Post Acute Care Manager

Job Description

Job Description

Job Description

Job Title : Post Acute Care Manager

Department : Network Development Team

Reports To : Director of Home Health & Therapy

FLSA Status : Exempt

DISCLAIMER :

Job descriptions are not meant to be all-inclusive, and / or the job itself is subject to change. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

Summary :

The Post-Acute Care Manager is responsible for overseeing patient transitions from inpatient settings to post-acute care providers such as skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), home health agencies (HHAs), and hospice. This role ensures high-quality, cost-effective, and coordinated care across the continuum, supporting improved patient outcomes, reduced readmissions, and overall performance in value-based care programs such as ACOs.

Key Responsibilities

• Care Coordination

Oversee transitions of care for patients discharged from hospitals into post-acute settings.

Develop and maintain relationships with preferred post-acute providers to ensure high-quality, efficient care delivery.

Monitor length of stay (LOS), readmissions, and cost per member per month (PMPM) in post-acute settings.

Ensure adherence to evidence-based practices, CMS guidelines, and value-based care requirements.

KPIs for Post-Acute Care Manager

Supervisory Responsibilities

Assists Directors in supervising Post-Acute Transition Coordinators and other assigned staff supporting post-acute initiatives.

Qualifications

Education & Experience

Skills & Competencies

Language Skills :

Ability to read and comprehend simple instructions, correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one situations to visitors, clients, physicians, healthcare entities, leadership and other employees of the organization.

Reasoning Ability :

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.

Computer Skills :

MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint), SQL, Power BI, SSRS, relational databases, and other related software / technology.

Other Skills and Abilities :

Physical Demands :

While performing the duties of this Job, the employee will have a combination of standing, sitting, bending, and reaching. May work at a computer monitor for prolonged periods. The employee may lift and / or move up to 10 pounds.