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Thomas Jefferson Univ Director, Care Management - Einstein Philadelphia in Philadelphia, Pennsylvania

Reference #: 9304149 Covid Vaccination is a requirement for employment at Jefferson for employees working at Jeffersonrsquo;s clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson. Education/Training/Experience: (indicate if required or preferred) Healthcare related masterrsquo;s degree preferred. Case management/transition management experience required. Minimum of five years clinical experience preferred. Minimum of five years progressive hospital management experience with fiscal, operational and supervisory experience highly preferred. Experience with performance improvement and change management preferred (CPHQ, LEAN, Six-Sigma or other performance improvement methodology).


Licenses/Certifications: (indicate if required or preferred) Current registered nurse licensure in the State of Pennsylvania required. Accredited Care Management (ACM) and/or case management certification (CMC/CCM) preferred.


Provides operational oversight of the Care Management Department to assure the delivery of seamless care management across the continuum of care for our patients through the coordination of the right care, at the right time, in the right place, by the right provider. This leadership role requires a highly collaborative, interdisciplinary approach to patient centered care coordination that is safe, reliable, and timely.

Accountable for Care Management program including Case Management, Utilization Management, Social Work and Denials Management mdash; its vision goals, functions, personnel, and outcomes. The Director promotes operational effectiveness while ensuring the provision of appropriate reimbursable care; and oversees the implementation and standardization of best practices throughout the CM department. Einstein Healthcare Network, now a part of Jefferson Health, has provided compassionate, high-quality healthcare to anyone in need since 1866. We began with what was, in the late 1800#39;s, a remarkable and forward-thinking creed: to provide medical care to the sick and wounded without regard to creed, color or nationality. Our primary mission remains true to the founder#39;s intent. With our more than 570 employed specialty and primary care physicians, Einstein is able to provide the full spectrum of service to our community, from primary though quaternary care. Our primary service area is North Philadelphia whose population has significant medical needs and other challenges. Einstein is known for its mission of commitment to community and has gained a reputation for excellence, compassion and innovation. About Jefferson Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow#39;s professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educashy;tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

As an employer, the Jefferson Enterprise maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.

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