 8a - 4:30p
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Transitional Care Management (TCM)care coordinationquality improvementbilling and codingauditingschedulingchronic disease managementcare managementquality metrics
Soft Skills
leadershipcollaborationcommunicationorganizational skillseducator
Certifications
Bachelor’s Degree in a health-related fieldMaster’s Degree in a health-related field