Job Information
Penn Medicine Program Lead CMS TEAM Episode Performance in Plainsboro, New Jersey
Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Penn Medicine Princeton Health has an exciting opportunity for a clinical professional to join our team as the Program Lead CMS TEAM (Centers for Medicare and Medicaid Services Transforming Episode Accountability Model). If you are a clinician who has experience working with case management or population health management, this could be the new position for you!
This role serves as the physician-aligned operational extension of the CMO specifically for Penn Medicine Princeton Health's CMS TEAM participation and is not an enterprise-wide Penn Medicine role.
Role Summary- The Program Lead is responsible for local execution of the CMS Transforming Episode Accountability Model (TEAM) at Penn Medicine Princeton Health.
This role is accountable for acute and post-acute length of stay optimization and patient experience across the full 30-day episode of care for TEAM-eligible services at Princeton Medical Center.
The position focuses exclusively on Princeton Health operations and affiliated post-acute partners.
Scope- CMS TEAM participation for Penn Medicine Princeton Health only- TEAM-eligible surgical episodes at Princeton Medical Center- Cross-continuum operations from index admission or procedure through 30 days post-discharge
- Post-acute partners, including skilled nursing facilities and home-based care supporting Princeton Health patients. This role emphasizes program-level coordination, communication, and enablement across multiple teams using existing workflows and clinical systems. The Program Lead leverages Epic functionality and related clinical information tools to improve visibility, information flow, and alignment across acute care, orthopedics, care management, and post-acute partners.
Key Responsibilities:
Physician-Led TEAM Governance- Serve as the CMO’s operational delegate for CMS TEAM performance at Princeton Health
Partner with Princeton-based surgical, hospitalist, and procedural physician leaders
Prepare TEAM performance updates for Princeton Health medical staff and quality committees.
Facilitate work-flow development and PDSA cycles for continuous process improvement
Develop meeting agendas, coordinate materials and logistics (including invitations and minutes), and actively participate in CMS TEAM Governance meetings Acute Care LOS Optimization
Provide program-level oversight of acute LOS performance for TEAM episodes by synthesizing existing case management, utilization review, and service-line data to identify systemic barriers and variation.
Escalate physician-dependent barriers through Princeton Health CMO-led governance SNF and Post-Acute LOS Leadership
Assist in the design of post-acute LOS Strategy, and be accountable to execution of such strategy
Coordinate program-level performance management of preferred SNF partners for TEAM patients, including LOS trends, outcomes, and escalation of recurring issues. Leads the Skilled Nursing Facility High
Performing Network, including discussing performance data, metrics, and patient complaints as needed with other ad hoc team members, such as Care Coordination- both IP and Ambulatory.
Hold in-person meetings with SNF preferred network facilities in an effort to support and sustain engagement.
Conduct joint case reviews on prolonged SNF LOS, readmissions, and placement delays
Establish new SNF partnerships where needed.
Patient Experience Across the Episode- Ensure patient and family expectation-setting aligned with Princeton Health workflows
Address LOS- and discharge-related patient experience issues Quality, Safety, and Outcomes
Monitor key CMS and Penn Medicine defined quality metrics - including readmissions, complications, and ED utilization to evaluate Princeton Health's TEAM episode performance.
Lead structured review of high-cost or poor-outcome cases
Analytics and Performance Management- Maintain a Princeton Health–specific TEAM dashboard and periodically QA review EPIC to ensure accuracy
Provide service-line and surgeon-level transparency for Princeton Medical Center- Ensure beneficiary-identifiable data from CMS is requested/received through annual submission of DSA and a DRA forms- Maintain active presence in TEAMS portal
Credentials:
Education or Equivalent Experience:
Bachelor of Arts or Science (Required)
Education Specialization: Nursing, PT, OT, ST, Healthcare Management or Related Field. Will also accept Master’s in Social Work.
Equivalent Experience: •3+ years clinical experience
Master of Arts or Science
Education Specialization: Nursing, PT, OT, ST, Healthcare Management or Related Field. Equivalent Experience:
3+ years Clinical experience
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Salary Range:
$93,859.58 - $136,355.23/Annually based on 40 hours per week
As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education.
Click here (https://www.uphshrandyou.com/public/welcome) for information on UPHS’s Benefits.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
REQNUMBER: 310763