Tufts Medicine Care at Home
www.careathome.org

Tufts Medicine Care at Home is a leading provider of expert home health, palliative and hospice care. Our team of highly skilled healthcare clinicians work in the home and in community settings, delivering a wide range of cutting-edge clinical and supportive services to children, adults and seniors. Based in Lawrence, we deliver compassionate care to more than 100 communities throughout the Merrimack Valley, northeastern Massachusetts and southern New Hampshire.

Mission
Empower people to live their best lives by reimaging healthcare, advancing knowledge and pioneering discovery.

Job Overview

This position serves as a key member of the senior management team to provide leadership, analysis, planning and support, and to ensure all programs within the home health and hospice divisions provide high quality care and meet the mission in compliance with all applicable laws and regulations. Responsible for the clinical provision of care and the patient/family experience within the certified programs of home health and hospice. Leads the development and building of clinical teams and clinical expertise across the enterprise. Identifies opportunities and needs within the organization as well as partnering with Tufts Medicine system leaders to support the overarching goals of care in the home.  Participates on committees and taskforces internally and externally as well as assumes chairmanship as assigned. Responsible for the planning, directing, strengthening and evaluation of all certified services in the domains of the clinical services including the financial, quality outcomes, and patient experience within Tufts Medicine Care at Home. In concert with governing, regulatory, and accrediting bodies, and in collaboration with managers, physicians and clinical leaders, establishes safety and quality standards of practice, fosters cooperative working relationships, and develops policies and procedures to govern functions.

Job Description

Minimum Qualifications:

1. Master’s degree in Nursing, Community Health, Business Administration, or Healthcare Administration.

2. Registered Nurse (RN) license.

3. Five (5) years in progressive advanced leadership within home care or acute care setting with strong emphasis on home care experience with demonstrated success in directing high performance teams.

4. Demonstrated knowledge of home care and hospice regulations, state and federal licensing requirements, and clinical practice guidelines (state and federal).

Preferred Qualifications:

1. Master’s in Business Administration (MBA).

2. Seven (7) years in progressive advanced leadership within home care, hospice with strong emphasis on home care experience and/or innovation within other care settings with demonstrated success in directing high performance teams.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned.

1. Serves as clinical operations leader for Home Health and Hospice, in addition to serving as CNO for CAH on a TM system level.

2. Develops and implements improvements to operations and care/service delivery models to enhance efficiencies, cost position, customer service and quality of care.

3. Responsible for the planning and directing of the clinical, business and operation plans of home health and hospice services, to provide quality, effective, compassionate, cost effective, care with measurable and supportive outcomes.

4. Responsible for the planning and execution of approved operational and capital budgeting of the service line.

5. Responsible for the overall financial planning and assessment of expenditures of clinical operations to related volume of activity, in conjunction with key finance and agency leadership to ensure financial stability.

6. Responsible to ensure compliance with all local, state, federal, and accrediting requirements.

7. Strengthens existing certified services and develops innovative home health and hospice programs and services in response to strategic opportunities. Nurtures and builds client (internal and external) relationships building on trust and credibility of the services.

8. Preserves and strengthens agency’s niche as a home health and hospice provider to grow presence and reliability in the home care space and market share.

9. Defines qualifications, responsibilities, and functions of staff, in collaboration with supervisor. Assists other leaders/directors in establishing appropriate staffing requirements within the program.

10. Strengthens internal operations to ensure processes are effective for changes in the industry.

11. Ensures performance improvement processes and appropriate indicators are in place to monitor care and processes. Provides direct support for quality improvement work to be performed including rapid response cycles as needed.

12. Responsible for mentoring, coaching of direct reports and others. Interviews, hires, evaluates, and mentors personnel. Assists and leads in resolving complex employee relation issues.

13. Embraces and employs the shared governance model within the clinical division.

14. Maintains body of knowledge in the areas of clinical care, care delivery finance, technology, informatics, environmental and community clinical care, to keep abreast of current trends and policy development at the state and national level. Advocates for change as appropriate.

15. Active participant in community organizations and committees as requested.

16. Integrates industry accepted & internally developed patient safety improvements to operations.

17. Monitors operations productivity, ensures resources are best allocated to achieve objectives and that staff have sufficient resources to execute their duties safely and as intended.

18. Assesses division resource requirements and develops revenue & expense forecasts to establish operating budget. Guides/oversees branch directors with developing location budgets.

19. Monitors financial performance & business volume; and guides/oversees branch directors and other function managers with developing and implementing necessary corrective actions – responding to significant changes.

20. Monitors industry performance for internal benchmarking purposes.

21. Collaborates with Finance to enhance division performance reporting to ensure accuracy & reporting supports operations improvement initiatives.

22. Identifies and implements actions to reduce costs and at a minimum maintain quality – vendor contracting, purchasing, inventory management & process improvements.

23.  Collaborates with Revenue Cycle Director in processes to improve A/R performance –shorten DSO, reduce write offs, improve revenue recognition.

Physical Requirements:

1. Professional office environment with typical office requirements such as computers, phones, photocopiers, filing cabinets, etc.

2. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending / descending stairs and operate office equipment.

3. Frequently required to speak, hear, communicate, and exchange information.

4. Able to see and read computers displays, read fine print, and/or normal type size print and distinguish letters, numbers, and symbols.

5. Occasionally lift and/or move up to 25 pounds.

Skills & Abilities:

1. Demonstrated understanding and experience of trends and developments with Medicare, Medicaid and federal/state programs.

2. Demonstrated success in operations turnaround strategy and outcome performance.

3. Ability to identify and drive business and financial opportunities and process improvements.

4. Must demonstrate ability to speak confidently and present with strong knowledge base in a confident manner.

5. Strong critical thinking skills and ability to assess and synthesize data for planning and assessment of outcomes.

6. Ability to write and develop materials for target populations.

7. Ability to read/write and communicate in English.

8. Excellent interpersonal skills.

9. Ability to function well in very busy and high stress situations.

10. Responsible and reliable.

11. Good organization skills.

Job Profile Summary 

​This role focuses on providing medical and clinical support services to patients. In addition, this role focuses on performing the following Clinical Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Activities include long-term strategic planning; determining the policies of the organization; allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. An executive role that provides strategic vision and/or tactical/strategic direction across multiple teams with the majority of time spent on overseeing area of responsibility and directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. An entity sub-function head role accountable to establish and implement strategies that have short to mid-term (1-3 years) impact on business results in alignment with function objectives. Leads multiple teams of directors/senior managers and managers and develops short to mid-term (1-3 years) plans for optimizing the function or sub-function and the talent required to execute strategies in job area. 

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.