Virtual Patient Manager

About the position

The Virtual Patient Manager at CVS Health is responsible for overseeing the day-to-day operations of post-acute care performance networks. This role focuses on managing relationships with skilled nursing facilities (SNFs) and home health agencies, ensuring effective patient transitions and stability post-discharge, and leading initiatives to improve care performance and efficiency.

Responsibilities
• Manage and develop relationships with SNF and Home Health Agencies
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• Communicate and collaborate with 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 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 HHA including any documentation of any delays in start of care or if readmitted
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• Review and initiate SNF escalations for patients with SDOH or Clinical barriers to DC
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• Review readmission reasons and initiate process improvements with SNF/HHA

Requirements
• 6+ years experience in healthcare and/or business
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• Strong critical thinking needed to analyze medical data and reports
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• Patient assessment and evaluation experience, 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
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• Free development courses
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• CVS store discount
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• Discount programs with participating partners
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• Paid Time Off (PTO) or vacation pay
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• Paid holidays throughout the calendar year

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