Coordinator Case Management

HCA Healthcare • Englewood, CO

12d

About The Position

The Case Management Coordinator supports Swedish Medical Center’s mission to improve the quality of life of those it serves by addressing patients’ medical, psychosocial, and financial needs across the continuum of care. The role oversees coordination of services through an interdisciplinary process and balances patient and family needs with effective, cost-conscious use of resources.

Through concurrent clinical case management, the Coordinator assesses admission appropriateness, continued hospitalization, clinical resource use, care progression, and level of care. Discharge planning begins at or before admission and is reassessed throughout the hospitalization. The position also monitors and reports quality, risk management, and education needs in accordance with hospital policy. The Coordinator may perform other duties assigned by the Case Management Director and cover for the Director as needed.

The Coordinator serves as the primary contact for discharge planners and social workers addressing issues involving patients, families, and physicians, while supporting collaboration among the healthcare team on plans of care and post-discharge needs. The role provides expertise and staff support for complex cases, process improvement, and length-of-stay barriers, and collaborates with the Director on staff evaluation, performance support, development, and orientation.

Requirements

• Current Colorado Registered Nurse licensure, current active multistate nursing licensure, or LCSW licensure.
• BLS certification through the American Heart Association or American Red Cross.
• Graduate of an accredited school of nursing or social work.
• For social work candidates, an MSW is required.
• Five or more years of clinical experience.
• Three to five years of utilization management/case management (UM/CM) experience.
• One to three years of charge, lead, supervisory, or management experience.
• Ability to demonstrate leadership and management skills.
• Knowledge of applicable federal and state regulations and accreditation standards.
• Working knowledge of utilization management, case management, and social work in acute care, including insurance payers, managed care, and government healthcare plans.
• Working knowledge of UM review processes, payment and reimbursement, appeals procedures, and regulatory requirements.
• Ability to monitor, compile, report, and analyze data and statistics.
• Excellent human relations, interpersonal, oral communication, and written communication skills.
• Good knowledge and skills with Microsoft Office and other computer information systems and applications.

Nice To Haves

• UM/CM certification.
• Bachelor of Science in Nursing for RN candidates.
• Hospital-setting clinical experience.
• Charge, lead, supervisory, or management experience in a UM/CM department role.

Responsibilities

• Oversee coordination of services using an interdisciplinary clinical, financial, and psychosocial approach across the continuum of care.
• Assess admission appropriateness, continued hospitalization, clinical resource consumption, care progression, and appropriate level of care through concurrent clinical case management.
• Begin discharge planning at or before admission and reassess it throughout the hospitalization.
• Monitor quality and risk management issues and education needs, and report them according to hospital policy.
• Serve as the primary contact for discharge planners and social workers to discuss issues involving patients, families, and physicians.
• Support collaboration and communication among the healthcare team regarding plans of care and post-discharge needs.
• Provide expertise and staff support in resolving complex cases and issues and participating in process improvement initiatives.
• Report length-of-stay issues and discharge barriers to administration as needed.
• Collaborate with the Director on staff evaluation and performance activities, including monitoring, coaching, counseling, education, and action plans.
• Collaborate with the Director to develop and supervise new staff, including orientation plans, education, and annual core competency evaluations.
• Counsel personnel concerning performance, attitude, and interpersonal relationships.
• Perform other duties as assigned by the Case Management Director and cover for the Director as needed.

Benefits

• Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
• Wellbeing support, including free counseling and referral services.
• Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• 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.
• Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Fertility and family-building benefits and adoption assistance.
• Life insurance and supplemental health protection plans.
• Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager