Care Continuum Manager

2 days ago


Evanston, Illinois, United States NorthShore University HealthSystem Full time

Job Summary:

We are seeking a highly skilled and experienced Care Continuum Manager to join our team at NorthShore University HealthSystem. As a key member of our healthcare team, you will be responsible for providing managerial oversight to a diverse staff, including RN care/case managers, medical social workers, and other support personnel.

Key Responsibilities:

  • Provide managerial oversight to a diverse staff, including RN care/case managers, medical social workers, and other support personnel, facilitating patient care coordination within acute care services.
  • Maintain optimal staffing levels to execute designated care management and utilization management strategies for hospitalized patients, ensuring consistency and continuity in assignments.
  • Collaborate with physician and administrative leaders to ensure completion of requested peer-to-peer clinical payer reviews; keep team informed of NorthShore care management program performance results.
  • Use data (length of stay, observation status management, time of discharge, discharge destination, denials, appeals, etc.) to drive improvement in patient care management and utilization of health system resources.
  • Provide consistent communication to staff in an atmosphere of openness that welcomes participation; conduct departmental staff meetings at least monthly.
  • Promote a positive practice environment that encourages professional growth and accountability.
  • Provide staff support to health system committees; present data, analysis/interpretation, and recommendations in a concise, coherent manner to appropriate audiences.
  • Lead and/or participate in improvement activities within the department and more broadly across the organization to promote continuous improvement in clinical and operational outcomes.
  • Independently problem solve operational issues in the department in order to foster positive employee engagement.

Requirements:

  • Bachelor's Degree in a healthcare related field (Nursing/Social Work/Therapy) required. Master's degree preferred.
  • Active, unencumbered license to practice in clinical discipline of Nursing/Social Work/Therapy required.
  • Certified case management ACMA or CMSA preferred.
  • Minimum five years of quality management/care coordination/health care experience in a hospital setting.
  • Minimum three years of management and/or leadership experience.

About Us:

NorthShore University HealthSystem is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals.



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