Aledade Care Solutions (ACS) is the patient-facing arm of Aledade. ACS works in collaboration with Aledade partner practices to improve patient outcomes, while reducing health care costs. Our integrated approach connects high cost, high need patients to focused care programs that enable patients to accomplish health goals. Our vision is to create a local health care community where every patient and every practice is engaged, known, and supported.
The ACS innovation team is launching a new program focused on improving transitions of care for Aledade patients who are in post-acute facilities. We are actively recruiting a SNF Engagement Specialist(Transitional Care Lead) to become a foundational team member of this program. This role will initially work directly with skilled nursing facilities to coordinate the discharge plan for Aledade ACO patients and connection back to their PCP in the community.
The ideal candidate for this role is a self-starter with a track record of working with skilled nursing facilities, other post-acute care providers, or value based care programs. This role allows the candidate to join ACS’ fast growing Innovation and Partnerships team, which focuses on testing and scaling new value based interventions with the potential to change the U.S. healthcare system.
We are flexible with respect to geographic location of employees within the U.S.A. The ideal candidate will be comfortable working remotely and will be able to travel from time to time to establish or maintain relationships with high-volume facilities.
Duties and Responsibilities:
- Develop and maintain overall Aledade business relationships with key leaders in Skilled Nursing facilities prioritized for this program
- Lead and/or support data review meetings with key Skilled Nursing Facility staff
- Track and monitor SNF patients, including care plan, length of stay, and communication between facilities and providers via 3rd party platform and other tools available
- Work on a cross-functional team to establish and improve our SNF transitions of care program
- Use an evidence-based, data-driven approach to optimize Value-Based outcomes for SNF patients
Required Education and Experience:
- Bachelor’s degree
- Deep expertise in skilled nursing facility transitions (ie admissions, administration)
- Clinical background (RN, LMSW, LCSW, PT/OT, or similar)
Preferred Education, Skills, and Experience:
- Minimum 3 years experience working in a value based care environment
- Basic knowledge of performance improvement concepts and EMR documentation
- Experience working with post-acute care providers (i.e. home care agencies, hospitals, and PCP’s) and other post-acute resources
- Experience working with cross-functional teams to implement or refine programs
All prospective hires will be required to demonstrate that they have been fully vaccinated, including booster shots, against COVID-19 with a COVID-19 vaccine for which the U.S. Food and Drug Administration has issued a license or an Emergency Use Authorization prior to mutually agreed upon start date at Aledade, unless they qualify for a medical or religious accommodation to this vaccination requirement.
If you are passionate about transforming the healthcare system into one that works better for patients, practices and society, we’d love for you to join us!
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care.We were founded in 2014, and since then, we’ve become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy.If you want to help create a health care system that is good for patients, good for practices and good for society - and if you’re eager to join a collaborative, inclusive and remote-first culture - you’ve come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.