Position Highlights:
- Position: Manager - Cross Care Continuum Care
- Location: Evanston Hospital
- Full Time: 40 hours per week
- Hours: Monday to Friday, 8:00 a.m. - 4:30 p.m.
- Required Travel: NA
Responsibilities and Essential Functions:
- Provides 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. Maintains optimal staffing levels to execute designated care management and utilization management strategies for hospitalized patients, ensuring consistency and continuity in assignments. Collaborates with recruitment professionals to hire qualified candidates, oversees comprehensive onboarding and ongoing education, evaluates performance, and upholds adherence to national care management standards. (50%)
- Collaborates with physician and administrative leaders to ensure completion of requested peer-to-peer clinical payer reviews; keeps team informed of NorthShore care management program performance results. (5%)
- Uses 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. Regularly shares performance data with staff in order to engage them in improvement activities. (10%)
- Provides consistent communication to staff in an atmosphere of openness that welcomes participation; conducts departmental staff meetings at least monthly. (5%)
- Promotes a positive practice environment that encourages professional growth and accountability. (5%)
- Provides staff support to health system committees; presents data, analysis/interpretation, and recommendations in a concise, coherent manner to appropriate audiences, including the Utilization Management Committee. (5%)
- Leads and/or participates in improvement activities within the department and across the organization to promote continuous improvement in clinical and operational outcomes. (5%)
- Independently problem solves operational issues in the department to foster positive employee engagement. Keeps other leaders and departments informed of changes as they occur. (10%)
- Works continuously to achieve "top box" patient engagement results for the department and organization. (10%)
Minimum Education Level: Bachelor's Degree in a healthcare related field (Nursing/Social Work/Therapy) required. Master's degree preferred.
Minimum Licensure Requirements: Active, unencumbered license to practice in clinical discipline of Nursing/Social Work/Therapy required.
Minimum Certification Requirements: Certified case management ACMA or CMSA preferred.
Minimum Work Experience:
- Minimum five years of quality management/care coordination/health care experience in a hospital setting.
- Minimum three years of management and/or leadership experience.
Endeavor Health 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 - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity, and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect, and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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