Care Progression Manager

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Retirement plans

Tuition assistance

Job summary

Jefferson Health is hiring a Care Progression Manager in Philadelphia, PA. The role collaborates with clinical, operational, and financial teams to advance health system strategies, focusing on value-based care and payer population management.

You will assess patient progression based on medical criteria and support timely discharge planning. The position requires a Nursing degree, 5 years of inpatient acute care experience, and strong communication skills.

Qualifications

• Bachelor’s Degree in Nursing (RN) is required.
• Minimum 5 years of inpatient acute care hospital experience.
• Excellent oral and written communication skills required to facilitate reviews with providers.
• RN - Licensed Registered Nurse_PA Upon Hire and RN - NJ Upon Hire are required.

Responsibilities

• Oversee population to ensure timely progression of care, safe discharge planning, and appropriate post-acute services using evidence-based criteria.
• Identify patient clinical conditions and interventions that can be completed in ambulatory space with follow-up.
• Apply clinical criteria to monitor medical necessity, reduce avoidable days, and resolve barriers with physicians, nursing, and utilization management.
• Collaborate on performance improvement activities with care management, physicians, and utilization management.
• Interact with coworkers and staff in line with Jefferson's values.
• Monitor length of stay, readmissions, and throughput metrics and support efficiency and outcomes.

Skills

Nursing

Communication

Leadership

Care coordination

Education

Bachelor’s Degree in Nursing

Job description

Care Progression Manager### Care Progression ManagerApply: Philadelphia, PA: Full time: Posted Today: REQ-0038806**Number of Positions In Requisition**1**Job Details**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 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*** Bachelor’s 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 Nurse\\_PA - State of Pennsylvania Upon Hire or* RN - Licensed Registered Nurse\\_NJ - State of New Jersey Upon Hire **Preferred Qualifications*** Master’s 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. **Additional Qualifications** **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 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. 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**Rotating (United States of America)**Worker Sub Type**Regular**Employee Entity**Thomas Jefferson University**Primary Location Address**1101 Market, Philadelphia, Pennsylvania, United States of AmericaNationally 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 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's 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 8,300 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 diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.For more benefits information, please click here### Why work here?In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees. If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson. Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education.### About UsWith a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years. Our Mission, *We Improve Lives*, expands to every corner of the organization. From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.