Manager - Cross Care Continuum Acute Care

Position Highlights:

• Position: Manager - Cross Care Continuum Acute Care
• This role manages the day-to-day operations for Care Management at Edward.
• Location: Edward Hospital
• Full-Time: 40 hours per week
• Hours: Monday-Friday, 8:30am-5:00pm

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:

• Bachelor's Degree in a healthcare related field (Nursing/Social Work/Therapy) required, Master's degree preferred
• Active, unencumbered license to practice in clinical discipline of Nursing/Social Work/Therapy required.
• Certified case management ACMA or CMSA, preferred
• Minimum five years of quality management/care coordination/health care experience in a hospital setting
• Minimum three years of management and/or leadership experience
• 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 Interquel criteria and systems support.
• Expert verbal and written communication skills.
• Knowledge of community resources for patient care management.

Job Summary:

This role manages the day to day operations of the Cross Care Continuum teams who provide care navigation, care coordination, utilization management, discharge planning, and denials prevention. The Manager is accountable to ensure continuity in service delivery to patients receiving acute care services. The Manager is responsible for budget functions including forecasting resource needs for the assigned cost center(s), creating and implementing annual staffing and operations budgets, and recommending capital needs. The manager selects, hires, develops, supervises and evaluates the professional care management staff of RN's and Social Workers and unlicensed support staff. Leads clinical initiatives to achieve clinical and financial metrics. Contributes constructively to the clinical, quality, financial and patient engagement outcomes of the health system. Works collaboratively with peer-leaders, physicians, and other professional colleagues to achieve positive outcomes and to ensure compliance with regulatory and accreditation requirements.

Benefits:

• Premium pay for eligible employees
• 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

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 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.