Care Manager RN

adventhealth; Colorado; On-site; USD 48,000 - 91,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

4 Weeks Parental Leave

Job summary

AdventHealth in Denver, CO seeks an experienced RN Case Manager to coordinate discharge planning and ensure timely transitions from hospital to post-acute care, addressing medical, social, and financial needs of patients and families.

You will participate in multidisciplinary rounds, educate patients and families, assess readmission drivers, and develop comprehensive discharge plans with contingency arrangements and post-acute services. RN license and 2+ years nursing experience required.

Qualifications

• RN licensure and an Associates degree are required.
• Bachelor's degree in Nursing preferred.
• Minimum 2+ years of medical/hospital nursing experience.
• Experience with discharge planning and case management strongly preferred.

Responsibilities

• Lead discharge planning through multidisciplinary rounds and coordinate post-acute resources.
• Educate patients and families about medical, social, and financial implications of illness.
• Assess readmission factors and develop interventions to prevent avoidable days.
• Document discharge plans, barriers, and authorizations for post-acute care.
• Communicate with payors for post-acute care authorizations as needed.
• Review medical records to integrate clinical, social, and financial factors.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Communication in diverse backgrounds

Organizational skills

Teamwork

Flexibility

CMS knowledge

Education

Associates of Nursing

Bachelors of Nursing

Tools

Outlook

EMR systems

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

2525 S DOWNING ST

City:

DENVER

State:

Colorado

Postal Code:

80210

Job Description:

• Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate.
• Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.
• Assesses readmitted patients for the patient’s and family’s perceived reasons for the readmission.
• Organizes and facilitates patient and family care conferences with the multidisciplinary team.
• Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work. Communicates with Payors patient’s needs for authorization for post-acute care as needed.
• Assesses patients’ and families’ wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
• Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
• Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
• Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Leadership skills [Required]
• Process and Outcome data analysis skills [Required]
• Critical thinking and problem-solving skills [Required]
• Ability to manage multiple tasks and prioritize levels of importance [Required]
• Customer service skills [Required]
• Ability to work and communicate with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change [Required]
• Effective organizational skills [Required]
• Computer proficiency with Outlook e-mail and electronic medical records [Required]
• Flexible in a complex and changing healthcare environment [Required]
• Knowledge of community resources and post-acute care programs across the continuum [Required]
• Knowledge of clinical and social factors that affect the patient's functional status at discharge [Required]
• Knowledge of CMS Conditions of Participation for Discharge Planning [Required]
• Conflict management and resolution skills [Required]
• Teamwork principles [Required]

Education:

• Associates of Nursing [Required]
• Bachelors of Nursing [Preferred]

Field of Study:

• N/A

Work Experience:

• 2+ medical/hospital nursing experience [Required]
• Prior Care Management/Utilization Management experience [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• Registered Nurse (RN) [Required]
• Basic Life Support (BLS) [Preferred]
• Certified Case Manager (CCM) [Preferred]
• Accredited Case Manager (ACM) [Preferred]

Physical Requirements:

• Physical Requirements - https://tinyurl.com/2vvwrzem

Pay Range:

$35.39 - $65.82

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.