Location US-IL-Peoria

ID 2025-10417

Category

Nursing

Position Type

Full-Time

Remote

Yes

Shift

Day

Schedule

M-F 8-5

Weekend Requirements

None

Holiday Requirements

None

On-Call Requirements

None

The Post-Acute Care and SNFist Prog Mgr West Reg will work to improve post-acute provider performance metrics and transitions of care from hospital to post-acute care locations, specifically with partner skilled nursing facilities (SNF) within the Peoria service area. This individual will be a liaison with SNFs and inpatient care coordination, will work as a care coordinator to follow Carle patients who are admitted at partner SNF locations. Job activities will include ensuring smooth transition from hospital to SNF, SNF to community, attending SNF weekly IDT/Medicare meetings, and working collaboratively with SNF to improve the quality of care of our mutual patients.

Attend weekly IDT/Medicare A meetings to facilitate and engage SNF staff to ensure all recommended patient care, including attainable patient goals, is continued in the SNF setting.
Assist in the collection of data from post-acute care collaborative partners. Meet with facility on routine basis to review key quality indicators against benchmark and goals. Discuss action plans to address areas of opportunity as needed.
Conduct chart reviews and root-cause analysis for post-acute patients as needed to collect data and evaluate trends for

opportunities for improvement.
Follow up on patients who are readmitted to assure concerns and issues that led to readmissions are addressed.
Assist the post-acute care manager to identify partners who have opportunities for improvement. Assist post-acute care

manager in developing an action plan and monitor for success.
Document complaints brought up by patients and collaborative partners. Address concerns appropriately.
Serve as the liaison between the hospital and the post-acute care collaborative and facilitate communication between the

inpatient care coordinators and the SNF.
Support inpatient care coordinators and partner SNFs in transitioning patients safely.
Assist in the transition of patients to post-acute programs and eventually back to their primary care physician (PCP) and

community. Encourage continuity of care transitions to home care, hospice, etc.
Determine if a follow up phone calls should be made to patients discharged from post-acute providers.
Support SNF partners in clinical education upon request, both in person and virtually.
Assist SNF in implementing industry best practices.
Prepares "pre-charting" information for the SNFist providers as necessary to support provider visits as needed.
Utilize continuous improvement to identify opportunities to improve processes and quality of care.
Maintains relationships with skilled nursing facilities (SNF) that are characterized by patient-centeredness, collaboration and mutual respect. Serves as liaison between SNF and inpatient case management to ensure both parties are meeting set expectations. Identifies opportunities within SNF that will enable them to admit and successfully manage complex patients.

Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: College Diploma: Nursing, Work Experience: Nursing

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

The compensation range for this position is $31.32per hour - $53.87per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.



Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

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