What are the responsibilities and job description for the Program Manager 2 - Service Line position at St Lukes Health System (Boise ID)?
Overview
Work where you make a difference!
At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work. Join Our Team as an RN Program Manager!
Schedule: 1.0 FTE (80 hours per pay period, Exempt) Monday-Friday hours.
What You Can Expect:
About Us: Welcome to St. Luke’s Health Partners, a dynamic and innovative Clinically & Financially Integrated Network (CIN) dedicated to improving patient outcomes and reducing healthcare costs through proactive, coordinated, and patient-centered care. We are excited to invite a highly motivated and experienced RN Program Manager to lead our Large Case and Catastrophic Care Management initiatives.
Position Overview: As the RN Program Manager, you will play a pivotal role in managing large case and catastrophic care management. Your responsibilities will include proactively identifying large case members, monitoring large case rosters, referring patients to existing care management (CM) programs, managing transplants and End-Stage Renal Disease (ESRD), and coordinating with specialty networks.
Key Responsibilities:
- Utilize data analytics and clinical insights to identify members with large case and catastrophic care needs.
- Maintain and update rosters of large case members, ensuring accurate and timely information.
- Refer patients to appropriate existing care management programs to ensure comprehensive and coordinated care.
- Oversee the management of transplant cases and ESRD patients, ensuring they receive the necessary care and support.
- Collaborate with specialty networks to ensure seamless care coordination and optimal patient outcomes.
- Create and implement individualized care plans for large case members, focusing on their unique needs and conditions.
- Track and evaluate patient progress, adjusting care plans as needed to achieve desired outcomes.
- Work closely with primary care physicians, specialists, and other healthcare providers to ensure cohesive and integrated care.
- Ensure all care management activities comply with regulatory requirements and organizational policies.
Req;uired Qualifications:
- Education: Bachelor's of Nursing Degree (BSN)
- Experience: 5 years of RN experience in specialty area
- Licenses/Certifications: Current RN License from State of Practice (Idaho)
Preferred Experience and Skills:
- Strong Analytical, Organizational, and Communication Skills: Ability to analyze complex data, organize tasks efficiently, and communicate effectively with patients, families, and healthcare providers.
- Data Analytics and Care Management Software Experience: Proficiency in using data analytics tools and care management software to identify high-risk patients and manage care plans.
- Care/Case Management Experience: Extensive experience in care or case management, particularly with large case and catastrophic care, including transplants, ESRD, dialysis, and other complex conditions.
- Utilization Management Experience: Knowledge and experience in utilization management to ensure appropriate use of healthcare resources and services.
What’s in it for you
At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
