Senior Director, Clinical Excellence (Post Acute, VBC)

Who We Are

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

Who You Are

You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change.

Your Role

As a Senior Director, Post-Acute Care and Kidney Care Excellence, you are responsible for leading, influencing, and ensuring proactive clinical care and optimal clinical quality for Evergreen Nephrology patients who are discharged from a facility to a post-acute care setting. You will oversee the strategy, management and performance of Evergreen’s Post-Acute Care program, ensuring that patients transitioning from inpatient facilities to post-acute care centers such as Skilled Nursing Facilities (SNFs) receive high-quality, comprehensive, coordinated, and continuous care. This program ensures that Evergreen Nephrology patients being discharged to a SNF are monitored while they are in the SNF and ensures a safe transition from SNF to home.

As the Senior Director, you are responsible for driving performance by creating pathways that drive the optimal discharge disposition and by reducing unnecessary utilization. You will set and monitor key performance indicators (KPIs) to measure success and identify areas for improvement. By deeply engaging with internal and external stakeholders and partners, you will understand and align care management incentives, processes, and operational execution. This engagement will drive significant improvements in clinical quality and outcomes, cost- effectiveness, consistency in care delivery, and model fidelity in our interdisciplinary team approach.

You will utilize a teamwork approach to build a culture of clinical excellence to achieve top performance of clinicians and interdisciplinary teams. By doing so, you will drive significant improvements in clinical quality and outcomes, cost-effectiveness, consistency in care delivery, and model fidelity in our interdisciplinary team approach.

While this position is fully remote, you must be able to work 9am – 5pm in the Eastern time zone.

Role Responsibilities

Some responsibilities may vary based on specific patient programs, but this role's primary duties include the following:

• Oversee the delivery of Post Acute Care (PAC) Program to ensure seamless patient transitions from inpatient facilities to SNFs and from SNFs to home, improving patient outcomes and quality of life
• Design and deliver on the post-acute care delivery strategy for all attributed Evergreen patients, based on evidence-based practices and clinical guidelines to improve patient outcomes and ensure consistency in care management delivery
• Establish and monitor Key Performance Indicators to measure the effectiveness of post-acute care initiatives
• Accountable for achieving outcomes that reduce cost of care and improve clinical outcomes
• Use data and analytics to identify trends, gaps, and opportunities for improvement
• Create systems, structure and process to monitor appropriate level of care and care planning in SNF setting and intervene where necessary
• Identify and allocate essential resources efficiently
• Drive optimal performance of the PAC clinical team
• Drive patient engagement and involvement in their own care
• Collaborate with key internal and external stakeholders to ensure aligned, high- quality PAC care delivery
• Stay up-to-date on regulatory changes and industry trends, and incorporate into strategy and care delivery as needed
• Direct the PAC clinical team’s engagement with SNFs
• Accountable for achieving outcomes that reduce cost of care and improve clinical outcomes
• Proactive monitor and manage team performance, ensuring specific and real- time feedback, in alignment with Evergreen’s performance management philosophy
• Coach up and support team member growth and development
• Inspire and influence team to deliver the best-in-class care our patients deserve, close clinical gaps, and escalate barriers to you quickly
• Develop and implement strategies to engage patients in their care
• Promote patient education and self-management to improve health outcomes and reduce utilization
• Implement patient feedback mechanisms and a process to address feedback
• Develop strong partnership strategy, systems and processes with SNF facilities to ensure optimal collaboration and to , gather feedback, and help to align clinical pathways to eliminate barriers to care and achieve optimal clinical quality
• Partner with CMO, central clinical teams, learning and development, and operational leadership to roll out clinical education & training that supports the care management and quality program goals and standards
• Collaborate with the technology and population health operations team to ensure clinical excellence as we operationalize clinical pathways, workflows, and processes; set goals for clinical excellence to drive high quality and reliability in care
• Ensure compliance with CMS and payer rules and regulations
• Stay current with industry trends and best practices in post-acute care management and incorporate innovative approaches to enhance care delivery and achieve better health outcomes
• Other duties consistent with this role, as assigned.

Required Qualifications

• You hold an unrestricted RN, NP, or PA state license
• You have 10+ years of clinical leadership experience
• You have a Master’s degree or higher related to education, quality, public health, business administration, health services research, or a related field is preferred
• You have demonstrated experience in value-based care models and understanding their importance in improving patient outcomes and reducing healthcare expenditure
• You are proficient in establishing and monitoring KPIs to measure the effectiveness of post-acute care care initiatives
• You have proven experience leading significant improvements in clinical quality and outcomes for care delivery and/or managed care organizations
• You have experience leading collaborative, consensus-generating committees or work groups with conviction and decisiveness
• You’ve demonstrated a strong comprehension of clinical standards of care and a focus on quality of life for your patients
• You have the tenacity required to drive initiatives forward, overcome obstacles, and achieve goals despite challenges
• You understand that being dependable and reliable is critical to effective care delivery and you’re able to meet attendance and availability expectations
• Skilled with MS Office Suite of products including Outlook and Teams
• Able to work effectively in a primarily remote environment:
• Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended.
• Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role.
• Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Benefits

Evergreen Nephrology’s total rewards program is designed to support you in and outside of work. You can expect:

• Flexible time off policy
• 12 paid holidays per year
• Medical, dental, vision and life insurance, including an HSA with employer match
• Reimbursement for continuing medical education for eligible roles
• A 401(k) program where Evergreen matches up to 4% of contributions
• Paid parental leave
• A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.

If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at recruiting@evergreennephrology.com.