Experienced Virtual Patient Manager for Post-Acute Care Performance Networks - Remote Opportunity with CVS Health

Transforming Healthcare through Innovative Patient Care Management At CVS Health, a leading healthcare innovation company, we're on a mission to redefine the way healthcare is delivered. As part of the CVS Health team, you'll be at the forefront of improving patient outcomes, enhancing care coordination, and driving efficiency across the healthcare continuum. We're seeking an experienced Virtual Patient Manager to join our dynamic team and play a critical role in overseeing the day-to-day operations of post-acute care performance networks. About the Role The Virtual Patient Manager is a key position responsible for managing relationships with skilled nursing facilities (SNFs) and home health agencies, ensuring seamless patient transitions, and driving initiatives to improve care performance and efficiency. This role is critical in achieving our goal of delivering high-quality, patient-centered care and improving outcomes for our patients. Key Responsibilities Develop and maintain strong relationships with SNFs and Home Health Agencies to ensure effective collaboration and communication. Collaborate with internal stakeholders, including Clinical Strategists and Site of Care Manager, to communicate post-acute care interventions and drive care coordination. Engage with Skilled Nursing Facility Interdisciplinary Teams to achieve optimal length of stay for ACO and Value-Based Care patients and ensure patient stability post-discharge. Lead monthly meetings with leadership at each performance network facility/agency to report outcomes, identify areas for improvement, and recommend process enhancements. Analyze medical data and reports to identify high-priority care redesign interventions and drive performance improvement initiatives. Utilize CVS' patient tracking software platform daily to monitor patient care and outcomes. Confirm start of care dates for Home Health Agencies, including documentation of any delays or readmissions. Review and initiate SNF escalations for patients with social determinants of health (SDOH) or clinical barriers to discharge. Analyze readmission reasons and drive process improvements with SNFs and Home Health Agencies to reduce hospital readmissions. Essential Qualifications To succeed in this role, you'll need: A minimum of 6+ years of experience in healthcare and/or business, with a strong understanding of care transition models and post-acute care. A Bachelor's degree in a relevant field, such as healthcare administration, nursing, or business. Strong critical thinking and analytical skills to interpret medical data and reports. Patient assessment and evaluation experience, with the ability to exercise independent judgment. Excellent communication and interpersonal skills to build strong relationships with SNFs, Home Health Agencies, and internal stakeholders. Preferred Qualifications While not mandatory, the following qualifications are highly desirable: Case management and discharge planning experience. Understanding of Care Transition Models, such as Naylor, Coleman, and Boost. Experience working in a value-based care environment. Skills and Competencies To excel as a Virtual Patient Manager, you'll need: Strong analytical and problem-solving skills. Excellent communication and interpersonal skills. Ability to work independently and collaboratively as part of a team. Strong organizational and time management skills. Proficiency in using electronic health records and patient tracking software. Career Growth Opportunities and Learning Benefits At CVS Health, we're committed to helping you grow professionally and develop new skills. As a Virtual Patient Manager, you'll have access to: Ongoing training and development programs to enhance your skills and knowledge. Opportunities to work on high-visibility projects and drive care innovation. Collaboration with experienced professionals and thought leaders in the healthcare industry. Career advancement opportunities across the organization. Work Environment and Company Culture As a remote employee, you'll enjoy the flexibility to work from anywhere while being part of a dynamic and inclusive team. At CVS Health, we value: Diversity, equity, and inclusion. Collaboration and teamwork. Innovation and continuous learning. Employee well-being and work-life balance. Compensation, Perks, and Benefits We offer a comprehensive benefits package, including: A competitive salary. Full range of medical, dental, and vision benefits. 401(k) retirement savings plan. Employee Stock Purchase Plan. Fully-paid term life insurance plan. Short-term and long-term disability benefits. Well-being programs and education assistance. CVS store discount and discount programs with participating partners. Paid Time Off (PTO) and paid holidays throughout the calendar year. Join Our Team If you're a motivated and experienced healthcare professional looking to make a difference in patient care, we encourage you to apply for this exciting opportunity. As a Virtual Patient Manager at CVS Health, you'll be part of a talented team driving innovation and excellence in healthcare. Apply now and take the first step towards a rewarding career with a leading healthcare company. Apply for this job