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      Vice President, Integrated Care Delivery - CKCC

      American Society of Health Care Human Resources Administration
      San Jose, CA 95002
      Full-time, Part-time
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      Job Description

      Vice President, Integrated Care Delivery - CKCC

      The CMS Comprehensive Kidney Care Contracting (CKCC) program is designed to reduce Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries with late-stage chronic kidney disease (CKD) and end-stage renal disease

      Vice President, Integrated Care Delivery - CKCC

      About Satellite Healthcare

      Satellite Healthcare is more than simply a dialysis company. Since our founding in 1974, we have become the industry's leader in personalized quality care: 70% of our centers earn 4- and 5-star ratings from Medicaid and Medicare.gov, far ahead of all other providers. Our success in caring for patients can be attributed to our mission, our not-for-profit structure, and our people. Together, they create a powerfully patient-centered organization.

      Our mission is clear: to make life better for people living with kidney disease. Because we are a non-profit, we can pursue that mission with all our resources, united by our passion for patient care. As part of our commitment to continuous improvement, Satellite Research explores new ways to elevate the effectiveness and delivery of dialysis therapy. And Satellite Wellbound is leading the industry in home dialysis because better outcomes and quality of life are our highest priority. We are also substantial contributors to community and philanthropic kidney initiatives.

      Across our organization, we share a single mission - to make life better for those living with kidney disease. Watch our video to learn more about our mission.

      About the Role

      The CMS Comprehensive Kidney Care Contracting (CKCC) program is designed to reduce Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries with late-stage chronic kidney disease (CKD) and end-stage renal disease (ESRD). This position is responsible for setting a strategic vision and overseeing the day-to-day operations of a new integrated care delivery model providing comprehensive care management for high needs patients. The CKCC program design will assess the patient's and caregiver's needs, develop tailored care plan for each individual, organize and adjust care processes accordingly, monitor quality of care and maintain contact with the patient and caregiver.

      Integrated health services delivery is an approach to strengthen people-centered health systems through the promotion of the delivery of quality services across the patient health journey, designed according to the multidimensional needs of the population and the individual and delivered by a coordinated multidisciplinary team of providers working across settings and levels of care. The delivery model is expected to achieve improved patient satisfaction and activation, improved clinical outcomes and decreased total medical expense through a patient-centered philosophy that focuses on patients' needs.

      Components of a successful program include targeted interventions to meet the needs of the most vulnerable and highest cost patients, and developing clinical partnerships and community collaborations that strengthen connections across the continuum of care. The program should be designed to ensure optimal outcomes and the appropriate use of resources based on the best available evidence, with feedback loops to continuously improve performance and to address systemic and individual upstream causes of ill health and to promote well-being.

      A successful program will:

      • Enable cooperation between health and social care organizations, and mobilize community resources to meet needs of patients by addressing social determinants of health

      • Create a health system culture, organization and mechanisms that promote safe, high quality care. 

      • Design a delivery system that ensures the delivery of effective, efficient clinical care and self-management support, with an emphasis on encouraging greater use of home dialysis and kidney transplants for Medicare beneficiaries

      • Empower and prepare patients to manage their health and health care, including strategies to enhance patient engagement and participation, address social determinants of health and chronic conditions, and encourage the self-management of medications to reduce the incidence re-admissions.

      • Promote health equity through provider-developed, evidence-based care guidelines and protocols to enforce one standard of care regardless of where patients are treated

      • Provide care management decision support to promote clinical care that is consistent with scientific evidence and patient preferences

      • Clinical information systems that organize patient and population data to facilitate efficient and effective care, enhance communication and information flow across the continuum of care and collect, track and report activities

      • Provide direction to ensure effective implementation and compliance with CMS program guidelines

      • Identify and address care gaps within the patient population

      • Improve provider satisfaction

      A successful effort also requires building a comprehensive plan to capture, analyze, and utilize data on inputs and outcomes, including careful tracking of clinical interventions, costs, patient compliance, satisfaction and real-life outcomes. The model will require medical economic analysis to drive the strategy and design and implementation of population care management initiatives around quality improvement, risk score accuracy, KPIs and improvement in ineffective utilization.

      Essential Job Functions

      • Define key program elements for Medicare and Managed Care model programs, including: patient selection criteria, care management workflows and processes, team role composition, staffing ratios, etc.

      • Develop work plans to ensure effective execution of quality, utilization, service delivery and financial processes to meet business goals and standards

      • Manage programs and interventions using evidence-based strategies across the care continuum to improve patient outcomes at the population health level targeted at key program outcomes, including but not limited to patient activation, depression remission, blood pressure control, optimal ESRD starts, hospitalization and per capita costs, reduction in ED and avoidable inpatient visits

      • Define methods for measuring program success and demonstrating program effectiveness in managing total cost of care; partner with clinical analytics leads to define data and reports needed to manage performance

      • Lead/facilitate/attend focus groups and meetings as needed to strategize workflow issues. Engage stakeholders to develop and document standardized key workflows and guidelines. Establish processes and mechanisms that obtain and respond to clinician feedback.

      • Centrally manage and implement a standardized care management program, but also understand the nuances of local clinical site dynamics and partner with local site leaders and existing local site programs to ensure program success

      • Collaborate on the development of service level agreements with key partners and develop processes to ensure successful partnership relationships that establish accountabilities and ensure a patient-centered approach to achieving quality outcomes and financial benchmarks.

      • Routinely report to Executive Leadership regarding metrics, project status, and roadblocks

      • Work directly with the executive team to ensure that the CKCC model infrastructure is financially sustainable.

      • Ensure that all outreach materials, education, care management programs, and customer service standards are patient centered and align with Satellite's mission, vision, and cultural values

      • Ensure care delivery model is appropriate to level of licensure.

      • Drive the operationalization of necessary population health analytics, reports and EMR needs necessary to execute the strategy. Identify opportunities through data analysis for improvement and assimilate and translate data into insights. Coordinate data integration activities

      • Partner with IT to set up key data collection and analysis capabilities, as well as patient-facing technology solutions that contribute to program success including personal health records, patient-supplied data, patient portals and other patient-enabling technologies on clinical care.

      • Maintain a working knowledge of applicable Federal, State, and local laws and regulations as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

      The essential functions listed are not a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. All employees must work in accordance with Satellite's Mission, Vision, and Values of Compassion, Trust, Quality, Innovation, and Teamwork. Employees must abide by all Satellite's standards of patient care, patient's rights and ethical treatment, and adhere to safety and quality programs.

      Experience:

      • Requires experience with clinical documentation

      • Experience in areas such as performance-based healthcare payment models, integrated care delivery models, and/or healthcare provider operations.

      • Requires familiarity with risk stratification methodologies including ACG and HCC

      • Demonstrated general business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making.

      • Proven ability to lead the design, development and implementation of process, structure, tools and measurement indicators that drive operational results.

      • Demonstrated experience leading, complex business transformation and/or system implementation. Ability to drive teams to achieve project deliverables related to quality, cost and timeliness.

      • Demonstrated expertise in change-management leadership and getting buy-in from the front lines of care delivery

      Education & Experience:

      • Bachelor's Degree Required - Post-graduate qualification, MBA, MHA, Masters in Economics, Population Health or Math is preferred

      • Minimum of three years of leadership and supervisory experience in a clinical setting required

      • Minimum of five years of Care Management, Medical Management, Chronic Disease Management or Population Health Management experience

      • ESKD experience greater than five years is a plus

      • Ability to function effectively in a fast-paced and changing environment with multiple priorities and objectives: to operate with a sense of urgency while maintaining flexibility and effectively managing priorities meeting deadlines.

      • Able to read, write, speak, understand and satisfactorily communicate with others in English in person, over the phone and via email

      Any combination of education and experience that would likely provide the required knowledge, skills, and abilities as well as possession of any required licenses or certifications is qualifying

      About You

      Making life better for those with kidney disease is a mission you can embrace fully and passionately. You want to learn about your patients beyond just their time in treatment. You know the value of compassion, commitment and especially collaboration. You believe in continuous improvement as a way of looking at everything. You pursue goals with determination and build long and productive professional relationships.

      What You Will Gain

      Relationships: You will work directly with a multi-disciplinary team who are just as passionate as you about making a difference in others' lives. You will also work alongside leaders who believe leading means serving; they support you in providing care that is unsurpassed in our industry.

      Impact: The care you provide will enable our patients to live a better life that meets their needs holistically.

      Growth: A Satellite career offers a lot of challenges, but also the support and leadership to learn and grow from each one. Here, the paths you find for fulfilling your aspirations don't need to be linear if that's your choice. With everything Satellite is doing to be a force for progress in the industry, you have many options before you.

      Satellite Healthcare, Inc. is an equal opportunity employer. Satellite Healthcare, Inc . does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

      Satellite Healthcare, Inc . offers a drug free work environment.

      Satellite Healthcare - Improving the Lives of Patients with Chronic Kidney Disease (CKD)In 1973, Norman S. Coplon, M.D. began Satellite Healthcare with the objective of improving the quality of life of his dialysis patients. Dr. Coplon established Satellite Healthcare as a not-for-profit, community benefit organization, which allows us to focus primarily on patients.Four decades later, Satellite Healthcare has shaped CKD healthcare in our industry, and continues to elevate the standards of patient care and innovation.Today, we provide a range of expert services to patients with chronic kidney disease (CKD). Satellite strives to individualize each patient's care to help him or her enjoy their life to the fullest.Satellite Dialysis - We operate 40 high-quality, state-of-the-art, patient-friendly dialysis centers that meet the long-term clinical needs of more than 4,000 CKD patients.Satellite WellBound - With more than 20 centers in place, we focus on personalized training and support for patients performing dialysis at home. In addition, WellBound provides a robust complement of pre-dialysis patient wellness education programs that can help prevent or slow the progression of early st ... Show more

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      Posting ID: 566066271Posted: 2020-08-07