Virtual Patient Manager

About the position

The Virtual Patient Manager at CVS Health is responsible for overseeing the daily operations of post-acute care markets, focusing on maintaining and enhancing performance networks. This role emphasizes relationship management with skilled nursing facilities (SNFs) and home health agencies, ensuring effective patient care transitions and stability post-discharge. The position requires collaboration with internal teams and leadership at various facilities to drive performance improvements and implement care redesign interventions.

Responsibilities

• Manage and develop relationships with Skilled Nursing Facilities (SNF) and Home Health Agencies.
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• Communicate and collaborate with the internal client team.
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• Engage with Skilled Nursing Facility Interdisciplinary Teams to achieve appropriate length of stay for ACO and Value Based Care patients and ensure patient stability post-discharge.
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• Coordinate and lead monthly meetings with leadership at each performance network facility/agency to report outcomes and recommend process improvements.
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• Identify high priority care redesign interventions to improve performance and efficiency of facilities within the local network.
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• Work within CVS' patient tracking software platform daily.
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• Collaborate with Clinical Strategists and Site of Care Manager to communicate PAC interventions to partners.
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• Confirm start of care date for Home Health Agencies including documentation of any delays in start of care or readmissions.
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• Review and initiate SNF escalations for patients with Social Determinants of Health (SDOH) or clinical barriers to discharge.
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• Review readmission reasons and initiate process improvements with SNF/Home Health Agencies.

Requirements

• 6+ years experience in healthcare and/or business.
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• Strong critical thinking skills to analyze medical data and reports.
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• Patient assessment and evaluation experience with the ability to exercise independent judgment.
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• Understanding of Care Transition Models (Naylor, Coleman, Boost, etc.) is a plus.
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• Case management and discharge planning experience are preferred but not mandatory.
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• Bachelor's degree required.

Nice-to-haves

Benefits

• Full range of medical, dental, and vision benefits.
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• 401(k) retirement savings plan.
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• Employee Stock Purchase Plan.
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• Fully-paid term life insurance plan.
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• Short-term and long-term disability benefits.
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• Well-being programs.
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• Education assistance and free development courses.
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• CVS store discount and discount programs with participating partners.
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• Paid Time Off (PTO) and paid holidays.