Executive Director, Network Care Management

Presbyterian SeniorCare Network

https://www.srcare.org/

PSrCare

Website PSrCare Presbyterian SeniorCare Network

The Organization

Dedicated to making aging easier® since 1928, Presbyterian SeniorCare Network (PSCN) provides a broad continuum of living and care options, serving the needs of older adults from those who desire total independence and wellness opportunities to individuals who require nursing and/or compassionate end-of-life care. PSCN provides services to more than 6,500 older adults and persons with disabilities or special needs across 56 communities in 10 western Pennsylvania counties. Serving seniors and expanding programs and services for almost 100 years, PSCN is a Center of Excellence for Dementia Care, Rehabilitation, and End-of-Life. PSCN is Western Pennsylvania’s largest provider of aging services and senior living options, with several communities in the Pittsburgh region. PSCN offers person-centered care, which means that residents are given all the choice and flexibility possible in their daily living. This philosophy empowers residents and their families to be involved in making decisions that affect their lives.

Mission Statement:

PSCN is committed to enriching the aging experience through person-centered service and living options.

Values Statement:

Grounded in Christ-like values of benevolence and love of neighbor, PSCN pursues excellence, innovation, and collaboration to ensure individuals live well and team members have meaningful, engaging work.

With more than 2,100 employees, PSCN values compassion and growth in its team members. By using its LEANforward program, team members feel engaged and encouraged to redesign their work to make it easier to create value for the people served.

For more information, please visit: https://www.srcare.org/

The New Care Transformation Unit

PSCN is launching a new business unit within the organization: the Care Transformation Unit (CTU).  At the heart of the CTU’s development is the Triple Aim Model, a framework focused on care/service integration and social determinants of health, through which the team will function and carry out its mission:

  • Better Care for Individuals: integrated wellness model across time and location
  • Lower Per Capital Costs: potential to take risk and gain-sharing
  • Better Health for Populations: older persons with chronic conditions

The new staff of the CTU will be a dedicated team of experts, focused on the identification, development, implementation, and commercialization of transformational and scalable care management programs and services. The CTU will fundamentally shift care delivery for vulnerable seniors. The team of the CTU will function as the mechanism to seek and evaluate new business opportunities that have the potential to transform the care experience for seniors in the community at-large and the region, while rebalancing the PSCN portfolio of services and corresponding revenue. To maximize learning and strengthen the entire organization, the CTU will engage with existing service lines throughout PSCN, elevating Care Management and Managed Care readiness and potential opportunities to innovate by leveraging existing assets, competencies, and collaboration across the broader health care ecosystem.

Executive Director, Network Care Management Position Overview

With clinical strength and experience in comprehensive and holistic approaches to care management and population health for community-based seniors, the Executive Director, as one of the initial hires of the new Unit, will report directly to the Senior Director, Care Transformation.

The Executive Director will work closely with the Senior Director and PSCN service lines to identify, design, implement, and commercialize innovative care management solutions.  While this position will be primarily internal-facing, the Executive Director will also support the Senior Director to establish and advance external business and community partnerships, particularly for the first two (2) years.

From an internal perspective, the Executive Director is responsible for all aspects of PSCN’s network-wide Care Management framework, clinical process and outcome metrics, and creating processes that support replicable practices and results. The Executive Director will deploy care management competencies across PSCN by collaborating with service line teams to implement an integrated model of care and transfer knowledge.  As such, the ability to navigate and nurture these matrixed service line relationships will be critical to success. PSCN has a history of successful matrix relationships within and across service lines. This model is very familiar to our business units where the Unit/Center has cross-functional and cross-organizational authority for model and philosophy integrity, while the individual service lines and communities have accountability for execution and adherence.

The Executive Director position requires expertise and experience in Managed Care with the ability to critically review outcomes.

The Executive Director is primarily responsible for the following:

Strategy Execution

  • The Executive Director works closely with the Senior Director, CTU team, and PSCN service lines to identify, design, implement, and sell innovative care management solutions.

Network-Wide Care Transformation

  • Through community-based Care Management Model Adoption and Implementation, the Executive Director is responsible for all aspects of the PSCN Care Management Framework and transformation:  clinical process, outcome metrics, creating processes that support replicable practices and results.
  • Articulate the value-added benefit of innovative care management models as it relates to managed care contracts and outcomes both internally with PSCN and with external partners.
  • Translate opportunities for projects or products to transform the PSCN continuum to an integrated system of care and service delivery and integration within the broader health care ecosystem.
  • Deploy care management competency across the PSCN.
  • Collaborate with service line teams to implement an integrated model of care and transfer knowledge across the Network to strengthen the impact of PSCN’s financial performance to prove demonstrable value in the regional health ecosystem.
  • Participates in implementing performance improvement opportunities within the Unit and across PSCN.
  • Maintains compliance with PSCN policy and procedure in accordance with governing laws, regulations, regulatory agencies, accreditation bodies and community standards.
  • Consistently upholds the mission, values, and behavior standards of PSCN. Maintains confidentiality.

Knowledge, Skills, and Abilities

With a unique blend of clinical experience and business acumen, the Executive Director will support PSCN’s mission with a deep understanding of the role PSCN plays in the lives of clients, families, and the community. The successful candidate will have requisite healthcare experience; a strong background in data and metrics; as well as strong relationship management skills.

Demonstrable experience, competencies, and qualifications include:

  • Educational background aligned with the requirements of the position. Must be clinically licensed to practice in Pennsylvania or ability to immediately obtain PA license.
  • Demonstrated expertise in innovative care management approaches to manage cost and quality specific to the needs of frail and vulnerable seniors.
  • Previous experience with community-based long-term care or senior services.
  • Demonstrated understanding of processes/systems to eliminate duplication, reduce fragmentation, and improve value to persons being served.
  • Demonstrated knowledge of Managed Care, Medicaid, and Medicare.
  • Demonstrated ability to articulate the value-added benefit of targeted care management for frail and vulnerable seniors as it relates to managed care contracts and outcomes.
  • Demonstrated capability to work within the structure of a multi-facility organization.
  • Values an inclusive work environment and can demonstrate cultural competence.
  • Exemplifies person-centered values such as caring, dignity, choice, and respect all which lead to purposeful living for PSCN residents.

Performance Objectives

In the near term, the new Executive Director will be expected to continue to deliver outstanding outcomes while successfully addressing the following in the first 6-12 months:

  • Collaborate with service line leaders to advance internal adoption/alignment of the PSCN Care Management Framework: education, gap analysis, and interventions to close gaps.
  • Collaborate with service line leader and on-site staff to lead the development and pilot of a Care Management model for Affordable Housing: outcomes, data and analytics, and internal/external workflows.
  • Support the Dementia Care Management team to advance development and commercialization of the community-based dementia program: seamless interface among client, payor and program team to achieve outcomes, model adaption to meet motivational factors of payors and clients, development of processes and tools to deliver outcomes.

Compensation

This position offers a competitive salary in the $120,000 – $140,000 range and a traditional benefits package found with other nonprofit organizations of similar size, scope, and scale.

DEI Imperative

PSCN seeks to recruit candidates for employment that represent our diverse community in race, gender, religion, sexual orientation, and ability. Inclusive and equitable in our recruitment and retention practices, we are dedicated to uplifting diverse opinions and backgrounds in order to grow and evolve as a welcoming workplace for all.

How to Apply

Presbyterian SeniorCare Network has retained Nonprofit Talent to assist with this important organizational change process. Specific questions related to the position may be emailed to Michelle Pagano Heck, President, at Michelle@NonprofitTalent.com. Please direct all inquiries related to this position to Nonprofit Talent, and do not contact Presbyterian SeniorCare Network.

Resume, position-specific cover letter, and salary expectations can be uploaded here:

https://nonprofittalent.applytojob.com/apply/6PHuWkL0Gt/Executive-Director-Clinical-Presbyterian-Senior-Care-Network-Care-Transformation-Unit

APPLICATIONS ARE DUE BY 5PM on September 27, 2021

To apply for this job please visit nonprofittalent.applytojob.com.