Hospital Transitional RN Care Manager
4 weeks ago
Company Overview:
Oak Street Health is a pioneering healthcare organization dedicated to delivering high-quality, patient-centered care to older adults on Medicare. Our innovative care model is centered in the communities we serve, focusing on the quality of care over volume of services.
Job Summary:
We are seeking a skilled and compassionate Hospital Transitional RN Care Manager to join our team. As a key member of our clinical care team, you will play a vital role in ensuring seamless transitions of care for our patients, empowering them to take an active role in their healthcare journey.
Key Responsibilities:
- Manage patients through transitions of care, providing face-to-face support in facilities or telephonically, within a defined geographical area and care setting.
- Advocate for patients throughout the care continuum, ensuring access to resources and resolving barriers to care.
- Identify opportunities for improved program workflows, increased internal and external partnerships, and higher quality patient care.
- Maintain accurate records of patient status through care transitions within Oak Street's internal inpatient platform.
- Adhere to CMS, state, and NCQA compliance criteria as related to Transitions of Care.
Collaboration and Communication:
- Collaborate with other transitions team members to ensure safe discharge and timely follow-up.
- Communicate and coordinate with internal stakeholders to identify and address patient needs.
Requirements:
- Active RN license within the state of practice in good standing.
- Willingness to obtain cross-state licensure, as needed.
- Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire.
- 2+ years' experience in transitional nursing, discharge planning, nursing case management, or home health.
- Experience in utilization management preferred.
- Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria.
- Exceptional communication skills and customer service orientation.
- Innovative and independent problem-solving skills.
- Ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes.
- Spanish-speaking preferred but not required.
- A flexible, positive attitude.
- Valid driver's license and ability to travel daily.
- Working knowledge of Microsoft Office Product Suite.
- US work authorization.
What We Offer:
- Opportunity to impact change and measurably improve health outcomes for Medicare patients.
- Paid vacation, sick time, and investment/retirement 401K match options.
- Health insurance, vision, and dental benefits.
- Opportunities for leadership development and continuing education stipends.
- New centers and flexible work environments.
- Opportunities for high levels of responsibility and rapid advancement.
Join Our Team:
Oak Street Health is an equal opportunity employer. We value diversity and encourage all interested readers to apply.
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