Care Progression Manager

Thomas Jefferson University • Philadelphia, PA

10d • 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. The role partners with clinical, operational, and financial stakeholders to align care progression workflows with organizational goals for quality, efficiency, and cost-effectiveness, and progresses patients’ care based on medical criteria for inpatient status.

The manager oversees patient populations to support timely care progression, safe discharge planning, and appropriate post-acute services. The role uses evidence-based clinical criteria to monitor medical necessity, reduce avoidable days, address barriers to care, and identify suitable clinical interventions that can be completed in ambulatory settings with appropriate follow-up. The manager also monitors length of stay, readmissions, and throughput metrics and contributes to performance improvement efforts.

Requirements

• Bachelor’s degree in Nursing.
• Five years of experience in an inpatient acute-care hospital.
• Excellent oral and written communication skills to facilitate reviews and discussions with providers.
• Registered Nurse license in Pennsylvania or New Jersey, required upon hire.

Nice To Haves

• Master’s degree in Nursing.
• Knowledge of care and utilization management.
• Strong interpersonal and organizational skills to manage a caseload and communicate with multidisciplinary team members.
• Ability to work independently and set priorities to ensure appropriate use of hospital resources.
• Ability to lead individuals and groups.

Responsibilities

• Oversee patient populations to ensure timely progression of care, safe discharge planning, and appropriate post-acute services using evidence-based criteria.
• Identify patient clinical conditions, testing, and value-based clinical interventions that can be completed in the ambulatory setting 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.
• Collaborate in developing and implementing performance improvement activities with care management, physicians, and utilization management.
• Interact with co-workers, visitors, and other staff in a manner consistent with Jefferson’s values.
• Monitor length of stay, readmissions, and throughput metrics; identify trends; and contribute to initiatives that improve efficiency and patient outcomes.

Benefits

• Medical insurance, including prescription coverage.
• Supplemental insurance.
• Dental insurance.
• Vision insurance.
• Life and AD&D insurance.
• Short- and long-term disability insurance.
• Flexible spending accounts.
• Retirement plans.
• Tuition assistance.
• Voluntary benefits offering access to group insurance rates and discounts.
• Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time.

What This Job Offers

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