Care Progression Manager

Job Details

Job Description

Summary
The 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 Care Progression Manager progresses patients care based upon medical criteria for in-patient status.

Job Duties

• Oversee population to ensure timely progression of care safe discharge planning and appropriate post-acute services using evidence-based criteria.
• Identifies 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.
• Collaborates in the development and implementation of performance improvement activities in collaboration with care management physician utilization management.
• Interacts 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.

Minimum Qualifications

• Bachelors Degree Nursing
• 5 years experience in-patient acute care hospital
• Excellent communication (oral and written) required to facilitate reviews and discussions with providers.
• RN - Licensed Registered NursePA - State of Pennsylvania Upon Hire or
• RN - Licensed Registered NurseNJ - State of New Jersey Upon Hire

Preferred Qualifications

• Masters Degree 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.

Physical Demands
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 patients 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.

Job Description Disclaimer: This position description provides the major duties/responsibilities requirements and working conditions for the position. It is intended to be an accurate reflection of the current position however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

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Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

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.

Benefits

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 which 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 diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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