Company: Oak Street Health
Title: Manager of Transitional Nursing Care
Location: Downtown Chicago (30 W. Monroe St.)
Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers that provides higher quality health and wellness care that improves outcomes, manages medical costs, and provides an unmatched experience for adults on Medicare in medically underserved communities. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people in Illinois, Indiana, Michigan, Pennsylvania, and Ohio. At 40 locations, and with an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about the mission to rebuild healthcare as it should be.
Role description:
The Manager of the Transitional Care Team is responsible for leading the IL Transitional Nursing team as well as providing programmatic support to national OSH market leadership and transitional staff. The OSH Transitions of Care program focuses on providing a multi-disciplinary connection between OSH Care Navigation, Utilization Management, facility, local care teams and patient/family. The Manager role provides leadership in executing the Transitions of Care program goals which include ensuring high-quality, patient-centered care; preventing avoidable readmissions; and managing efficient resource utilization and improving patient and provider satisfaction.
Responsibilities:
- Serving as the OSH national Subject Matter Expert on Transitions of Care.
- Leading the IL market Transitional Care team including oversight of daily operations, maintaining regional/facility assignment, balancing staff caseloads, monitoring team/individual performance, and coaching staff when appropriate.
- Providing direct or supporting efforts in the hiring and training of Transitional Care staff in new and existing markets.
- Assisting the OSH Department of Medical Management in the development, execution and improvement of the Transitions of Care program.
- Helping all OSH markets resolve specific needs related to Transitional Care navigation.
- Executing effective collaboration between multi-disciplinary teams including OSH Care Navigation, Utilization Management, facilities, local care teams, and patient/family.
- Having firm knowledge and executing CMS, state-specific, and NCQA compliance criteria as related to Transitions of Care.
- Monitoring OSH data related to patient cost, admissions, post-discharge appointment completion, and health outcomes to help guide and direct Transitions of Care program initiatives and goals.
- Participating in daily inpatient and post-acute rounding calls with Care Navigation and UM teams to help determine patient status and appropriate discharge plan.
Ideal candidates have:
- Bachelor's degree in Nursing required, Master's degree preferred.
- An active RN license within the state of practice in good standing.
- Minimum 2 years of direct supervisory experience.
- 2+ years of experience in transitional nursing, discharge planning, or home health.
- Experience in utilization management.
- Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria.
- Strong clinical and assessment skills.
- Outstanding verbal and written communication skills.
- Ability to work independently and maintain flexibility in a fast-paced, start-up environment.
- Ability to analyze data and use it to improve care delivery.
- Self-starter with a high level of accountability and responsibility for the outcome of care.
- Highly organized and able to manage multiple priorities appropriately.
- Independent problem-solving skills.
- Able to work collaboratively and build enduring relationships with providers, patients, and the multidisciplinary team.
- A flexible, positive attitude.
- Valid driver's license and ability to travel daily.
- Nurse Case Management Credentialing (RN-BC) or Certified Case Manager (CCM) preferred.
- Working knowledge of Microsoft Office Product Suite.
- US work authorization.
- Someone who embodies being 'Oaky'.
What does being 'Oaky' look like?
- Radiating positive energy.
- Assuming good intentions.
- Creating an unmatched patient experience.
- Driving clinical excellence.
- Taking ownership and driving for results.
- Being scrappy.
Why Oak Street?
Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:
- Collaborative and energetic culture.
- High levels of responsibility and rapid advancement.
- Headquarters (the 'Treehouse') located in the heart of Downtown, close to many public transit options and great restaurants.
- Competitive benefits; including paid vacation/sick time, generous 401K match with immediate vesting, as well as health benefits.
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.
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