Manager Patient Management

IntelliResume; Buffalo (NY); On-site; USD 90,000 - 120,000; Full time

Job summary

Kaleida Health in Buffalo, NY seeks a Manager Patient Management to coordinate care at the designated site, facilitate care paths, collect data, and oversee both general and high-risk patients. This role requires a strong background in case management and utilization management to improve patient outcomes across inpatient, outpatient, and home health settings.

The position emphasizes staying current with best practices in transition planning and population health, supporting payor requirements

Qualifications

• 3-5 years in Utilization, Discharge Planning, and Case Management in acute hospital setting
• 2-4 years' experience having direct reports preferred
• Registered nurse license required
• Case management certification preferred

Responsibilities

• Coordinate care at designated site, facilitating care paths and data collection.
• Identify and manage general and high-risk patients using established criteria.
• Facilitate interventions, staff assignments, and coordination issues.
• Maintain knowledge of inpatient, outpatient, and home health continuum.
• Apply managed care utilization management principles.
• Stay updated on leading practices in case management and transition planning.
• Understand population health, clinical care, and payor requirements.
• Maintain knowledge of Performance Improvement concepts.

Skills

Case management

Care coordination

Data collection

Utilization management

Education

Bachelor's degree of Science or Bachelor of Arts in Nursing, Social Work or related field

Master's degree in nursing or health related profession preferred

Job description

About This Role

The Manager Patient Management is responsible for coordinating care at the designated site, focusing on care path facilitation, data collection, and managing both general and high-risk patients. This role is ideal for individuals with a strong background in case management and a passion for improving patient outcomes.

Highlights

• Location: Buffalo, NY
• Facility: Golisano Children's Hospital
• Schedule: Full-Time, Day shift

What You'll Do

• Coordinate care at designated site, facilitating care paths and data collection.
• Identify and manage general and high-risk patients using established criteria.
• Facilitate interventions, staff assignments, and coordination issues.
• Maintain knowledge of inpatient, outpatient, and home health continuum.
• Apply managed care utilization management principles.
• Stay updated on leading practices in case management and transition planning.
• Understand population health, clinical care, and payor requirements.
• Maintain knowledge of Performance Improvement concepts.

Requirements

Education

• Bachelor's degree of Science or Bachelor of Arts in Nursing, Social Work or related field required
• Master's degree in nursing or health related profession preferred

Experience

• 3-5 years in Utilization, Discharge Planning, and Case Management, preferably in an acute hospital setting required
• Previous experience in applying utilization and care management principles required
• 2-4 years' experience having direct reports preferred

Licenses & Certifications

• Registered nurse license required
• Case management certification preferred

About Kaleida Health

Kaleida Health is a leading healthcare provider committed to delivering exceptional patient care. They focus on innovative practices and comprehensive services to enhance the health and well-being of the communities they serve.