We are recruiting for a Care Coordinator, Case Management to join our team!
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Hospital Care MgmtJob Summary
Under general supervision, the RN Hospital Care Coordinator is responsible for facilitating and coordinating the care delivered to an assigned group of patients through multidisciplinary and patient/family collaboration to ensure quality and cost-effective outcomes are delivered within appropriate care coordination parameters. Coordination involves assessment, planning, support, and evaluation of patient care and related outcomes. Activities to be performed are screening for high risk and transition of care needs, interviews with patient/family, and progression of care facilitation with the healthcare team. The Care Coordinator is an active contributor in the development of systems (e.g., care maps, clinical paths) to improve the care of assigned patient populations and to move along the continuum.
Review Status and Level of Care Management
Ensures barriers are identified and escalated as needed. (35%)
Clinical Care Screening and Resource Management
Upon referral conducts an initial clinical and psychosocial screen through review of the patient's medical record, interview with the patient/family members and discussion with the physician and other healthcare team members.
Monitors the patient's treatment plan, medical goals and prescribes services to facilitate provision of services/referrals that are needed to meet the needs of the patient during hospitalization thus driving the clinical care process.Coordinates any needed referrals, PT/OT, wound care, dietary, pharmacy, cardiac rehab, etc. to facilitate efficient patient flow through the hospital system.
Participates in Care Conferences and Care Rounds as required and assists with the development of care plans that will meet the patient's current and continuing healthcare needs.
Ensures that services are appropriate for the patient's level of care and identifies any test/procedure that could be done as an outpatient and discusses alternative with the physician. (35%)
Risk Assessment and Transition of Care Screening
Identifies all readmissions within 30 days and initiates a readmission risk assessment within 24 hrs of identification.
Communicates the results of the risk and transition of care screening processes to the physician(s) and other healthcare team members, including external Case Managers and community-based clinic providers, as identified.
Generates a referral to the assigned Clinical Social Worker partner for implementation and collaboration of the transition of care plan throughout the hospital stay, as needed.
Supports the development and implementation of the patient's transition of care plan working collaboratively with the Clinical Social Work partner.
Communicates any clinical changes that would alter the transition of care plan to all healthcare team members, especially the Clinical Social Worker.
Ensures state and federal regulations/rules and insurance company requirements/processes are met.
Documents the initial transition of care screening information in the patient's clinical record according to departmental policies and procedures. (30%)
Associate's Degree Completion of a nursing education program that satisfied the licensing requirements of the Colorado Sate Board of Nursing for Registered Nurses Required and
1-3 years 3 years of clinical inpatient experience Required
BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association Required and
RN-Registered Nurse - DORA - Department of Regulatory Agencies Required and
CCM-Certified Case Manager - ANSI - American National Standards Institute
Knowledge, Skills and Abilities:
Knowledge and understanding of case management/coordination of care principles, programs, and processes in either a hospital or outpatient healthcare environment required.
Effective problem-solving skills, including the ability to analyze complex situations, draw conclusions and implement actions appropriately and efficiently.
Evidence of leadership, creativity, integrity and initiative required.
Ability to work effectively in a team environment.
Experience with windows-based computer programs and ability to use computer for data analysis and data display required; must be able to type 35 words/minute.
EPIC experience a plus.
Days (United States of America)
$84,600.00 - $126,900.00 / yr
Shared leadership and advancement opportunity
Immediate retirement plan matching
Professional clinical advancement program
Participation in evidence-based projects
Public Service Loan Forgiveness (PSLF) eligible employer
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.
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