Provider Network Director jobs in Murfreesboro, TN

Introduction

Do you want to join an organization that invests in you as a Director Plus Care Network? At HCA, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director Plus Care Network like you to be a part of our team.

Job Summary and Qualifications

The Plus Care Networks (PCN) Director serves a leader in aligning HCA Healthcare’s key strategies with the complex PAC (Post-Acute Care) continuum. The ideal candidate functions as a key resource and subject matter expert for all PAC related initiatives, challenges, and collaborative efforts to improve care transitions and patient outcomes.

The PCN Director works with hospital executive and clinical leaders to develop and maintain an ongoing collaborative relationship with a group of PAC facilities and agencies selected to participate in a post-acute network known as the Plus Care Network (PCN). These relationships are managed with mutual respect and seek high quality outcomes and patient satisfaction. The PCN Director works to continually shape the Network landscape by offering objective data and education to all stakeholders in the market.

PCN Directors will support up to six, but typically five, hospitals and their selected PCN providers. Each hospital selects 10 to 15 PAC providers across various levels of care, including Long Term Acute Care, Inpatient Rehabilitation, Skilled Nursing, Home Health Care, and Hospice. Therefore, the PCN Director must be capable of managing a large and complex network ranging from 60 to 75 PAC providers. In addition, the PCN Director must work diligently to ensure all regulatory and compliance requirements are maintained in accordance with company policy.

The PCN Director plays a vital role in achieving positive patient outcomes in the market including but not limited to addressing barriers to acute throughput, improving Skilled Nursing Facility (SNF) length of stay (LOS), increasing the efficiency of PCN facilities and agencies delivery of care, increasing discharges to PCN providers, monitoring of readmission trends, tracking quality of care measures across all PCN providers, and educating hospital and PCN leaders on strategies to improve performance.

Duties and Responsibilities:

• Responsible for developing a network of PCN facilities and agencies for a defined list of hospitals. Our targeted ratio is one PCN Director for five hospitals/networks.
• Ensures all necessary logistics obtained to support a successful PCN (contacts, EMR access, onsite access, etc.).
• Responsible for maintaining positive relationships with PCN providers and hospital staff to support the patient centric model in a highly collaborative environment.
• Provides regular onsite and remote reviews of PCN provider operations to ensure quality patient care and staff support and communicates results to hospital and PCN leadership.
• Executes department goals by leading initiatives, meeting deadlines, and coordinating resources between hospitals and PCN providers to ensure efficient and effective operations.
• Gathers and monitors relevant data regarding all post-acute facilities and agencies in the community and the changing dynamics within the market.
• Monitors publicly reported data of post-acute facility and agency metrics (e.g. readmission rates, ALOS, quality metrics, patient experience, etc.).
• Identifies challenging situations early and ensures appropriate action taken to mitigate escalation, works to resolve PCN provider complaints, and leads issue resolution.

Requirements:

• Experience in Acute and Post-Acute Care Continuum
• Demonstrated ability to independently plan, organize and prioritize work
• Demonstrated willingness to work toward team objectives
• Executive communication and presentation skills
• Proficiency with Microsoft Office applications, specifically Excel and PowerPoint
• Data analytics and reporting experience
• Experienced in Value Based Care models, managed care, and provider relations
• Effective negotiation and influencing skills
• Ability to build and foster relationships inside and outside the organization
• Must reside in the Nashville area

Experience/Education/Certificate(s)/License(s):

• 3-5 years of working experience in acute and post-acute care continuum
• 3-5 years in a customer facing or Account Management Role
• Bachelor’s Degree in therapy, nursing, social work, or healthcare related field required(consideration may be given to candidates with equivalent relevant work experience)

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Plus Care Network opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.