Our client is building a post-discharge service line for Medicare Advantage, Medicaid, and Exchange members. Lead the clinical operations that turn timely outreach, in-home and virtual care, and practical follow-up into fewer avoidable readmissions. You will work with an existing team and report to the Chief Clinical Officer.What you’ll ownLead and improve the 30-day transition pathway, from admission and discharge alerts through visits, escalation, and follow-up.Make medication reconciliation, DME, home health, PCP and specialist scheduling, transportation, and caregiver support work at scale.Coach distributed NPs, RNs, and MAs; set protocols, documentation, quality checks, and reporting.Partner with product, engineering, and health plans to improve readmissions, PCR and TRC/HEDIS Stars measures, and program economics.What you bringDirect leadership of transitions of care, post-acute, or care management operations, including scaling or materially improving a post-discharge program.Practical knowledge of post-acute interventions, clinical team training, and performance measurement for health plan populations.Comfort building workflows with clinicians and cross-functional partners in a growth-stage environment.Experience launching a program from scratch is welcome, but it is not required. A clinical license and experience with home-based care, value-based arrangements, or ADT/HIE workflows are pluses.At
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