Experience Inc. Jobs

JOB REQUIREMENTS: POSITION SPECIFICS Title: Manager Continuum of Care FTE: 1.0 FTE (40 hours/week) Schedule: Monday Friday 8:00am - 4:30pm Holiday Rotation: None Weekend Rotation: None POSITION SUMMARY The Manager of Continuum of Care coordinates the design, development, implementation, and monitoring of the organization\'s case management services and the Medicare and MA Utilization Review Program. Manages clinical and support staff in the performance of medical management functions, including case management, inpatient discharge planning, and Medicare and MA utilization review. Functions as the internal resource on issues related to the appropriate utilization of patient care resources, coordination of care across the continuum, and Medicare/MA utilization review and management. The Manager works collaboratively with SPH leadership, clinical directors, physician leaders, and other key stakeholders to maximize the quality of care and the patient experience, while also addressing the cost effectiveness of care. POSITION TECHNICAL RESPONSIBILITIES Core Manager Provides general oversight and coordination of daily operations of one or more departments. Assumes leadership role in establishing and achieving department goals. Assists in the development of new services lines and/or programs. Prepares project specific reports. Accomplishes daily department objectives by managing staff; planning and evaluating department activities. Directly oversees and addresses daily operational needs, typically for multiple cost centers. Reviews, analyzes, develops, and implements departmental workflow processes to increase efficiency, accuracy, and to decrease re-work. Assists with the development of policies, procedures, and productivity standards. Conducts daily rounds on team members to ensure optimal workflow and addresses daily staffing needs. Addresses departmental staffing assignments daily, ensuring optimal workflows are implemented. Evaluates staff workloads to ensure equitable distribution of work, and to determine appropriate staffing levels. Responsible for addressing human resource needs (interviewing, hiring, training and development, annual evaluations, etc.). Sets goals for individual team members that are in alignment with the department\'s and organization\'s goals. Holds personnel accountable for all activities outlined in their job descriptions, Service Excellence Standards, and other organizational requirements. Trains and onboards new hires to make sure they understand their roles. Communicates job expectations. In consultation with supervisor, coaches, counsels, and applies corrective action to employees as needed. Approves payroll for assigned team members. Works directly with staff to maintain compliance with external regulations and internal policies. POSITION REQUIREMENTS Education: Required: Bachelor\'s Degree in Nursing or Social Work. Preferred: Master\'s Degree in healthcare, social work, business administration, or healthcare-related discipline. Experience: Required: Experience in a hospital or clinic setting. Experience interpreting healthcare regulatory standards. Experience in case management and discharge planning. Preferred: Experience in utilization review. Licenses and Registrations: Required: Current State of Wisconsin licensure as a Registered Nurse or licensed Social Worker. Preferred: None Certification(s): Required: None Preferred: American Case Management Association (ACMA) Case Management certification. BENEFIT SUMMARY 1. Competitive health and dental insurance options 2. Flexible paid time off to balance work and life 3. Retirement plan with immediate vesting and employer match 4. Free membership to our state-of-the-art fitness facility 5. Generous tuition reimbursement 6. Employer provided life and disability insurance 7. Free parking at facility ***** APPLICATION INSTRUCTIONS: Apply Online: https://www.saukprairiehealthcare.org/about/car ers/