Coordinator Case Management

HCA Healthcare, Inc.; Englewood (CO); On-site; USD 60,000 - 86,000; Full time

Benefits offered by this job

Comprehensive benefits: medical, Rx, 


Wellbeing support with counseling

Paid time off and family leave

401(k) plan with company match

Education and tuition support

Job summary

HCA HealthONE Swedish is seeking a Case Management Coordinator to oversee the coordination of services across the continuum of care. The role requires leading interdisciplinary teams to ensure appropriate admission, utilization of resources, and effective discharge planning from the hospital setting.

Responsibilities include collaborating with directors and staff, mentoring new team members, and ensuring compliance with federal and state regulations.

Qualifications

• Knowledge of UM/CM, regulatory requirements, and payer processes.
• Experience in hospital UM/CM preferred.
• Leadership and management experience in UM/CM settings.

Responsibilities

• Coordinate services through an interdisciplinary process for clinical, financial, and psychosocial care.
• Act as primary contact for discharge planners and social workers.
• Monitor length of stay issues and barriers to discharge and report to administration.
• Develop staff orientation plans and ongoing competency evaluations.

Skills

Leadership experience

Case management knowledge

MS Office proficiency

Education

RN or Social Work degree

Tools

Microsoft Office

Job description

Hourly Wage Estimate: 43.79 - 62.60 / hour

Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Coordinator Case Management

Job Summary and Qualifications

This position supports the mission of Swedish Medical Center optimizing the quality of life of all those served by expanding the traditional focus on medical needs to the needs of the whole person. The Case Management Coordinator is responsible and accountable for overseeing the coordination of services through an interdisciplinary process that provides a clinical, financial and psychosocial approach through the continuum of care. Balances individually identified patient and family needs with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine appropriateness of admission, continued hospitalization, clinical resource consumption, progressive care management, as well as appropriate level of care. Discharge planning will begin at the time of (or prior to) admission and reassessed throughout the course of hospitalization. Quality and Risk Management issues and education needs will also be monitored for and reported per hospital policy. When need arises, will perform other duties as assigned by the Case Management Director and cover for the director as needed.

The Coordinator will be the primary contact for the discharge planners and social workers to discuss issues that arise with patients, families, and physicians while supporting collaboration and communication among the healthcare team regarding plan of care and continued needs post discharge

Responsible for providing expertise and staff support for problem-solving complex cases and issues, process improvement initiatives, and report length of stay issues/barriers to discharge with administration on a as needed basis

Collaborate with Director and participate in staff evaluation and performance activities including monitoring, coaching, counseling, educating, and developing action plans as needed

Collaborate with Director to develop and supervise new staff members to include orientation plans, education, and annual core competency evaluations, and counsels personnel concerning performance, attitude, and interpersonal relationships

Position Requirements:

A. Licensure/Certification/Registration:

Current licensure in the State of Colorado as a Registered Nurse, or current active multistate nursing licensure, or LCSW required.

BLS certification through American Heart Association or American Red Cross required.

UM/CM certification preferred.

B. Education:

Graduate of an accredited school of nursing or social work.

Bachelor’s of Science in Nursing and/or Master’s level degree preferred for RN & MSW required for social work.

C. Experience:

Five or more years clinical experience required, hospital setting preferred.

Three to five years UM/CM experience required.

One to three years charge/lead/supervisory/management experience required, in UM/CM department role preferred. Able to demonstrate leadership and management skills.

D. Knowledge/Skills/Abilities:

Knowledge of all applicable federal and state regulations as well as accreditation standards. Demonstrates a working knowledge of UM, CM and Social Work in the acute care setting and with insurance payers, managed care and government healthcare plans. Working knowledge of UM review processes, payment/reimbursement and appeal procedures and regulatory requirements. Must have the ability to monitor, compile, report and analyze data/statistics. Requires excellent human relations, interpersonal and oral/written communication skills. Requires good knowledge and skills with Microsoft Office and other computer information systems and applications.

Benefits

HCA HealthONE Swedish, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA HealthONE, one of the largest and most comprehensive healthcare systems in the Rocky Mountain region, offers more than 170 care sites in the Denver metro area. Offering services across the continuum of care to meet patients’ total healthcare needs, HCA HealthONE includes seven acute care hospitals, a dedicated flagship pediatric hospital, a rehabilitation hospital, CareNow® urgent care clinics, mental health campuses, imaging and surgery centers, physician practices, home and hospice care, and AirLife Denver, which provides regional critical care air and ground transportation. Among HCA HealthONE’s acute care hospitals is Swedish, a proud member of the community for more than 115 years. An acute care hospital with 408 licensed beds, HCA HealthONE Swedish is a national leader in neurosciences and serves as the region’s preeminent referral center for the most advanced stroke treatment and was the state’s first Joint Commission-certified Comprehensive Stroke Center. HCA HealthONE Swedish is also home to a robust robotics program, a certified burn and reconstructive center, and a wide-ranging oncology center. Consistently among the Denver Business Journals’ list of top corporate philanthropists in the Denver-metro area, HCA HealthONE was named as one of the most community-minded organizations by The Civic 50 and contributed more than 1 million through cash and in-kind donations last year alone, along with more than 400M in federal, state and local taxes.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Coordinator Case Management opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.