CrawlJobs Logo

Post Acute Clinical Program Manager

advocatehealth.com Logo

Advocate Health Care

Location Icon

Location:
United States , Charlotte

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

41.10 - 61.65 USD / Hour

Job Description:

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
  • Educational Assistance Program

Additional Information:

Job Posted:
January 31, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Post Acute Clinical Program Manager

New

Registered Nurse Care Manager

The RN Care Manager (CM) II works with physicians and multidisciplinary team mem...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • BSN Degree from an accredited nursing program or demonstrated success in CHRISTUS RN Care Manager I position required
  • Master's degree in nursing preferred
  • Program management experience, including management of multiple projects at one time preferred
  • Excellent verbal and written communication
  • Critical and analytical thinking skills
  • Demonstrated clinical competency
  • Working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement
  • Understanding of pre-acute and post-acute levels of care and community resources
  • Ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families
  • Three or more years clinical experience in clinical practice or demonstrated success in CHRISTUS RN Care Manager I position
Job Responsibility
Job Responsibility
  • Coordinates/facilitates patient care progression throughout the continuum
  • Implements and monitors the patient’s plan of care to ensure effectiveness and appropriateness of services
  • Identifies and escalates system barriers that are impeding diagnostic or treatment progress
  • Proactively identifies and resolves delays and obstacles to discharge
  • Uses advances conflict resolution skills as necessary to ensure timely resolution of issues
  • Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting
  • Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care
  • Manages all aspects of discharge planning for assigned patients
  • Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population
  • Assesses the patient’s formal and informal support system as well as available benefits and/or community resources
  • Fulltime
Read More
Arrow Right

RN Case Manager - El Dorado Infusion Clinic

RN Case Manager - El Dorado Infusion Clinic Job CategoryNursing ScheduleFull tim...
Location
Location
United States , Tucson
Salary
Salary:
Not provided
tmcaz.com Logo
Tucson Medical Center
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree in nursing or associate degree in nursing
  • Two (2) years of nursing or case management experience
  • Current RN licensure permitting work in state of Arizona
  • Basic life support (BLS) certification
  • Knowledge of direct patient care and critical care procedures
  • Skill in evaluating cases
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
  • Ability to write reports, business correspondence
  • Ability to effectively present information and respond to inquiries or complaints
  • Ability to define problems, collect data, establish facts, and draw valid conclusions
Job Responsibility
Job Responsibility
  • Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge
  • Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation
  • Assesses and responds to patient/family/care giver needs by coordinating efforts of other treatment team members
  • Identifies and resolves barriers that hinder effective patient care
  • Improves quality and completeness of documentation
  • Collaborates and communicates with multidisciplinary teams in all phases of discharge planning process
  • Assesses, creates, implements evaluates, and modifies timely discharge plans
  • Assesses, intervenes, and acts as a resource in medical-legal situations for patients and families
  • Enters nursing orders for assigned patient caseload related to discharge planning and transitional care needs
  • Assists patients and families in making difficult decisions
  • Fulltime
Read More
Arrow Right

Case Manager TMC Rincon

Works with physicians and multidisciplinary team members to develop a plan of ca...
Location
Location
United States , Tucson
Salary
Salary:
Not provided
tmcaz.com Logo
Tucson Medical Center
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree in nursing or associate degree in nursing
  • Two (2) years of nursing or case management experience
  • For NICU – Three (3) years of NICU nursing experience
  • Current RN licensure permitting work in state of Arizona
  • Basic life support (BLS) required
  • Some departments may also require current CPR instructor certification, Neonatal Resuscitation Provider (NRP) certification
  • Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care
  • Skill in evaluating cases and determining appropriate care and status
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
  • Ability to write reports, business correspondence and collaborate with case management leadership
Job Responsibility
Job Responsibility
  • Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge
  • Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation
  • Assesses and responds to patient/family/care giver needs by coordinating efforts of other treatment team members
  • Identifies and resolves barriers that hinder effective patient care
  • Improves quality and completeness of documentation
  • Collaborates and communicates with multidisciplinary teams in all phases of discharge planning process
  • Assesses, creates, implements evaluates, and modifies timely discharge plans
  • Assesses, intervenes, and acts as a resource in medical-legal situations for patients and families
  • Enters nursing orders for their assigned patient caseload related to discharge planning and transitional care needs
  • Assists patients and families in making difficult decisions, while honoring their preferences and values
Read More
Arrow Right
New

Registered Nurse Navigator Home Health Review - Population Health

The RN Navigator Home Health Review plays a crucial role in monitoring post-acut...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s Degree in Nursing preferred
  • 3 years of clinical experience required
  • 2 years of Home Health experience preferred
  • 3 years of managed care and/or care management experience preferred
  • RN license in the state of employment or compact is required
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance
  • Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements
  • Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans
  • Ensures post-acute agencies address the problem list and provide appropriate follow-up for patient needs
  • Based on CMS or other payer guidelines, patient assessments, and case conferences, makes recommendations to PCPs regarding Home Health recertification or discharge from service
  • Utilizes MCG Guidelines for post-acute services and Home Care to optimize the type, frequency, and duration of care provided to patients
  • Creates positive relationships with post-acute agencies, Primary Care Clinicians, and Office Staff to foster collaboration and effective care delivery
  • Ensures smooth transitions of care along the continuum, facilitating communication between Home Health agencies and PCP practices as necessary to address patient needs
  • Demonstrates expertise in navigating electronic medical records and other care management applications
  • Fulltime
Read More
Arrow Right

Advanced Practice Clinician - CVSL-Cardiology Programs Coordinator

This individual is a clinically competent Advanced Practice Clinician, who repor...
Location
Location
United States , Lewes
Salary
Salary:
Not provided
beebehealthcare.org Logo
beebe healthcare
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Licensed as Advanced Practice Clinician, Masters in Nursing
  • National certification as an Advanced Practice Clinician (NP, PA or CNS)
  • Currently licensed in DE as APP, or obtains licensure pending collaborative agreement with cardiologists within six months of employment
  • Experience In Hospital Or Acute Care Setting
  • Clear Communication Skills Both Written And Verbal
  • Knowledge Of Basic Computer Programs
  • Able To Keep Confidential Information Regarding Patients, Team Members
  • Able To Withstand Crisis Situations
  • Has Skills To Provides Customer Service To Patients, Team Members And Visitors
  • Knowledge And Experience With Electronic Health Records
Job Responsibility
Job Responsibility
  • Acts as a clinical and operational leader supporting the effective management of cardiology patients
  • Supports continuum of patient care by acting as a liaison for structural heart and post-discharge heart failure patients to local and regional referring physician providers and clinical staff
  • Coordinates and executes all steps in the planning, preparation, care and follow up of the structural heart patient with the goal of expanding the scope and volume of the structural heart program
  • Provides direct patient management and patient care to include to include pre-procedure assessments, Histories and Physicals, ordering and interpretation of diagnostic tests/studies, post procedure management, assistance with discharge, post-hospitalization management, education and counseling
  • Partners with the interventional cardiologists, cardiothoracic surgical team and other clinical staff to coordinate care for the structural heart patient from referral through pre-procedure testing, procedure planning, post-procedure management and follow-up
  • Coordinates performance of the structural heart multidisciplinary teams, weekly team meetings and/or subcommittees convened to address specific issues or opportunities
  • Coordinates transition of care and management of heart failure patients from acute care to cardiologist office follow-up to minimize risk of readmission
  • Collaborates with the members of the CVSL registry team to assure documentation compliant with registry requirements
  • Participates in the identification, implementation and evaluation of performance improvement initiatives
  • Provides post procedural orders, discharge planning and education on structural heart patients and other interventional cardiology/EP patients as needed to support other Cath Lab Advance Practice Clinicians
  • Fulltime
Read More
Arrow Right

RN Care Coordinator

The RN Care Coordinator is responsible for overseeing the progression of care an...
Location
Location
United States , Los Angeles
Salary
Salary:
56.99 - 76.01 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience
  • California RN license
  • AHA BLS card
  • LA City Fire Card required within 90 days of hire
  • Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used
  • Able to apply clinical guidelines to ensure progression of care
  • Must have critical thinking and problem-solving skills
  • Collaborate effectively with multiple stakeholders
  • Professional communication skills
  • Understand how utilization management and case management programs integrate
Job Responsibility
Job Responsibility
  • Overseeing the progression of care and discharge planning for identified patients requiring these services
  • Perform this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations
  • Emphasis on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care
  • Advocate for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions
  • Strive to enhance the patient experience
What we offer
What we offer
  • Medical, prescription drug, dental, vision plans
  • Life insurance
  • Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • Tuition reimbursement
  • Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings
  • Parttime
Read More
Arrow Right

RN Care Coordinator

The RN Care Coordinator is responsible for overseeing the progression of care an...
Location
Location
United States , Los Angeles
Salary
Salary:
56.99 - 76.01 USD / Hour
commonspirit.org Logo
CommonSpirit Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience
  • California RN license
  • AHA BLS card
  • LA City Fire Card required within 90 days of hire
  • Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used
  • Able to apply clinical guidelines to ensure progression of care
  • Must have critical thinking and problem-solving skills
  • Collaborate effectively with multiple stakeholders
  • Professional communication skills
  • Understand how utilization management and case management programs integrate
Job Responsibility
Job Responsibility
  • Overseeing the progression of care and discharge planning for identified patients requiring these services
  • Perform this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following hospital policies, standards of practice and Federal and State regulations
  • Care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute service providers to progress the care toward optimal outcomes at the appropriate level of care
  • Advocate for the patient and family by identifying, valuing, and addressing patient choice, spiritual needs, cultural, language and socioeconomic barriers to care transitions
  • Strive to enhance the patient experience
What we offer
What we offer
  • Sign-On Bonus not to exceed 10% of salary for qualified and experienced candidates
  • Medical, prescription drug, dental, vision plans
  • Life insurance
  • Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • Tuition reimbursement
  • Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings
  • Fulltime
Read More
Arrow Right

Director of Pharmacy, Acute Care Clinical Services

The Director of Pharmacy, Acute Care Clinical Services provides clinical leaders...
Location
Location
United States of America , Rochester
Salary
Salary:
158350.00 - 237515.00 USD / Year
urmc.rochester.edu Logo
University of Rochester
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in pharmacy required
  • Master’s degree preferred
  • 5 years of experience in hospital pharmacy or equivalent combination of education and experience required
  • Post Graduate residency or fellowship training preferred
  • 3 years of experience in pharmacy management required
  • Licensed Pharmacist in New York State upon hire required
Job Responsibility
Job Responsibility
  • Provides clinical leadership for the Department of Pharmacy at Highland Hospitals and Strong, with a focus on developing, implementing, and integrating system level acute care clinical pharmacy services
  • Uphold standards set by the department, the institution, and regulatory agencies while establishing and leading high-quality clinical services that support optimal patient outcomes
  • Active participation in system level formulary management and therapeutic program proposals to promote the cost-effective and appropriate use of medications
  • Providing drug information services and education for pharmacy and patient care staff
  • Guiding clinical pharmacy services throughout the hospital system, including participation on multidisciplinary committees
  • Contribute to the development of system-wide clinical pathways, protocols, education, and quality assurance initiatives
  • Maintain competencies in both clinical practice and leadership to effectively coach, mentor, train, and support staff
  • Establish partnerships and collaborations with faculty, clinical and administrative leaders throughout the organization to establish programs and processes aimed at delivering cost-effective and safe drug therapy
  • In collaboration with system leadership, plan, develop, and implement clinical pharmacy services focused on strategic initiatives and system care delivery models
  • In collaboration with System and site leadership, develop an effective plan to integrate operational and clinical activities of the pharmacy staff to establish efficient and effective strategies to achieve departmental and system objectives
  • Fulltime
Read More
Arrow Right