NP, Director of Cano at Home

Company: Cano Health
Location: Miami
Posted on: May 23, 2025

Job Description:

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Director of Cano at Home must be an RN or above, he will oversee a team of Cano at Home clinicians in a given region and/market to ensure provision of high-quality health care services including; home visits, assessment, treatment plans, hospital follow up, medication reconciliation, and clinical intervention for medical urgencies/chronic conditions This position will work collaboratively with other departments to meet program goals, performance targets, and ensure the organization is well managed in its entirety as it relates to the program initiatives.Duties & ResponsibilitiesEssential Duties & Responsibilities

• Essential Duties & Responsibilities
• Responsible for providing support and direct supervision to Cano at Home clinicians.
• Responsible for providing on-site evaluations to staff on a quarterly basis.
• Develop and maintain clinical protocols for Cano at Home
• Responsible for hiring, scheduling, evaluating, ongoing staff development, team meetings, and individual supervisory meetings.
• Provide on-call support as scheduled.
• Assist with periodic audits to monitor quality indicators and ensure performance metrics are being met.
• Monitor and develop reports on Cano at Home provider productivity.
• Provide primary care and preventive care to all members including meeting all requirements for submission of procedure codes related to attaining 5 stars (HEDIS measures)
• Responsible for managing supplies and resources (transportation, medical supplies, company credit card, etc.) for Cano at Home associates.
• Responsible for overseeing Cano at Home Wound care program progress notes.
• Clear and concise clinical documentation to include all diagnosis codes using ICD-10 with emphasis on active problems.
• Ensure staff provide timely visits to high-risk patients and completing clinical documentation requirements are being met.
• Monitor clinical documentation completion and timely closure of staff notes.
• Participate and facilitate in staff, team, and vendor meetings.
• Assist with departmental initiatives and implementation of new programs as they relate to Care Management and Cano at Home.
• Monitor and track effectiveness of program performance to monitor success of key performance indicators.
• Support management to identify areas of non-compliance and assure implementation of corrective action plans to address deficiencies in regions.
• Collaborate with all members of our interdisciplinary care team to deliver the highest level of care for all our patients.
• Communicate with and counsel team members on treatment options and assist in transition of care.
• Work closely with care managers to ensure that all our members' needs are addressed timely and cost effectively.
• Partner with the patient's primary care provider and specialists to deliver integrated care.Supervisory Responsibilities
  • Provide supervision and support to the Cano at Home, including performance management and adherence to team policies, processes, and workflows.Critical Results
    • CR #1: --- 6 home visits/day with clinical documentation accuracy - Cano at Home provider will complete --- 6 home visits/day for eligible patients with --- 95 % clinical documentation accuracy.
    • CR #2: > Admits/1000: Target --- 200 - Cano at home intervention will impact admit and er visit rate/100 in applicable region/market.
    • CR #3: Cano at Home Implementation and/or Integration - Successful implementation and integration of Cano at Home staff and workflows in new markets within the first 180 days.Best Practices
      • Monitor team performance through on-going evaluation and tracking of performance metrics as they relate to visits per day and clinical documentation.
      • Monitor team performance through on-going evaluation and tracking of performance metrics as they relate to preventable ER visits and/or inpatient admissions.
      • Identify adverse trends with to proactively implementing effective strategies that address areas for performance improvement with clinicians not meeting performance metrics.
      • Phone call audits, documentation audits
      • Analyze data from electronic medical record system to ensure outcomes are aligned with team metrics.
      • Provide input into the annual review of policies and procedures, the CM program results and outcomes, and future program goals and interventions.
      • Oversee staff productivity and ensure results are aligned with metrics and deadlines.
      • Evaluate findings prioritized for resolution and/or improvement, develop appropriate strategies and measures for effectiveness.
      • Support training for current and/or new acquisition staff to apply the correct workflows to effectively achieve department and organizational metrics.Education & Experience
        • Master's Degree in Nursing
        • 3+ years' direct patient care experience
        • Foreign Medical Graduate (FMG) preferred.
        • Must have a valid Nursing License.
        • Nurse Practitioner License Preferred
        • Must be familiar with the EHR medical charting system.
        • Strong written and interpersonal communication skills
        • Experience with eCW highly preferred
        • Must have experience with managed-care
        • Bilingual: English and Spanish requiredKnowledge, Skills & Proficiencies
          • Advanced skills with Microsoft Office required.
          • Excellent organizational, interpersonal, and verbal and written communication skills required; ability to attend to detail, organize tasks/priorities and complete with accuracy.
          • Ability to pay close attention to detail and to ensure accuracy of reports and data.
          • Critical thinking, creativity, and flexibility with an ability to adapt to various and fast paced environments.
          • Exceptional interpersonal skills with ability to interface effectively both internally and externally with a wide range of people including physicians, office staff and other health plan staff.
          • Ability to act quickly, assess and act accordingly in crisis situations.
          • Skill in operating phones, personal computers, software, and other IT systems.
          • Must have a valid driver's license and be able to drive to conduct field visits.
          • Must have ability to analyze and solve problems.
          • Possess excellent physical and emotional stability.Job RequirementsPhysical RequirementsThis position works from corporate location along with hybrid when conducting audits during field visits with the team. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk, and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include the ability to lift to 50 lbs.The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functionsWork ConditionsMust be able to perform essential functions such as typing, standing, sitting, stooping, and occasionally climbingTravel RequirementsTravel RequiredAmount of Expected TravelDetailsYes25-50%Work involves shadowing clinicians in the field. This position requires travel as needed to provide support to Cano at Home implementation in external marketsTools & Equipment UsedComputer and peripherals, standard and customized software applications and tools, and usual office equipment.DisclaimerThe duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.Join our team that is making a difference!Please see Cano Health's Notice of E-Verify Participation and the Right to Work post here

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