Manager, Cross Care Continuum Acute Care

at NorthShore University Health System in Skokie, Illinois, United States

Job Description

Position Highlights:
Sign on bonus: (if applicable)
Position: Manager, Cross Care Continuum Acute Care
Location: Skokie, IL
Full Time: 40 hours per week
Hours: Monday-Friday, 8:00a-4:30p
Required Travel: N/A

What you will do:
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, to include, but not limited to the Utilization Management Committee. (5%)
Leads and/or participates in improvement activities within the department and more broadly across the organization to promote continuous improvement in clinical and operational outcomes. (5%)
Independently problem solves operational issues in the department in order 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%)

What you will need:
Education: Bachelor's Degree in a healthcare related field (Nursing/Social Work/Therapy) required. Master's degree preferred
Licensure:  Active, unencumbered license to practice in clinical discipline of Nursing/Social Work/Therapy required
Certification: Certified case management ACMA or CMSA preferred
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

Unique or Preferred Skills:
Previous case management and/or utilization review experience in an inpatient or payer-based setting.
Expert user of word processing, presentation and spreadsheet programs; familiarity with and ability to successfully navigate electronic medical records; familiarity with MCG and/or Interqual criteria and systems support.
Expert verbal and written communication skills.
Knowledge of community resources for patient care management

Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options,
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Visa Sponsorship Available (Nursing and Lab roles)

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 - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - 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.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health... For full info follow application link.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.