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Post Acute Care Manager
Post Acute Care ManagerPBACO Holding LLC • West Palm Beach, FL, US
Post Acute Care Manager

Post Acute Care Manager

PBACO Holding LLC • West Palm Beach, FL, US
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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.

  • Collaborate with case managers, providers, SNFs, HHAs, and families to develop and implement care plans.
  • Monitor patient progress and facilitate timely discharges from post-acute facilities.
  • Network & Provider Management
  • Develop and maintain relationships with preferred post-acute providers to ensure high-quality, efficient care delivery.

  • Track utilization and quality outcomes of network facilities, escalating concerns when needed.
  • Assist with network development through strategic relationship building with post-acute facilities and agencies.
  • Performance & Reporting
  • Monitor length of stay (LOS), readmissions, and cost per member per month (PMPM) in post-acute settings.

  • Use tools such as CarePort or similar platforms to provide real-time data and actionable insights.
  • Track and report key performance indicators (KPIs) to the Directors of Home Health & Therapy and Skilled Nursing
  • Assist the Directors of Home Health & Therapy and Skilled Nursing in team management with oversight of Post Acute Transition Coordinators
  • Quality & Compliance
  • Ensure adherence to evidence-based practices, CMS guidelines, and value-based care requirements.

  • Support care team huddles, case reviews, and audits to drive continuous improvement.
  • Collect and verify counter-signed Business Associate Agreements (BAAs) and provider / user access (PEEP) forms from all partners; securely store them in the designated OneDrive Post-Acute folder and maintain a tracking log of receipt dates, storage paths, and any outstanding items.
  • KPIs for Post-Acute Care Manager

  • Skilled Nursing Facility (SNF) Length of Stay (LOS)
  • 30-Day Readmission Rate
  • Preferred Network Utilization
  • Cost per Member per Month (PMPM) – Post-Acute
  • Supervisory Responsibilities

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

    Qualifications

    Education & Experience

  • Associate or Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field required
  • Minimum of 2–5 years of administrative experience in a healthcare setting
  • Project management experience preferred
  • Demonstrated success managing teams and performance
  • Experience in post-acute care settings (SNF, HHA, rehab, etc.) and using care coordination platforms (e.g., CarePort, Epic, or similar)
  • Familiarity with ACOs, value-based care, or population health preferred
  • Skills & Competencies

  • Proficiency in Microsoft Office (Excel, Outlook, Word)
  • Excellent organizational and time-management skills
  • Strong written and verbal communication abilities
  • Ability to multitask and work collaboratively in a fast-paced environment
  • Strong leadership and team management skills
  • Excellent consulting and relationship management skills, with a proven ability to engage physicians and practice leaders.
  • 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 :

  • Commitment to confidentiality, integrity, and professional ethics
  • High integrity, confidentiality, and professional judgment
  • 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.

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    Manager Acute Care • West Palm Beach, FL, US

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