Care Manager RN

AdventHealth; Denver (CO); On-site; USD 48,000 - 91,000; Full time

Benefits offered by this job

Medical Insurance from Day One

Dental & Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403(b) Retirement Plan

Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources & Support

Pet Benefits

Job summary

AdventHealth in Denver, CO is seeking an experienced RN for discharge planning and care coordination. You will lead multidisciplinary rounds, assess patient needs, and develop timely post-acute care plans to optimize outcomes.

The role requires strong data analysis, communication, and patient-family education skills, with emphasis on holistic, community-linked discharge planning.

Qualifications

• Associates of Nursing required; RN licensure.
• Bachelor’s degree in Nursing preferred.
• Experience in hospital care and discharge planning is valued.

Responsibilities

• Actively participates in multi-disciplinary rounds to review patient status, care progression, and discharge plans.
• Educates patients and families on illness impact and resources for post-discharge needs.
• Assesses readmission drivers and coordinates with care teams.
• Organizes and facilitates care conferences with the team.
• Documents discharge plans and communicates needs to Payors as required.
• Assesses holistic discharge planning factors including social and financial aspects.
• Reviews medical records to integrate clinical and social factors into the plan.
• Develops contingency discharge plans and coordinates post-acute services.
• Leverages systems to ensure complete medical records and discharge reconciliation.

Skills

Leadership

Data analysis

Critical thinking

Multitasking

Customer service

Communication

Organization

EMR proficiency

Adaptability

CMS knowledge

Conflict resolution

Teamwork

Education

Associates of Nursing

Bachelor’s in Nursing

Tools

Outlook

EMR software

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

(Please click the link below to view work 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.