Telehealth Director (APRN)

Director of Telehealth
Department Clinical Operations — Telehealth
Reports To VP of Clinical Operations / Executive Leadership
Location Multi-state (Kentucky, West Virginia, Ohio) — remote/hybrid with

periodic on-site facility visits
Employment Type Full-Time, Exempt
Compensation $120,000–$150,000 base salary (planning range; final band subject to internal leveling and market validation)

Position Summary
CareMed Group is restructuring its telehealth program into a dedicated, rotating clinical coverage model, and
launching Chronic Care Management (CCM) and Behavioral Health Integration (BHI) as new care programs. The
Director of Telehealth is the single accountable owner of this program: responsible for building and managing the
clinical team, redesigning the platform and workflows that support it, launching and overseeing CCM/BHI
operations, and ensuring the program meets its coverage, quality, financial, and retention goals.
This is a hands-on operational leadership role. The Director will directly supervise a rotating team of Nurse
Practitioners/Physician Assistants (FTE and PRN) delivering after-hours and weekend telehealth coverage, chronic
care management, and behavioral health integration services across CareMed's partnered skilled nursing,
assisted living, and long-term care facilities.

Key Responsibilities
Program Build & Operations
• Own end-to-end build-out and ongoing management of the telehealth program, including the clinical
rotation schedule (weekday overnight and full weekend coverage).
• Assess and restructure the current telehealth platform and clinical workflows to resolve existing
fragmentation and inconsistent coverage.
• Directly supervise the clinician team: scheduling, coaching, performance management, and clinical
escalation support.
• Serve as the primary liaison between the telehealth team, facility partners, and executive leadership on
program performance.

CCM & BHI Program Ownership
• Own the Chronic Care Management (CCM) and Behavioral Health Integration (BHI) program build: patient
eligibility screening, enrollment workflows, and patient consent.
• Ensure documentation standards and billing accuracy for CCM (CPT 99490, 99439) and BHI (CPT 99484),
including correct application of Medicare Part A stay exclusions and place-of-service rules.
• Oversee accurate coding and documentation for after-hours telehealth encounters billed under Subsequent
Nursing Facility Care codes (CPT 99307–99310).
• Monitor CCM/BHI enrollment volume and encounter volume against revenue targets, and adjust outreach
or staffing to close gaps.

Quality, Compliance & Financial Accountability
• Hold the team accountable to chart closure compliance (95%+ within 48 hours) and clinical audit/quality
standards.
• Track and report on avoidable hospitalization/ED reduction and 30-day readmission rates for the attributed
patient population.
• Own the program's financial performance: CCM/BHI and encounter revenue versus target, and the
program's overall cost-to-revenue ratio.
• Ensure all documentation and billing practices meet CMS and payer compliance standards; serve as the
point of escalation for coding/compliance questions specific to telehealth, CCM, and BHI.
Team Leadership & Retention
• Own the retention strategy for the telehealth team: onboarding, workload distribution, escalation support,
and culture.
• Monitor and manage PRN utilization to ensure sustainable coverage without over-reliance on the backup
pool.
• Track team turnover and time-to-fill metrics, and proactively address drivers of attrition.

Required Qualifications
• Active, unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in at least one of CareMed's
operating states (OK, KY, WV, OH); multi-state licensure or eligibility strongly preferred.
• Minimum 5 years of clinical experience in primary care, geriatrics, long-term care, or a related acute/post-
acute setting.
• Minimum 2–3 years in a clinical leadership, supervisory, or program management role overseeing other
clinicians.
• Direct experience with telehealth service delivery, including platform-based virtual care in skilled nursing,
assisted living, or similar settings.
• Working knowledge of CMS billing and documentation requirements for Chronic Care Management,
Behavioral Health Integration, and Transitional Care Management.
• Demonstrated ability to manage a rotating, multi-shift clinical schedule (including nights and weekends)
across multiple states or regions.

Preferred Qualifications
• Prior experience launching or scaling a CCM or BHI program from the ground up.
• Familiarity with Subsequent Nursing Facility Care coding (CPT 99307–99310) and place-of-service billing
rules for facility-based populations.
• Experience with EMR/telehealth platform selection, configuration, or workflow redesign.
• Background in value-based care, quality metrics (QAPI, MDS, star ratings), or population health
management.
• Experience managing PRN/float staffing pools and rotating shift schedules in a healthcare setting.

Knowledge & Skills
• Clinical documentation and coding: working fluency in CCM (99490/99439), BHI (99484), and telehealth E/M
coding (99307–99310), including eligibility rules (e.g., Medicare Part A stay exclusions).
• Staffing & scheduling: ability to design and manage sustainable rotating coverage models, balancing FTE and
PRN capacity against coverage demand.
• Quality & compliance: comfort operating against KPI targets spanning coverage, quality, financial
performance, and team health, not productivity volume alone.

• Cross-functional collaboration: ability to work with facility administrators, DONs, billing/compliance teams,
and executive leadership simultaneously.
• People leadership: coaching, performance management, and a demonstrated commitment to team
retention and culture.
• Data fluency: comfortable reviewing enrollment, revenue, and quality dashboards, and translating trends
into operational decisions.

Key Performance Indicators
The Director of Telehealth will be evaluated against a defined KPI set spanning four categories, consistent with
CareMed's broader retention and value-based care strategy:
• Coverage & Operations: shift coverage rate (target 100%); time-to-assessment for acute alerts (within
facility-defined SLA).
• Quality / Value-Based Care: CCM+BHI enrollment rate; chart closure compliance (≥95%); reduction in
avoidable hospitalizations/ED visits; 30-day readmission rate.
• Financial: CCM/BHI and encounter revenue versus target; program cost-to-revenue ratio.
• Team & Retention: team turnover rate (target below the ~18.5% national hospital average); time-to-fill
open roles; PRN utilization rate.

Work Environment & Schedule
This role is primarily remote/telehealth-based, with periodic on-site visits to partnered facilities across CareMed's
multi-state footprint. While the Director is not scheduled into the fixed clinical rotation, availability for occasional
escalation support outside standard business hours should be expected given the nature of after-hours coverage
oversight.