Care Progression Manager

Jefferson Health Plans • Abington Township, PA

1d

About The Position

The Care Progression Manager collaborates across interdisciplinary teams to advance health system strategies, including initiatives focused on value-based care and payer population management. Partners with clinical, operational, and financial stakeholders to align care progression workflows with organizational goals for quality, efficiency, and cost-effectiveness. The Care Progression Manager progresses patients care based upon medical criteria for in-patient status.

Requirements

• Bachelor’s Degree Nursing
• 5 years experience in-patient acute care hospital
• Excellent communication (oral and written) required to facilitate reviews and discussions with providers.
• RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire or RN - Licensed Registered Nurse_NJ - State of New Jersey Upon Hire

Nice To Haves

• Master’s Degree Nursing
• Knowledge of care and utilization management
• Strong interpersonal and organizational skills to manage case load and communicate with multi-disciplinary team members.
• Ability to work independently and set priorities to ensure appropriate use of hospital resources.
• Ability to lead individuals and groups.

Responsibilities

• Oversee population to ensure timely progression of care, safe discharge planning, and appropriate post-acute services using evidence-based criteria.
• Identifies patient clinical conditions, testing and value based clinical interventions that can be completed in the ambulatory space with appropriate follow-up.
• Apply clinical criteria to monitor medical necessity, reduce avoidable days, and resolve barriers to care in collaboration with physicians, nursing, and utilization management.
• Collaborates in the development and implementation of performance improvement activities in collaboration with care management, physician, utilization management.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Monitor length of stay, readmissions, and throughput metrics; identify trends; and contribute to initiatives that improve efficiency and patient outcomes.

Benefits

• Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
• Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
• All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager