Manager Care Progression

Posted:
7/22/2024, 5:00:00 PM

Location(s):
Missouri, United States ⋅ Lee's Summit, Missouri, United States

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Medical, Clinical & Veterinary

Job Description​

The Opportunity:   The Care Progression Manager serves as an integral component of the Capacity Leadership Team for the Health System while owning primary oversight for case management at Saint Luke’s East Hospital. This position reports directly to the Vice President of Patient Progression.

This position is responsible for the management direction and coordination of Case Management and Social Work components that comprise the Care Progression Department. The Manager plans, directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state and other regulatory agencies.

Shift: Days

The Work:  Responsibilities include but are not limited to:

  • Managing designated aspects of the case coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital, and to minimize patient liability

  • Serving as an escalation point for complex discharges
  • Managing individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans.
  • Ensuring that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership
  • Developing and adhering to departmental staffing, revenue and/or expense budgets
  • Responding to changes in the business which may affect the ability to achieve the budgets goals
  • Adjusting programs to support the needs of the target patient population

Required:  

  • Bachelor's Degree Nursing or Master’s Social Work
  • RN/LCSW/MSW
  • Basic Life Support - American Heart Association or Red Cross, Optional

Preferred:  

  • 5-10 years Experience
  • 2-5 years Leadership Experience

The ideal candidate will have a BSN or MSW, at least 5 years of Case Management experience, and at least 2 years of Case Management leadership experience with direct reports, and an ACM Certification.

Why Saint Luke’s?

We value our nurses’ knowledge, experience, and expertise to improve patient outcomes and provide quality care. Our nurses are compensated fairly for their hard work and dedication to our patients, we offer competitive salaries and benefits packages to all eligible employees:

  • Medical health plans
  • Continuing Education Assistance and Tuition reimbursement
  • Leave of Absence, PTO, Extended Sick Leave, and various Welfare plans
  • Retirement contributions
  • Employee Assistance Program
  • Clinical Advancement Program – Shared Governance, Unit Based Project, Career Advancement

Job Requirements

Applicable Experience:

Less than 1 year

Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various

Bachelor's Degree - Nursing

Job Details

Full Time

Day (United States of America)

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.