*This Opportunity is in Sheboygan, Wisconsin. Relocation Assistance available*
Manager Care Management Inpatient
Aurora Medical Center Sheboygan County
3400 Union Avenue, Sheboygan, WI 53081
Advocate Aurora Health
• Job ID # R51607
• Full-time, Exempt
WHO WE ARE: Aurora Medical Center Sheboygan County is one of the organization’s new 2022 hospitals; a full-service facility, replacing the old 1933 site. The 113-bed hospital provides 44 specialties and is the work-home to 320 RNs and 529 providers. AMCSC, in the planning stages for more growth, has earned 5-Stars from CMS for Overall Hospital Quality and the 2021 Outstanding Patient Experience Award by Healthgrades. It is part of the Advocate Health enterprise – the 5th largest, nonprofit system with 67 acute care hospitals in the nation. Sheboygan, WI is an excellent suburban community to live and work with highly rated schools, beautiful recreational parks and sits along the shores of Lake Michigan.
HOW YOU’LL MAKE A DIFFERENCE:
Provide leadership and oversight of the Care Management (CM) and Social Work (SW) program and staff assigned at Aurora Medical Center Sheboygan County. Provide direct management and development of site CM/SW staff and cultivate team engagement. Collaborate frequently with Hospital Leaders, Post Acute Partners, Physicians, Physician Advisors, Nurses, and others to ensure accurate and timely progression of care, discharge planning, and compliance with regulatory standards/conditions of participation related to discharge planning and utilization management. Support ongoing communication and education on care coordination, discharge planning, alternate payment methods, regulatory requirements, and performance improvement methodologies.
• 9.4 FTEs: Care Management team of RNs and Social Work professionals
• Care Management supported by Physician Advisors
• Expansion plans to accommodate growing ED/patient volumes
WHAT YOU WILL NEED:
Licenses & Certifications
• Registered Nurse license issued by the state in which the team member practices. • Accredited Case Manager (ACM) certification issued by the American Case Management Association (ACMA) needs to be obtained within 1 year, or Care Manager Certified (CMC) certification issued by the National Academy of Certified Care Managers (NACCM) needs to be
obtained within 1 year, or Nursing Case Management (RN-BC) certification issued by the American Nurses Credentialing Center (ANCC) needs to be obtained within 1 year.
• Bachelor's Degree in Nursing. BSN
Required Functional Experience
• Typically requires 5 years of experience in a relevant clinical setting.
Required Management Experience
• Includes 1 year of supervisory experience in a Care Management Leadership role.
Knowledge, Skills & Abilities
• Master of Nursing Administration, Master in Health Care Administration or related field preferred.
• Ability to prioritize and organize work. Ability to travel and work across multiple sites as assigned (IL or WI).
• Effective communication. Utilization of critical thinking in timely decision making. Knowledge of MS Office products. Demonstrates leadership skills.
• Knowledge of Medicare A and B guidelines. Knowledge of Managed Care
programs/requirements/implications. Knowledge of Conditions of Participation for Discharge Planning. Knowledge of requirement elements of Utilization Management program, including support of the UM Plan. Knowledge of Regulatory environment.
• Ability to work autonomously and respond to multiple requests effectively.
• A successful change agent leader with team engagement skills to guide and communicate new processes and practices.
**Compensation is based on applicable years of experience: Mid-Pt $108,784. Annual Incentive Plan. Relocation package available. Comprehensive benefit package includes but not limited to comprehensive relocation package, medical, dental, vision options and 401k with matching. Access to leadership onboarding, progressive development education, training and mentoring for performance excellence, ongoing support, and career growth.
OUR COMMITMENT: Advocate Health is committed to diversity and inclusion every single day and in everything we do. Diversity lives in the differences, great and small, that matter to us and make each of us unique. We know that empowering our differences inspires creativity that leads to innovative solutions – for our team members, consumers, and communities. And because health care is built upon relationships, it’s important for the people we serve to be able to trust us to meet their unique needs. By cultivating an atmosphere of acceptance and compassion, we create a welcoming environment where our patients can heal, our team members can thrive, and our business can grow. As a team member, working in a diverse setting allows you the chance to grow in ways that will broaden your perspective to deliver the best possible patient care.