RN Manager Resource Center

Oversees the day-to-day operations of the Resource Center. Accountable for hiring, scheduling, day-to-day supervision and performance management process of all Resource Center staff and Utilization Review Care Managers. Establishes relationships with payor organizations, post-acute facilities and community agencies to ensure that efficiency and effectiveness of authorization and referral functions is maximized through use of technology. Leads efforts to develop, implement, evaluate and modify the Capacity Management measuring and monitoring plan. Establishes collaborative relationships within departments that assist in implementing and evaluating the measuring and monitoring plan. Functions as the first level of clinical contact with payor organizations as needed. Ensures that discharge-planning activities are supported by Resource Center staff. Accountable to the Clinical Care Coordinators to oversee the Resource Center function of coordination of care. Oversees Denial Management process.

Education/Training/Experience:

RN License Required

Bachelorrsquo;s Degree strongly preferred.

Three to five years clinical experience or one to three years Utilization Management/Utilization Review experience, MBA preferred.

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.

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.