Executive Director of Transitions and Relationship Management

Johns Hopkins Care at Home; Washington, Baltimore (District of Columbia, MD); On-site; USD 150,000 - 185,000; Full time

Job summary

Johns Hopkins Care at Home is seeking an Executive Director to lead the design and implementation of the home care coordination and discharge planning model. The role interfaces with JHM/affiliates, external community organizations, and JHCH to optimize the care continuum and ensure efficient home-based services across Medicare, Medicaid, military, and commercial products.

Reporting to the Chief Operating Officer, you will oversee network administration for home care providers, drive utilization

Qualifications

• Master's degree in health-related field.
• 10 years progressive healthcare management experience.
• 5 years executive leadership.
• Health care and home care experience.
• Utilization review/management experience.

Responsibilities

• Leads design and implementation of home care coordination and discharge planning models to facilitate referrals and acceptance.
• Directs coordination of home-based services for plan products and ensures network sufficiency and appropriate utilization.
• Collaborates with hospitals, health plan leaders and affiliates to integrate care continuum and achieve strategic goals and budgeted volumes.
• Drives performance via KPIs and reports results to executive leadership.

Skills

Executive leadership

Utilization management

Relationship management

Education

Master's degree in health-related field

Job description

Requisition #:682242 Location:Johns Hopkins Care at Home, Baltimore, MD 21201 Category:Leadership Schedule:Day Shift Employment Type:Full Time

Job Responsibilities

Reporting to the Chief Operating Officer, this executive director position leads the design and implementation of the Johns Hopkins home care coordination and discharge planning model in order to facilitate, the referral and acceptance process of, referrals to John’s Hopkins Care at Home Services, our Home Care Network, and other external community agencies in the region. This role is a key interface between JHM/affiliates, external community organizations, and JHCH in designing processes of care, addressing care opportunities, responding to the evolving health care and JH system changes and improving care continuum throughput to the home and community. As a network administrator, this position directs the coordination of home-based services for Johns Hopkins Health Plan products and is responsible for achieving network sufficiency and appropriate utilization management through home care provider contracting throughout the designated service areas across Medicare, Medicaid, military and commercial products. JHM collaboration will include clinical areas such as nursing leadership, population health, post-acute continuum, marketing, research, epic order sets and coordination across the continuum, system care linkages, and areas important to the executive leadership team.

Role Accountabilities

• Partners with JHM and non-JHM hospitals and affiliates to facilitate utilization of home care services in order to improve outcomes of care, promote the continuum of care, reduce total cost, and improve the patient experience. Drives strategy for managing discharges to home care providers to meet each hospital's unique community based needs.
• Develops and nurtures existing relationships with JHM and non-JHM hospitals and health plan leaders to ensure integration of the care continuum, satisfaction, and JHCH positive performance on strategic goals and budgeted volumes.
• Maintains regulatory compliance, effectiveness of services provided, and efficiency of model to meet both JHCH and JHM needs. Works with key staff to identify triggers for home-based care needs and assist in timely and safe discharges to home while preventing avoidable readmissions. Assists in development of programs and processes to support JHM and other customers and proactive inclusion of home-based care into the continuum of care.
• Manages network home care providers on behalf of JHM to improve community provider services to better meet length of stay goals as well as utilization goals by JHHP insurance products. Measures success of network through KPIs and reports results to executive leadership within JHHP and JHHS.

Qualifications

• Masters in health-related field required
• 10 years progressive healthcare management experience
• 5 years executive leadership required;
• Health care and home care experience required;
• Relationship management experience preferred.
• Utilization review/management experience required.

Salary Range: $150,000 to $185,000 annually. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.