Executive Director, Clinical Integration and Care Transitions
Company: JPS Health Network
Location: Fort Worth
Posted on: September 13, 2020
JPS Health Network is a $950 million, tax-supported health care
system for Tarrant County in North Texas. Licensed for 578 beds,
the network includes an acute care hospital andmore than 40
community-based clinics, including19 school-based clinics. John
Peter Smith Hospital is home to Tarrant County's first and only
Level 1 Trauma Center, its only psychiatric emergency services site
and has the largest hospital-based family medicine residency
program in the nation. Our network employs more than 6,500
Acclaim is our multispecialty medical practice group. Acclaim has
over 300 providers serving the JPS Health Network in specialties
ranging from primary care to general surgery and trauma. The
Acclaim group has been formed around a common set of incentives and
expectations supporting the operational, financial and clinical
outcomes of the network. Our goal is to provide high quality,
compassionate clinical care for every patient, every time.
For more information, visit www.jpshealthnet.org.
To view all job vacancies, visitwww.jobs.jpshealthnet.org/ or
Description: The Executive Director Clinical Integration and Care
Transitions assesses, develops and implements continuum of care
services, quality and cost data management systems, and utilization
management to deliver superior clinical, financial, and operational
coordination and alignment across the Network. The Executive
Director Clinical Integration and Care Transitions is a strategic
leader in programs supporting the transition from a
fee-for-service, volume-based care delivery system to a value-based
care model with a particular focus on JPS connect patients and
across multiple payors such as Medicaid, Medicare, and Medicare
Advantage. Success for the Executive Director Clinical Integration
and Care Transitions will be measured and defined by the degree in
which the Network is able to implement effective and efficient a)
population health programs across outpatient-inpatient-post acute
care settings, b) total cost of care initiatives, and c)
accountable care type opportunities. This position requires close
collaboration across multiple disciplines with both internal and
external partners, and must align tightly with outpatient,
emergency department, and inpatient nursing/operational teams to
promote a safe environment of care and facilitation of effective
* Implement and integrate compliant clinical processes and
procedures to support an effective and efficient medical management
* Identifies and evaluates potential ACO, CIN, or similar virtual
opportunities in order to build innovative partnerships and
programs that deliver value in new ways..
* In conjunction with the Chief Financial Officer, Chief Quality
Officer, and other executive team members, provides insight and
direction to achieve exemplary value-based care outcomes in Network
patients, including but not limited to development of unique
operating and management models, ensuring CMS and payor program
compliance, monitoring financial and quality performance, and
providing guidance on JPS connect services.
* Serves as a thought leader on CMS Innovations and payor strategy
in conjunction with finance, providers, and operations.
* Works with key stakeholders to draft KPIs and KAPIs for the
Network and providers that appropriately reflect quality,
stewardship, and cost effectiveness.
* Identifies opportunities to improve readmission rates, length of
stay, avoidable days, linkage to primary care, appropriate clinical
documentation, coordination between services, and other measures as
* Creates aligned processes for transitions of care throughout the
Network inclusive of the hospital, post-acute care partners,
patient centered medial homes, Acclaim Physician Group, and other
* Tracks local and national trends to maximize Network success in
current or future shared savings programs as well as identify new
opportunities for growth. Shares relevant emerging trends,
challenges and opportunities.
* Directly responsible for case management, care coordination,
utilization review, social work services and discharge planning,
including but not limited to process planning, recruiting, hiring,
supervision and evaluation of staff.
* Accountable for leading best practice work across the Network as
it relates to care management, continuity of care and clinical
outcomes of all case management and social services in both
inpatient and outpatient settings.
* Coordinates duties with appropriate staff to meet operational
program needs and ensures compliance with state and federal
requirements, Medicare guidelines and accreditation standards.
Develops and implements policy and procedures.
Required Education and Experience:
* Masters degree in Nursing, Business Administration, Healthcare
Administration or related field of study from an accredited college
* 7 plus years of experience in Quality, Care Management or Care
Required Specific Licensure/Certification/Specialized Training:
* Current licensure by the Board of Nurse Examiners for the State
of Texas or proof of reciprocity of licensure between the State of
Texas and another state.
* Experience using Microsoft Professional Office Suite, including
Word, Excel, Outlook and PowerPoint.
1500 S. Main Street
Fort Worth, Texas, 76104
Keywords: JPS Health Network, Fort Worth , Executive Director, Clinical Integration and Care Transitions, Healthcare , Fort Worth, Texas
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