System Manager Value Based Care Management

System Manager Value Based Care Management

North Chicago Suburbs

Our client is a comprehensive, fully integrated, healthcare delivery system that serves the greater North Shore and Illinois communities with several hospitals, over 1000 licensed beds and too many awards to list!

They have engaged our firm to identify a System Manager to help manage four campuses in one of the most desirable suburbs in the Chicago land area.

Position Overview:

This role manages the day to day operations through the teams providing care navigation, utilization management, denials management functions, and any health plan related disease management activities. Accountable to ensure there is continuity in the teams and that the coverage for specific patient populations provides continuity. The manager coordinates and directs case management activities including budget recommendations, forecasting, recommendations for staff and space, outcome measurement, and management/process improvement. The manager hires, trains, and evaluates care management staff while also providing supervision of case management functions including patient assignments, utilization review, resource management, and LOS variance management and total cost of care. Contributes to the clinical, quality, financial and patient satisfaction outcomes of the health system. Works closely with physicians group and affiliates, inpatient, post-acute care and quality improvement to ensure compliance with all regulatory requirements.

Job Specifications:

Education:

• Bachelor’s Degree in a healthcare related field required. Master’s degree preferred.

Experience Required:

• Five years hospital or healthcare related experience.
• Three years of management/leadership experience.
• Previous case management and/or utilization review experience; Computer literacy.

Preferred:

• 2+ years managed care/HMO experience in utilization review, case management or discharge planning.
• 2+ years management experience in managed care, case management or care coordination.

Our client offers an amazing and dynamic environment with unlimited leadership training and growth potential, an aggressive compensation package and world class benefits!

For prompt and confidential consideration, please apply to the link below:

Click here to apply online