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Manager - Cross Care Continuum Acute Care
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Full-time
- Provides managerial oversight to a diverse staff, including RN care/case managers, medical social workers, and other support personnel, facilitating patient care coordination within acute care services.
- Maintains optimal staffing levels to execute designated care management and utilization management strategies for hospitalized patients, ensuring consistency and continuity in assignments.
- Collaborates with physician and administrative leaders to ensure completion of requested peer-to-peer clinical payer reviews; keeps team informed of NorthShore care management program performance results (5%)
- Uses data (length of stay, observation status management, time of discharge, discharge destination, denials, appeals, etc.)
- Provides staff support to health system committees; presents data, analysis/interpretation, and recommendations in a concise, coherent manner to appropriate audiences, to include, but not limited to the Utilization Management Committee.
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