Medical Director, Transitional Care
Description
Company: Oak Street Health
Title: Manager of Transitional Nursing Care
Location: Downtown Chicago (30 W. Monroe St.)
Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers that provides higher quality health and wellness care that improves outcomes, manages medical costs, and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patient's communities, we can keep our patients healthy and then reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people in Illinois, Indiana, Michigan, Pennsylvania, and Ohio. At 40 locations, and with an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about the mission to rebuild healthcare as it should be.
For more information, visit http://www.oakstreethealth.com.
Role description:
The Manager of the Transitional Care Team is responsible for leading the IL Transitional Nursing team as well as providing programmatic support to national OSH market leadership and transitional staff. The OSH Transitions of Care program focuses on providing a multi-disciplinary connection between OSH Care Navigation, Utilization Management, facility, local care teams and patient/family. The Manager role provides leadership in executing the Transitions of Care program goals which include ensuring high-quality, patient-centered care; preventing avoidable readmissions; and managing efficient resource utilization and improving patient and provider satisfaction.
Responsibilities:
Serving as the OSH national Subject Matter Expert on Transitions of Care
Leading the IL market Transitional Care team including the oversight of daily operations, maintaining regional/facility assignment, balancing of staff caseloads, monitoring team/individual performance and coaching staff when appropriate, providing coverage and support as needed.
Providing direct or supporting efforts in the hiring and training of Transitional Care staff in new and existing markets
Assisting the OSH Department of Medical Management in the development, execution and improvement of the Transitions of Care program
Helping all OSH markets resolve specific needs as related to Transitional Care navigation
Executing effective collaboration between multi-disciplinary teams including but not limited to: OSH Care Navigation, Utilization Management, facilities, local care teams and patient/family
Having firm knowledge and executing CMS, state-specific and NCQA compliance criteria as related to Transitions of Care
Monitoring OSH data related to patient cost, admissions, post-discharge appointment completion and health outcomes to help guide and direct Transitions of Care program initiatives and goals
Participates in daily inpatient and post-acute rounding calls with Care Navigation and UM teams to help determine patient status and appropriate discharge plan
Ideal candidates have:
Bachelor degree in Nursing required, Masters degree preferred
An active RN license within the state of practice in good standing
Minimum 2 years of direct supervisory experience
2+ years of experience in transitional nursing, discharge planning or home health
Experience in utilization management
Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
Strong clinical and assessment skills
Outstanding verbal and written communication skills
Ability to work independently and maintain flexibility in a fast-paced, start-up environment
Ability to analyze data and use it to improve care delivery
Self-starter with a high level of accountability and responsibility for the outcome of care
Highly organized and able to manage multiple priorities appropriately
Independent problem-solving skills
Able to work collaboratively and build enduring relationships with providers, patients and the multidisciplinary team.
A flexible, positive attitude
Valid driver's license and ability to travel daily
Nurse Case Management Credentialing (RN-BC) or Certified Case Manager (CCM) preferred
Working knowledge of Microsoft Office Product Suite
US work authorization
Someone who embodies being 'Oaky'
What does being 'Oaky' look like?
Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and driving for results
Being scrappy
Why Oak Street?
Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:
Collaborative and energetic culture
High levels of responsibility and rapid advancement
Headquarters (the 'Treehouse') located in the heart of Downtown, close to many public transit options and great restaurants
Competitive benefits; including paid vacation/sick time, generous 401K match with immediate vesting, as well as health benefits
Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.
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