Executive Director Clinical Integration

HARTZ Search
Published
June 7, 2021
Location
Fort Worth, Texas
Category
Job Type

Description

EXECUTIVE DIRECTOR, CLINICAL INTEGRATION & CARE TRANSITIONS

JPS HEALTH NETWORK

FORT WORTH, TEXAS

 

HARTZ Search invites you to explore an exciting opportunity with our client, JPS HEALTH NETWORK in Fort Worth, Texas, for an Executive Director, Clinical Integration & Care Transitions.  The Executive Director Clinical Integration and Care Transitions assesses, develops and implements continuum of care services, quality and cost data management systems, and utilization management to deliver superior clinical,  financial, and operational coordination and alignment across the Network. The Executive Director Clinical Integration and Care Transitions is a strategic leader in programs supporting the transition from a fee-for-service, volume-based care delivery system to a value-based care model with a particular focus on JPS connect patients and across multiple payors such as Medicaid, Medicare, and Medicare Advantage. Success for the Executive Director Clinical Integration and Care Transitions will be measured and defined by the degree in which the Network is able to implement effective and efficient:

 

  • Population health programs across outpatient-inpatient-post acute care settings,
  • Total cost of care initiatives,
  • Accountable care type opportunities.

 

This position requires close collaboration across multiple disciplines with both internal and external partners, and must align tightly with outpatient, emergency department, and inpatient nursing/operational teams to promote a safe environment of care and facilitation of effective discharge planning.

 

ESSENTIAL DUTIES/ FUNCTIONS FOR THE ROLE:

  • Implement and integrate compliant clinical processes and procedures to support an effective and efficient medical management infrastructure.
  • Identifies and evaluates potential ACO, CIN, or similar virtual opportunities in order to build innovative partnerships and programs that deliver value in new ways.
  • In conjunction with the Chief Financial Officer, Chief Quality Officer, and other executive team members, provides insight and direction to achieve exemplary value-based care outcomes in Network patients, including but not limited to development of unique operating and management models, ensuring CMS and payor program compliance, monitoring financial and quality performance, and providing guidance on JPS connect services.
  • Serves as a thought leader on CMS Innovations and payor strategy in conjunction with finance, providers, and operations.
  • Works with key stakeholders to draft KPIs and KAPIs for the Network and providers that appropriately reflect quality, stewardship, and cost effectiveness.
  • Identifies opportunities to improve readmission rates, length of stay, avoidable days, linkage to primary care, appropriate clinical documentation, coordination between services, and other measures as appropriate.
  • Delivers leadership on programs and services that ensure improved patient-centered care.
  • Creates aligned processes for transitions of care throughout the Network inclusive of the hospital, post-acute care partners, patient centered medial homes, Acclaim Physician Group, and other relationships.
  • Tracks local and national trends to maximize Network success in current or future shared savings programs as well as identify new opportunities for growth. Shares relevant emerging trends, challenges and opportunities.
  • Directly responsible for case management, care coordination, utilization review, social work services and discharge planning, including but not limited to process planning, recruiting, hiring, supervision and evaluation of staff.
  • Accountable for leading best practice work across the Network as it relates to care management, continuity of care and clinical outcomes of all case management and social services in both inpatient and outpatient settings.
  • Coordinates duties with appropriate staff to meet operational program needs and ensures compliance with state and federal requirements, Medicare guidelines and accreditation standards. Develops and implements policy and procedures.
  • Assumes a leadership role in quality improvement activities and waiver initiatives.

 

JPS Health Network is a $1 Billion, tax-supported health care system for Tarrant County in North Texas.  This award winning network is anchored by John Peter Smith Hospital, which is a 573-bed acute care in Fort Worth, Texas. JPS has the only Level 1 Trauma Center in Tarrant County and the county’s only psychiatric emergency services site. JPS is also a certified Chest Pain Center, Certified Primary Stroke Center and an Accredited American College of Surgery Cancer Center. JPS has a Level lll Neonatal Intensive Care Center (NICU).  JPS Health Network received the Modern Healthcare Best Places to Work 2017 designation placing JPS among the top 150 healthcare companies in the nation. JPS is the only public entity in Texas included on the list of 2017 Best Places to Work, one of the most coveted honors in the industry.

 

POSITION DETAILS & REQUIREMENTS:

  • The position reports to the Vice President, Clinical Integration
  • Two (2) Direct Reports
  • Masters degree in Nursing, Healthcare Administration, Business Administration, Accounting, Finance, or related field required.
  • Minimum seven (7) years’ experience in quality, Care Management, Care Transitions
  • Knowledge of basic standards of care management and National Committee for Quality Assurance (NCQA) compliance regulations in managed care.
  • Knowledge of information system development to support effective Care Management, Outcomes Management and Population Health processes.
  • Knowledge of case management, care management practices and principles in an acute care setting.
  • Skill in the use of information system development to support effective Care Management, Outcomes Management and Population Health processes.
  • Competitive Compensation, Annual Incentive plan, pension and excellent benefits

 

 

LOCATION – FORT WORTH, TEXAS:

Fort Worth is the 15th-largest city in the United States and part of the No. 1 tourist destination in Texas, welcoming more than 9.1 million visitors annually. Comprised of eight primary entertainment districts, each distinct offering dining, shopping, entertainment, and cultural amenities. In only a few days, you can enjoy a range of experiences: from NASCAR racing to rodeos, world-class museums to cowboy cuisine, boutique shopping to a Top 5 zoo, biking to horseback riding.   Fort Worth offers outstanding education, both public and private, affordable housing options, and you are less than 20 miles from one of the world’s largest airports with direct flights all over the world.

 

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