Care Manager

Summary

Care Progression Manager collaborates across interdisciplinary teams to advance health system strategies, including initiatives focused on value-based care and payer population management. Partners with clinical, operational, and financial stakeholders to align care progression workflows with organizational goals for quality, efficiency, and cost-effectiveness. The manager progresses patient care based upon medical criteria for in-patient status.

• Oversee population to ensure timely progression of care, safe discharge planning, and appropriate post-acute services using evidence-based criteria.
• Identify patient clinical conditions, testing, and value-based clinical interventions that can be completed in the ambulatory space with appropriate follow-up.
• Apply clinical criteria to monitor medical necessity, reduce avoidable days, and resolve barriers to care in collaboration with physicians, nursing, and utilization management.
• Collaborate on the development and implementation of performance improvement activities with care management, physicians, and utilization management.
• Interact with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Monitor length of stay, readmissions, and throughput metrics; identify trends; and contribute to initiatives that improve efficiency and patient outcomes.

• Bachelor’s Degree in Nursing
• 5 years experience in inpatient acute care hospital
• Excellent communication (oral and written) required to facilitate reviews and discussions with providers.
• RN – Licensed Registered Nurse, PA – State of Pennsylvania Upon Hire or
• RN – Licensed Registered Nurse, NJ – State of New Jersey Upon Hire

• Master’s Degree in Nursing
• Knowledge of care and utilization management
• Strong interpersonal and organizational skills to manage case load and communicate with multi-disciplinary team members.
• Ability to work independently and set priorities to ensure appropriate use of hospital resources.
• Ability to lead individuals and groups.

Lift and carry 40-50 lbs. Examples: push/pull patients on bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient’s weight. Frequent to continuous standing/walking. Patient transporters can walk 8-10 miles per shift. Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits that provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.

All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

1101 Market, Philadelphia, Pennsylvania, United States of America

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.