Post-Acute Care Manager - Population Health

Bon Secours Health System; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider is seeking a Post Acute Care Manager to oversee care for patients in post-acute facilities. This remote position requires a current RN license, with emphasis on nursing experience and care management. The role involves coordinating patient care, conducting assessments, and collaborating with a multidisciplinary team. Competitive pay and various benefits are offered.

Benefits

Competitive pay and incentives

Medical, dental, and vision coverage

Paid time off and parental leave

Tuition assistance

Well-being resources

Qualifications

• Current RN License in the state of work required.
• 2 years of nursing experience required.
• 1 year of experience in skilled nursing settings preferred.

Responsibilities

• Provide care to patients in post-acute facilities.
• Coordinate communication with the interdisciplinary care team.
• Conduct assessments and maintain documentation.

Skills

Care Management

Clinical Documentation

Critical thinking

Communication

Teamwork

Attention to detail

Education

Bachelor of Science, Nursing (BSN)

Tools

EPIC Electronic Health Record

Microsoft Office

Job description

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

Primary Function/General Purpose of Position

The Post Acute Care Manager provides care to patients who are discharged to post-acute facilities and maintains a caseload according to productivity standards. This role performs and coordinates work with the patient, family or support members, inpatient case management team, and interdisciplinary care team members during post-acute admission for appropriate utilization of services, length of stay and safe discharge plan. The role communicates regularly on post-acute care of specific patients, as well as population level care and performance.

This is a remote/work at home position. Hire must be open to working eastern time zone hours.

Essential Job Functions

• Runs daily reports for transitions of care, make assignments, and review goals of care.
• Communicates at minimum weekly with skilled nursing facilities to encourage progression of care within an appropriate length of stay.
• Evaluates the effectiveness of the care plan with the Interdisciplinary Team (IDT).
• Conducts a comprehensive assessment and completes required documentation.
• Performs patient outreach according to established protocols and documents in the electronic medical record.
• Coordinates referrals and transitions of care from one provider to another or from one care setting to another.
• Provides patient and family or caregiver education.
• Refers to the appropriate next level of care and discharge planning with the facility, patient, and family or caregiver.
• Conducts monthly meetings with high-volume facilities on overall performance, quality, and readmissions.
• Assists with standard operating procedures (SOPs) and policy development as needed.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

Current RN License in the state in which they are working or covered by compact (required)

Valid driver's license and eligible for Roper St Francis Healthcare insurance coverage (required for Roper St Francis Healthcare locations)

Certification for care management (preferred)

Education

Bachelor of Science, Nursing (BSN) (preferred)

Work Experience

2 years of nursing experience (required)

1 year of experience in skilled nursing settings (preferred)

Training

EPIC Electronic Health Record (preferred)

Patient Population

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on their assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs, and to provide the care needed as described in departmental policies and procedures.

Adults (18-64 years)

Geriatrics (65 years and older)

Skills

Care Management

Regulatory and reporting standards

Clinical Documentation

Monitoring patient conditions during treatment

Microsoft Office

Attention to detail

Clinical acumen

Critical thinking

Communication with family members

Teamwork

Collaboration

Active listening

EPIC

Analyzing data or information

Relationship building

Gap evaluation

Bon Secours Mercy Health is an equal opportunity employer.

As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources, and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development, and continuing education support

Benefits may vary based on the market and employment status.

Bon Secours Mercy Health is committed to equal employment opportunity and affirmative action. We provide reasonable accommodations for individuals with disabilities and comply with all applicable federal and state laws.