Known locally as the “full-service community hospital doing some big things,” Parker Adventist Hospital, (located at E-470 and Parker Road), offers leading medical experts, the latest technology and a broad array of clinical services. Ranked among the top hospitals in the nation for patient satisfaction, Parker Hospital performs complex spine and brain surgery along with weight-loss and joint-replacement surgery. We have a Level II Trauma Center and a Birthplace with a Level IIIA NICU caring for babies born as early as 28 weeks. Opened 10 years ago and still growing, the entire team is incredibly vibrant, skilled, enthusiastic, innovative and motivated. The sense of “newness” felt at Parker is a big aspect of the culture and the high patient and employee satisfaction scores speak volumes about the care and the environment. Every associate at Parker lives its culture of “relationship based care” each day – treating every patient, family and team member like WE would want to be cared for. For more information about Parker Adventist Hospital and joining the team, visit http://www.parkerhospital.org/.
Shift: 8a-4:30pm- at least 2 weekend shifts per month
The Case Manager is assigned to specific Hospital Units to facilitate the care plan for the inpatient episode, proactively monitor clinical quality and facilitate timely discharge. Using a collaborative interdisciplinary approach, the Case Manager will confirm the plan of care and focus on anticipation, integration and coordination of clinical care and discharge planning services necessary to meet the needs of patients in order to optimize clinical outcomes and resource utilization.
Graduate of Accredited School of Nursing
Current Colorado RN License
BLS certification from American Heart Association preferred
WORK EXPERIENCE REQUIREMENTS
3 years clinical experience as Registered Nurse
Experience in case management, utilization review, nursing clinical quality or discharge planning preferred
Excellent communication/presentation skills.
Ability to multi-task, set priorities and maintain organization. Computer skills.
POSITION DUTIES (ESSENTIAL FUNCTIONS)
ASSESSMENT, DATA COLLECTION, ANALYSIS
Obtains reviews and analyzes information relative to admission in accordance with hospital policy and documents assessment using
ECIN and/or other clinical information system.
Assess/reassess patient's clinical and psychosocial status, diagnosis, and treatment plan involving and communicating with
physician/physicians as needed.
Facilitates discharge planning using ECIN working with patients, families and treatment team making any needed referrals/arrangements and documenting actions.
Participates in the Performance Improvement process through concurrent chart review and participation on clinical effectiveness teams.
Documents Case Management actions and discharge planning upon initial assessment with updates promptly as patient's needs
change. The documentation must be complete in Meditech on the day of each patient contact.
Proactively reviews medical records for compliance with Core Measure initiatives and other quality initiatives and confers with nursing staff on actions.
CONFIRMATION OF PATIENT GOALS AND PLANS OF CARE
Confirms treatment goals and anticipated plan of care through discussions with treatment team/review of documentation. Utilizes tools such as guidelines, criteria or clinical pathways to assist in facilitating plan of care and appropriateness. Communicates treatment goals or best practices to treatment team including physician using established criteria/guidelines. Daily communication with nursing staff regarding plans, barriers to discharges.
MONITORING PLAN OF CARE AND CARE COORDINATION
Assess, coordinates and evaluates use of resources and services relative to plan of care and discusses variances on an as needed basis with treatment team.
Communicates modifications in plan of care to treatment team and any needs for further documentation daily and/or as needed. Facilitates Family Conferences meetings on an as needed basis and documents outcome.
Participates and/or leads interdisciplinary rounds to facilitate plan of care and discharge.
Reviews variance in plan of care with Manager/Director as needed.
Assists to streamline the care delivery process to minimize or eliminate unnecessary steps or delays through application of Millman
Facilitates and prioritizes prompt throughput of observation patients.
Identifies when variances occur in anticipated plan of care, tracks for process improvement, and refers to CMO or PA for peer review as needed.
Uses established criteria/guidelines for suitability of level of care, medical necessity, and continued stay and enlist Physician Advisor involvement as needed.
Performs daily rounds with clinical team to address barriers to discharge and plans of care.
Tracks avoidable days using ECIN.
Monitors length of stay on ongoing basis for case load.
Works with third party payers to satisfy utilization review requests and obtain approval of stays.
Participates in Case Management weekly meetings providing information on outliers for LOS and proactive solutions.
Performs utilization review in accordance with UM Plan to include concurrent/retro reviews and verifying admission/bed status. Assists Case Management Manager/Director with clinical information for denial reversals.
Daily review of all clinic bed, observation, 1 day inpatient stays and same day discharge charts for appropriate status orders, correct status in computer, calculation of obs hours for charging, obtaining appropriate orders for status change or no order on chart, within
24- 36 hours.
Proactive management of factors influencing length of stay using critical thinking skills minimizing variance days. Participates in Utilization Review meetings.
Obtains any regulatory documentation that is required.
Completes work with minimal supervision, striving for and achieving optimal outcomes. Meets time commitments on assignments without reminders.
Takes responsibility for own actions.
Recognizes own strengths and weaknesses and seeks/accepts constructive feedback, incorporating it into work. Meets attendance and punctuality guidelines.
Puts the patient, family and customer needs first.
Adapts to changes in the work environment and appropriately incorporates new information. Effectively deals with pressure and uncertainty.
Deals effectively with a variety of people, personalities, and cultures.
* This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.
☑ Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a... smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.