Senior Case Manager: Care Coordination & Discharge

ScionHealth; Denver, Northern (CO, KY); Hybrid; USD 59,000 - 76,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

FSA/HSA

Life Insurance

Paid Time Off

Wellness programs

Job summary

ScionHealth in Denver seeks a Care Coordination professional to coordinate and facilitate patient care across the Interdisciplinary Care Transitions (ICT) team, ensuring optimal resource use, service delivery and compliance with external review agencies.

You will follow patients through the continuum of care, support care planning, and collaborate with physicians, payors, and post-acute providers to promote seamless discharge planning and cost-effective care.

Qualifications

• Postsecondary nursing or related program from an accredited school (required).
• Bachelor’s Degree in nursing or social work: BSN, MSN, BSW or MSW (Preferred).
• 2+ years experience in healthcare setting (Required).
• Prior experience in case management, utilization review, or discharge planning (Preferred).

Responsibilities

• 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, community resources, 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 and family’s ability to make informed decisions.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
• Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs.
• 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.

Skills

Government payor knowledge

Medicare benefits knowledge

Accreditation standards knowledge

Critical thinking & time management

MS Office skills

Interpersonal/communication skills

Team collaboration

Education

Postsecondary nursing or related program

BSN/MSN/BSW preferred

Job description

ScionHealth in Denver seeks a Care Coordination professional to coordinate and facilitate patient care across the Interdisciplinary Care Transitions (ICT) team, ensuring optimal resource use, service delivery and compliance with external review agencies.

You will follow patients through the continuum of care, support care planning, and collaborate with physicians, payors, and post-acute providers to promote seamless discharge planning and cost-effective care.