Provides development and oversight of transitional care and utilization management. Manages a set of actions and processes designed to ensure the coordination and continuity of health care as patients transfer between different venues of care. Serves in a leadership role in developing interfaces with clinical staff across the continuum and directly supervises Transitional Care Coordinators (TC - Cs) and Utilization Management RNs in the acute hospital (ACH & SBH) and ensures their competency, pr... more details
RN Manager, Transitional Care & UM
Summa Health - Akron City Campus
Full-Time / 40 Hours / Days
Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
Summary:
Provides development and oversight of transitional care and utilization management. Manages a set of actions and processes designed to ensure the coordination and continuity of health care as patients transfer between different venues of care. Serves in a leadership role in developing interfaces with clinical staff across the continuum and directly supervises Transitional Care Coordinators (TCCs) and Utilization Management RNs in the acute hospital (ACH & SBH) and ensures their competency, productivity and efficiency. Works directly with the System Director Acute Care Management to collaboratively achieve quality care outcomes for patients as they transition from one setting to another.
Formal Education Required: -BSN in Nursing required along with required Ohio licensure. May substitute education with four (4) years’ experience working in same or similar job title, performing same or similar responsibilities delineated in job description in any agency, organization, business or industry.
Experience & Training Required: -Two (2) to four (4) years performing same or similar responsibilities delineated in the job description with or without having the same or similar title or having related experience in the managed/health care industry.
Other Skills, Competencies and Qualifications: -Ability to make decisions based on independent judgment, appropriate analysis/response to issues involving patient care, program management and personnel supervision -Ability to work under stress -Ability to direct multiple entities functions which have a significant impact on the organizations processes -Understanding of utilization management processes and principles. -Demonstrated ability to communicate clearly and effectively orally and in writing -Ability to analyze and use clinical outcome and aggregate data -Clinical knowledge of patient population needs including high risk patients and patients with chronic illness -Ability to work independently and to prioritize work and solve problems -Demonstrated expertise in transitional care and utilization management -Ability to lead and facilitate interdisciplinary care processes and across multiple settings. -Demonstrates knowledge of utilization management processes and incorporates regulations into the transitional care planning process for patients and families. -Demonstration of commitment to the advancement of health through patient/family activation to manage their own care, development of care strategies for at risk patients such as elders, complex patients, and patients with chronic illness. -Population Specific Competency: Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity. -Demonstrates knowledge of community resources/agencies that serve targeted populations. -Understanding of utilization management processes and principles.
Level of Physical Demands: -Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently $44.81/hr - $67.22/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
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