Care Progression Manager, Full-Time, Days, Stratford

Jefferson Health Plans•Stratford, NJ

1d•Onsite

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_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.