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

Status: Full time Benefits Eligible: Yes Hours Per Week: 40 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 facilitates communication between 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. Assists 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, and develops and implements action plans. May participate 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 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, APNs, and Nurses. Facilitates communication with post-acute providers at skilled sites such as Nursing Home Administrators, Directors, Admissions staff, social services staff, nurses, and physicians. 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‑solves unique situations, optimizes data collection and transfer across sites. Coaches Sub‑Acute Skilled Nursing Facility providers to shorten length of stay, reduce readmissions, and increase utilization of Advocate Aurora providers. Evaluates resource utilization, analyzes sentinel events, and follows up on quality issues. Addresses non‑compliance issues with staff and MDs regarding referrals to appropriate programs. Handles serious quality issues or care‑trend concerns related to post‑acute providers and recommends policies and procedures that enhance service delivery. Manages relationships within assigned territory and with assigned hospital, clinics, and skilled nursing facilities. Covers other Post‑Acute providers such as physician offices, Home Health Providers, and Assisted Living providers in the territory. Provides coverage for other positions as needed on a short‑term or permanent basis. Travels to meetings with Skilled Nursing Facility staff. Provides support to the clinical team assigned to the facility, removing operational barriers that allow the team to function at the top of their license and focus on medical management of their panel. Ensures adherence to the organization’s Code of Ethical Conduct and compliance with applicable policies, regulations, and laws. Physical Requirements Work requires walking, standing, sitting, lifting, reaching, stopping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds while handling patients, medical equipment, and supplies. Must speak and understand English fluently and have intact sight, hearing, smell, and finger dexterity. Requires critical thinking, concentration, and mobility across the entire healthcare system. Must 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 Master’s in Social Work. Registered Nurse license issued by the state in which the team member practices, or Licensed Clinical Social Worker (LCSW) / LCSW‑A working toward full licensure with certification in Certified Case Management (CCM). Typically requires 5 years of experience in the 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, and programs that invest in your career development. Compensation Base compensation within the listed pay range based on qualifications, skills, relevant experience, and/or training. Premium pay such as shift, on call, and other additional compensation based on the teammate’s role. 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, 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. Eligibility for programs listed above may depend on your FTE or status (e.g., full‑time, part‑time, per diem, temporary). Please ask a recruiter for more information during an interview. #J-18808-Ljbffr aah