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Advocate Aurora Health · 4 months ago

Post Acute Clinical Program Manager (RN) - SNF Network South Charlotte FT

Charlotte, NC - 101 E WT Harris Blvd

Full-time

Onsite

Senior Level

$40.30/hr - $60.45/hr

5+ years exp

Advocate Aurora Health is a leading nonprofit integrated health system in the United States, and they are seeking a Post Acute Clinical Program Manager to oversee clinical operations for skilled nursing facility programs. The role involves providing education and support, monitoring patient transitions, and ensuring high-quality care across post-acute services.

Health Care

Responsibilities

Serves as the liaison between the hospital and the post-acute network (PAN) skilled nursing facilities. Manages and facilitate communication between the inpatient care managers, external care providers and outpatient care managers for patients transitioning in and out of the acute care setting and post-acute programs. Assist the transition of patients to post-acute programs and eventually back to their primary care physician (PCP) and community

Monitors, collects and analyzes data to evaluate the effectiveness, safety and quality of patient care in the post-acute care network programs. Reviews readmissions, analyzes root causes, develops and implements action plans. May participates in quality, readmission and other committees as needed

Addresses questions and concerns by providers, patients and families regarding post-acute programs in coordination with other care teams. Acts as a conduit for problem solving, resolution and service recovery

Ensures accurate placement of patients into the Post Acute Network program based on established criteria. Provides for Utilization Review for specific populations that need additional oversight

Interacts with hospital administrative teams and leaders., Director of Case Management, Home Care Directors, Hospice Directors, Care Managers, Social Workers, Medical Directors, Physicians, APN's and Nurses. Facilitates communication with post-acute providers at the skilled sites such as Nursing Home Administrators, Directors, Admissions staff, social services staff, nurses as well as Physicians SNF and Advance Practice Nurses. Will have some contact with patients and families regarding post-acute program and care options when service recovery and/or quality issues arise

Monitors which post-acute program is appropriate for patients, problem solving for unique situations, best methods of data collection and transfer of information across sites. Finds effective ways to manage and "coach" our Sub-Acute Skilled Nursing Facility providers to shorten length of stay when appropriate, reduce re-admissions and increase utilization of Advocate Aurora providers. Evaluates utilization of resources, analysis of sentinel events and follow up on quality issues

Addresses issues of non-compliance with staff and MDs regarding referring patients to appropriate programs. Serious quality issues or quality of care trends related to post-acute providers. Recommendations for policies and procedures that can enhance the service delivery

Responsible for the relationships within their assigned territory and responsible for their assigned hospital, clinics and skilled nursing facilities within their territory. Other Post Acute providers such as physician offices, Home Health Providers and Assisted Living providers in the territory of the assigned hospital will be covered by the position. Coverage for other positions as needed on a short-term or permanent basis. Travels to meetings regularly with Skilled Nursing Facility Staff

Provides support to the clinical team assigned to the facility, removing operational barriers that will allow the clinical team to function at the top of their license and focus on the medical management of their panel

Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business

Qualification

Registered Nurse licenseCase Management certificationHealthcare experienceQuality improvement experienceCommunication skillsCritical thinkingProblem-solving skillsTeam collaboration

Required

Bachelor's degree or equivalent in Nursing or related field and/or Masters in Social Work

Registered Nurse license issued by the state in which the team member practices, Or Licensed Clinical Social Worker (LCSW) or LCSW-A working towards full licensure with certification in Certified Case Management (CCM)

Typically requires 5 years of experience in in healthcare industry and 1 year of case management and quality improvement experience