Case Manager II LCSW LSW CSWCM Per Diem Days

ScionHealth

Denver (CO)

Sur place

USD 72 000 - 91 000

Plein temps

14 jours+

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Avantages offerts par ce poste

Medical insurance
Dental insurance
Vision insurance
401(k) retirement plan
Paid Time Off
Wellness program

Résumé du poste

ScionHealth is seeking a Care Coordinator to facilitate patient care across the continuum. You will work with the Interdisciplinary Care Transitions (ICT) team to ensure optimal resource use, service delivery and compliance with review agencies. You will support care planning, implementation and evaluation for diverse patient needs.

The role emphasizes coordination with physicians, payors and post-acute providers, plus ensuring quality and cost-effective care through the transition process.

Qualifications

  • RN with state licensure (Required)
  • 2+ years in healthcare setting (Required)
  • Experience in case management, utilization review or discharge planning (Preferred)
  • Must read, write and speak fluent English.

Responsabilités

  • Coordinate care with interdisciplinary team and physicians.
  • Monitor patient stays for effective care coordination.
  • Refer high-risk patients for additional support.
  • Act as a patient advocate to support informed decisions.
  • Collaborate on rounds and discharge planning with staff.

Connaissances

Interdisciplinary coordination
Communication
Time management
Patient advocacy
Microsoft Office

Formation

Nursing degree (RN)
BSN/MSN/BSW/MSW degree

Outils

Microsoft Office

Description du poste

Description

Kindred Hospital Denver and Acute Rehabilitation Unit (ARU) is an all-private room 68-bed hospital located on one of Denver's important medical campuses, just east of St. Joseph's Hospital and Presbyterian St. Luke's Medical Center. With 68 long-term acute care hospital (LTACH) beds, we offer the same in depth care you would receive in a traditional hospital, but for an extended recovery period. Our 13-bed ARU is designed for people who have experienced the debilitating effects of an acute injury, impairment or illness and like the LTACH, we partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. Our care has touched individuals from the Front Range, the western slopes of Colorado, and throughout the country.

Job Summary

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient needs. Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.

Essential Functions
Care Coordination
  • Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
  • Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
  • Remains current from a knowledge base perspective regarding reimbursement modalities, communityresources, case management, psychosocial and legal issues that affect patients and providers of care.
  • Appropriately refers high risk patients who would benefit from additional support.
  • Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's andfamily's ability to make informed decisions.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skillsnecessary to provide age appropriate care to the patient population served.
  • Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimizeresource utilization, provide family education and identified post hospital needs. Collaborates with clinicalstaff in the development and execution of the plan of care, and achievement of goals.
  • Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors,and others in the planning of the patients' care throughout the care continuum.
Knowledge/Skills/Abilities/Expectations
  • Knowledge of government and non-government payor practices, regulations, standards andreimbursement.
  • Knowledge of Medicare benefits and insurance processes and contracts.
  • Knowledge of accreditation standards and compliance requirements.
  • Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
  • Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheetsoftware.
  • Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtaincooperation/collaboration from hospital leadership, as well as physicians, payors and otherexternalcustomers
  • Demonstrates good interpersonal skills when working or interacting with patients, their families and otherstaff members.
  • Approximate percent of time required to travel: 0%
  • Must read, write and speak fluent English.
  • Must have good and regular attendance.
  • Performs other related duties as assigned.
Pay range

Pay range: $51.76 - 65.64/hr

ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Qualifications
Education
  • Postsecondary (Cert/Diploma/Program Grad) from an accredited school of nursing (Required) And
  • Bachelor’s Degree in nursing or social work: BSN, MSN, BSW or MSW (Preferred)
Licenses/Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of practice Upon Hire (Required) Or
  • LCSW- License Clinical Social Worker LCSW or LSW Upon Hire (Required) Or
  • CSWCM - Social Work Case Manager Certification Upon Hire (Preferred)
Experience
  • 2+ years experience in healthcare setting (Required) And
  • Prior Experience in case management, utilization review, or discharge planning (Preferred)
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