Manager Transition of Care

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
The Manager Transition of Care (TOC) is a dynamic leader responsible for overseeing the daily operations for the TOC Associates. The manager drives operations to ensure scheduling of timely follow-up post-discharge, linkage to appropriate resources, and TOC-related quality metrics.

Job Duties

• 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.
• Measures progress towards and/or deviation from project/production goals with commercial payers. Manages reporting needs with IT colleagues for compliance with turn-around times and performance outcomes for assigned team.
• Collaborates closely with LVPG leadership to develop TOC scheduling algorithms and practice communication workflows. Identifies strategies to improve individual and department productivity through monitoring performance against productivity metrics and programmatic key performance indicators (KPIs).

Minimum Qualifications

• 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.

Preferred Qualifications

• Master’s Degree in Business Administration (MBA).

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

1200 S Cedar Crest Blvd

Primary Location:

REMOTE IN PENNSYLVANIA

Position Type:

Remote

Union:

Not Applicable

Work Schedule:

M-F; 8a - 4:30p

Department:

1004-13010 COH-Payor Based Care Coordination