Care Mgr RN Nonexempt

Team Member Services; Colorado; On-site; USD 49,000 - 91,000; Part time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO from Day One

403-B Retirement Plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Colorado is seeking a Part-time RN Case Manager to actively participate in multidisciplinary rounds, review patient status, and coordinate discharge planning for all assigned patients.

The role emphasizes educating patients and families, coordinating post-acute services, and ensuring timely transitions while navigating payment authorizations and CMS guidelines.

Qualifications

• RN with valid license required.
• Associates degree in Nursing required; BSN preferred.
• Experience in care management/utilization management is a plus.

Responsibilities

• Schedule: Part-time, 24 hours per week with three 8-hour shifts; every other Sunday is required.
• Participates in multidisciplinary rounds to review patient status, progression and discharge plans.
• Educates patients and families on illness impact and resources; advocate for patient decisions.
• Assess readmitted patients for reasons and communicate findings.
• Organizes and facilitates patient and family care conferences.
• Documents discharge planning evaluation, barriers, and authorization needs.
• Assesses discharge planning needs across inpatient, observation and ED.
• Reviews medical records and integrates clinical and social factors into the plan.
• Develops discharge plans with contingencies and coordinates post-acute care.
• Leverages technology to coordinate with post-acute services and ensure records.
• Other duties as assigned.

Skills

Leadership skills

Data analysis skills

Critical thinking

Multitasking and prioritization

Customer service

Communication with diverse backgrounds

Organizational skills

Outlook and EMR

Flexibility in healthcare

Community resources knowledge

Discharge planning knowledge

CMS Conditions of Participation

Conflict management

Teamwork

Education

Associates of Nursing

Bachelors of Nursing

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: Part time

Shift: Day (United States of America)

Address: 7700 S BROADWAY

City: LITTLETON

State: Colorado

Postal Code: 80122

Job Description:

• Schedule: Part-time, 24 hours per week (three 8-hour shifts). Every other Sunday is required.
• 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.
• Assess 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]

Work Experience:

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

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.