We are seeking a Manager of Case Management for our hospital to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!
We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program. We would love to talk to you about this fantastic opportunity.
Healthcare Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data.
Swedish Medical Center Level I Trauma Center Swedish Medical Center, part of HCA’s HealthONE, is located in the south metro Denver area where it has been a proud member of the community for more than 110 years. An acute care hospital with 408 licensed beds, annually Swedish cares for more than 200,000 patients with a team of 2,000 dedicated employees, 500 volunteers and more than 1,400 physicians.
With stroke door to treatment times averaging just 20 minutes, faster than any other facility in the world, Swedish serves as the Rocky Mountain Region’s referral center for the most advanced stroke treatment and was the state’s first Joint Commission certified Comprehensive Stroke Center. Swedish also serves as the region’s neurotrauma and orthopedic trauma provider and is the area’s only level I trauma facility with a dedicated burn and reconstructive center.
Swedish Medical Center offers patients the highest quality care and the most advanced technologies and treatments in nearly every medical specialty including adult and pediatric emergency, heart care, neurology/neurosurgery, pregnancy and childbirth, orthopedics and joint replacement, cancer care, gastroenterology and liver care, gynecology and urology.
Offering Quality Care and Excellent Outcomes:
Swedish consistently provides some of the highest quality patient care and has been recognized for excellence by many organizations:
Leapfrog Hospital Safety Grade - “A” Hospital Compare - 4-Star Overall Rating Accredited by the American College of Surgeons Commission on Cancer Healthgrades Five-Star Recipient for Treatment of Sepsis - (2013-2018) Cardiopulmonary
Joint Commission Certification in Coronary Artery Disease, Coronary Artery Bypass Graft and Open Heart Surgery AHA/ASA Heart Attack Receiving Gold Plus AHA/ASA STEMI Receiving Center Healthgrades Five-Star Recipient for Treatment of Heart Failure - (2012-2018) Healthgrades Five-Star Recipient for Treatment of Chronic Obstructive Pulmonary Disease - (2017-2018) Healthgrades Five-Star Recipient for Treatment of Pulmonary Embolism - (2015-2018) Neuro/Spine
NAEC Level 4 Epilepsy Center Blue Distinction Center for Spine Surgery Center of Excellence for Spine Surgery from United Health Designated Aetna Institute of Quality Orthopedic Care Spine Surgery Gynecology
Recipient of the Healthgrades Gynecologic Procedures Excellence Award™ - (2016-2017) Recognized by Healthgrades for Superior Performance in Gynecologic Procedures - (2016-2017) Among the Top 10% of Hospitals Evaluated by Healthgrades for Gynecologic Procedures - (2016-2017) Healthgrades Five-Star Recipient for Gynecologic Procedures - (2016-2017) Acute Rehabilitation
Named Top Performer by the Uniform Data System for Medical Rehabilitation Top 10% of all Uniform Data System Medical Rehabilitation subscribers Only rehabilitation facility in the Denver Metro Area with Telemetry Bariatrics
Bariatric Surgery Center of Excellence® - American Society for Metabolic Bariatric Surgery Designated member of OptumHealth Centers of Excellence network for Bariatric Resources Services
This position supports the mission of Swedish Medical Center optimizing the quality of life of all those served by expanding the traditional focus on medical needs to the needs of the whole person. The Case Management Manager is responsible and accountable for overseeing the coordination of services through an interdisciplinary process that provides a clinical, financial and psychosocial approach through the continuum of care. Balances individually identified patient and family needs with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine appropriateness of admission, continued hospitalization, clinical resource consumption, progressive care management, as well as appropriate level of care. Discharge planning will begin at the time of (or prior to) admission and reassessed throughout the course of hospitalization. Quality and Risk Management issues and education needs will also be monitored for and reported per hospital policy. When need arises, will perform other duties as assigned by the Case Management Direct and cover for the director as needed. This role is intended to mentor the individual for a future Director of Case Management position.
Responsible for supervising day-to-day operations, including the staff schedule, assignments and caseloads to ensure appropriate hospital-wide coverage.
Provides expertise and staff support for problem–solving complex cases and issues.
Collaborates with Director and participates in staff evaluation and performance activities including monitoring, coaching, counseling, educating and developing action plans as needed.
Represents CM and attends meetings for assigned committees, workgroups and teams.
Develops and supervises new staff orientation plans and the department’s annual education plan, including staff core competencies.
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. Come unlock the possibilities and apply today!
Current licensure in the State of Colorado as a Registered Nurse, or current active multistate nursing licensure, or LCSW required.
BLS certification through American Heart Association or American Red Cross required.
UM/CM certification preferred.
Graduate of an accredited school of nursing or social work.
Bachelor’s of Science in Nursing and/or Master’s level degree preferred for RN & MSW required for social work.
Five or more years clinical experience required, hospital setting preferred.
Three to five years UM/CM experience required.
One to three years charge/lead/supervisory/management experience required, in UM/CM department role preferred. Able to demonstrate leadership and management skills.
Knowledge of all applicable federal and state regulations as well as accreditation standards.
Demonstrates a working knowledge of UM, CM and Social Work in the acute care setting and with insurance payers, managed care and government healthcare plans.
Working knowledge of UM review processes, payment/reimbursement and appeal procedures and regulatory requirements.
Must have the ability to monitor, compile, report and analyze data/statistics.
Requires excellent human relations, interpersonal and oral/written communication skills.
Requires good knowledge and skills with Microsoft Office and other computer information systems and applications.
**We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.**
Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.
For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.
Join our HealthONE family -- the largest healthcare system in the Denver metro area. Eight world-class hospitals. 40+ outpatient facilities. Countless opportunities.HealthONE is an equal opportunity employer.
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