Required Skills/Abilities:
- Bachelor’s Degree
- Ability to maintain working relationships as an “account manager” to various skilled nursing facilities within Aledade Care Solutions ACO network
- Ability to work autonomously, taking into consideration clinical and social factors to develop recommendations for transition of care plan for Aledade patients in SNFs
- Basic knowledge of performance improvement concepts and EMR documentation
- Experience working on cross-functional teams to execute complex projects
- Working knowledge of Medical Diagnosis Coding
- 3 years’ experience working in a value-based care environment
- Preferred Skills
- Experience working with post-acute care providers (including home care agencies and skilled nursing facilities) and other post-acute resources. Experience working with cross-functional teams to implement or refine programs
- Clinical background (RN, LMSW, LCSW, PT/OT, or other), or deep expertise in skilled nursing facility transitions (i.e. admissions, administration)