Job Information
Virtua Health Outcomes Manager in United States
At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations (https://www.virtua.org/locations) , we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.
Location:
Pennsauken - 6991 North Park Dr.
Employment Type:
Employee
Employment Classification:
Per Diem
Time Type:
Part time
Work Shift:
1st Shift (United States of America)
Total Weekly Hours:
0
Additional Locations:
Job Information:
Summary:
Responsible for partnering with the physician and multidisciplinary team in coordinating patient care with the underlying objective of enhancing quality and cost effective care.
Acts as a resource and patient advocate to facilitate a safe transition across the continuum.
Position Responsibilities:
Care Coordination
• Completes appropriate assessments and plans effectively to meet patient needs, monitors the length of stay and promotes efficient utilization of resources.
• Acts as a clinical expert and maintains ongoing knowledge of clinical practice guidelines.
• Engages the physician and builds seamless continuity of care and is the physicians single consistent resource.
• Problem resolution, patient/family communication.
• Helps identify factors impeding patient progression, resolves, escalates and documents as appropriate.
• Refers appropriate cases for Social Work intervention.
Documentation
• Appropriate and complete documentation of individual plan of care in EMR and case management documentation system.
Metrics
• Accountable to job specific goals, objectives and dashboards which contribute to the success of the organization.
• Participates in organizational improvement activities including patient satisfaction, Six Sigma committee, department and/or divisional teams and community activities.
Compliance
• Understands and applies applicable federal and state requirement.
• Identify and reports compliance issues as appropriate.
Position Qualifications Required / Experience Required:
Required: Must be RN or Masters prepared Licensed Social Worker or BSW with a minimum of 5 years experience in case management.
Preferred: 3 years clinical nursing (RN) experience and 1 year UR/CM/QM experience or 3 years experience as Clinical Social Worker.
Basic understanding of Medicare, Medicaid and managed care.
Discharge planning or home health background.
Excellent verbal and written communication skills, problem solving, critical thinking and conflict resolution.
Required Education:
Graduate of an accredited School of Nursing or Graduate of an approved School of Social Work with a Bachelor’s or Master’s Degree.
Training/Certifications/Licensure:
Licensure and/or certification from the State of New Jersey as a MSW or Registered Nurse.
Case Management Certification (requirement within one year of hire beginning April 1, 2015)