Post Acute Clinical Program Manager (RN or LCSW) SNF Network FT

Department: Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Pay Range: $41.10 - $61.65 Essential Functions Serves as the liaison between the hospital and the post-acute network (PAN) skilled nursing facilities. Manages and facilitate communication between the inpatient care managers, external care providers and outpatient care managers for patients transitioning in and out of the acute care setting and post-acute programs. Assist the transition of patients to post-acute programs and eventually back to their primary care physician (PCP) and community. Monitors, collects and analyzes data to evaluate the effectiveness, safety and quality of patient care in the post-acute care network programs. Reviews readmissions, analyzes root causes, develops and implements action plans. May participates in quality, readmission and other committees as needed. Addresses questions and concerns by providers, patients and families regarding post-acute programs in coordination with other care teams. Acts as a conduit for problem solving, resolution and service recovery. Ensures accurate placement of patients into the Post Acute Network program based on established criteria. Provides for Utilization Review for specific populations that need additional oversight. 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. Facilitates communication with post-acute providers at the skilled sites such as Nursing Home Administrators, Directors, Admissions staff, social services staff, nurses as well as Physicians SNF and Advance Practice Nurses. Will have some contact with patients and families regarding post-acute program and care options when service recovery and/or quality issues arise. 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. Finds effective ways to manage and "coach" our Sub-Acute Skilled Nursing Facility providers to shorten length of stay when appropriate, reduce re-admissions and increase utilization of Advocate Aurora providers. Evaluates utilization of resources, analysis of sentinel events and follow up on quality issues. Addresses issues of non-compliance with staff and MDs regarding referring patients to appropriate programs. Serious quality issues or quality of care trends related to post-acute providers. Recommendations for policies and procedures that can enhance the service delivery. Responsible for the relationships within their assigned territory and responsible for their assigned hospital, clinics and skilled nursing facilities within their territory. Other Post Acute providers such as physician offices, Home Health Providers and Assisted Living providers in the territory of the assigned hospital will be covered by the position. Coverage for other positions as needed on a short-term or permanent basis. Travels to meetings regularly with Skilled Nursing Facility Staff. 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. Physical Requirements Work requires walking, standing, sitting, lifting, reaching, stopping, bending, pushing and pulling. Working in fast-paced clinical setting. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment and supplies. Must speak and understand English fluently and have an intact sense of sight, hearing, smells, and finger dexterity. Critical thinking and ability to concentrate. Must be able to be mobile with the entire healthcare system and other facilities. Must be able to respond quickly to changes in patients and/or program conditions. Education, Experience and Certifications 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. Preferred Experience in post-acute setting, care management and utilization management. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more 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 Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care