Nurse Manager
7 days ago
VNS Health is seeking a highly skilled and experienced Registered Nurse to fill the role of Program Manager. This position will be responsible for managing the day-to-day activities of one or more of the Population Health specialized programs or products.
Key Responsibilities- Manage the integration of evidence-based care practices into protocols, policies, consultation strategies, and continuous quality improvement initiatives.
- Supervise a team to ensure patients/members in the program meet eligibility requirements and appropriateness.
- Work in tandem with Health Plans to ensure appropriate services are put in place when criteria is met.
- Develop and implement workflows and protocols to improve program effectiveness.
- Act as a liaison for care management teams to ensure the program is meeting expected outcomes.
- Initiate, lead, and/or participate in internal and external clinical care conferences.
- Assess, educate, and improve patient/member knowledge of chronic disease, self-care management, and identification of changes in health status.
- Review VNS Health patient records for cases that were readmitted during an active home care episode.
- Lead and coordinate the root cause analysis of the readmission event in collaboration with VNS Health operations.
- Conduct team audits on a routine basis in accordance with departmental policy.
- Assist staff in both in-home care and health plans in the navigation of the patient/member, family, physician, and home care team.
- Oversee metric reporting and work with the Business Operations in the creation of weekly departmental KPI reports.
- Assist senior leadership with development of VNS Health client outcomes reporting and other analyses of clinical data and VNS Health quality reporting as needed.
- License and current registration to practice as a Registered Professional Nurse in NYS required.
- Valid driver's license may be required, as determined by operational/regional needs.
- Care Management or Case Management certification within one year of job entry date required.
- Relevant degree needed for professional licensure required.
- Master's Degree in healthcare-related field preferred.
- Minimum of three years of clinical experience required.
- Experience in case management, administration, or discharge planning experience in a hospital setting preferred.
- Training in population care coordination preferred.
- Exceptional customer service skills required.
- Demonstrated ability to engage clinical counterparts in collaborative discussions required.
- Strong follow-up skills required, as well as the ability to manage multiple priorities required.
- Proficiency in Microsoft Office Suite required.
- Knowledge of value-based care models and managed care preferred.
- Hospice or palliative care experience preferred.
- Experience as a patient advocate preferred.
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Our commitment to health and well-being drives us to provide innovative care solutions that meet the diverse and complex needs of those we serve.
Benefits- Guaranteed Hours
- 401k retirement plan
- Employee assistance programs
- Dental benefits
- Vision benefits
- License and certification reimbursement
- Life insurance
- Discount program
- Holiday Pay
- Continuing Education
- Wellness and fitness programs
- Mileage reimbursement
- Medical benefits
- Benefits start day 1
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