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The Post Acute Clinical Program Manager provides clinical operational oversight, education and support for the post-acute skilled nursing facility programs sites, physicians, hospital leaders, and other referral sources. The position is for an assigned territory within the Division. They round at assigned facility weekly to monitor the effectiveness of the program as well as to assist with the implementation of identified processes that improve the transition of patients across the continuum of post-acute services. They participate in IDT meetings to ensure the appropriate discharge plan is put in place and the needed services are provided to the patient to assure a safe transition of care. Acts as a resource for leadership teams at the hospital and network of post-acute provider administrative teams. Manages and makes recommendations for the operational processes that ensure cost effective and high-quality services for Advocate patients.
Job Responsibility:
Serves as the liaison between the hospital and the post-acute network (PAN) skilled nursing facilities
Monitors, collects and analyzes data to evaluate the effectiveness, safety and quality of patient care in the post-acute care network programs
Addresses questions and concerns by providers, patients and families regarding post-acute programs in coordination with other care teams
Ensures accurate placement of patients into the Post Acute Network program based on established criteria
Interacts with hospital administrative teams and leaders., Director of Case Management, Home Care Directors, Hospice Directors, Care Managers, Social Workers, Medical Directors, Physicians, APN's and Nurses
Monitors which post-acute program is appropriate for patients, problem solving for unique situations, best methods of data collection and transfer of information across sites
Addresses issues of non-compliance with staff and MDs regarding referring patients to appropriate programs
Responsible for the relationships within their assigned territory and responsible for their assigned hospital, clinics and skilled nursing facilities within their territory
Provides support to the clinical team assigned to the facility, removing operational barriers that will allow the clinical team to function at the top of their license and focus on the medical management of their panel
Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
Requirements:
Bachelor’s degree or equivalent in Nursing or related field and/or Masters in Social Work
Registered Nurse license issued by the state in which the team member practices, Or Licensed Clinical Social Worker (LCSW) or LCSW-A working towards full licensure with certification in Certified Case Management (CCM)
Typically requires 5 years of experience in in healthcare industry and 1 year of case management and quality improvement experience.
Nice to have:
Experience in post-acute setting, care management and utilization management.
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs