Case Manager Jobs in Denver, CO

About The Position

Requirements

• Associate's Degree
• Completion of a nursing education program that satisfied the licensing requirements of the Colorado State Board of Nursing for Registered Nurses
• 3 years of clinical inpatient experience
• BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association
• RN-Registered Nurse - DORA - Department of Regulatory Agencies
• Knowledge and understanding of case management/coordination of care principles, programs, and processes in either a hospital or outpatient healthcare environment required.
• Effective problem-solving skills, including the ability to analyze complex situations, draw conclusions and implement actions appropriately and efficiently.
• Evidence of leadership, creativity, integrity and initiative required.
• Ability to work effectively in a team environment.
• Experience with windows-based computer programs and ability to use computer for data analysis and data display required; must be able to type 35 words/minute.

Nice To Haves

• EPIC experience a plus.

Responsibilities

• Ensures barriers are identified and escalated as needed.
• Upon referral conducts an initial clinical and psychosocial screen through review of the patient’s medical record, interview with the patient/family members and discussion with the physician and other healthcare team members.
• Monitors the patient’s treatment plan, medical goals and prescribes services to facilitate provision of services/referrals that are needed to meet the needs of the patient during hospitalization thus driving the clinical care process.
• Coordinates any needed referrals, PT/OT, wound care, dietary, pharmacy, cardiac rehab, etc. to facilitate efficient patient flow through the hospital system.
• Participates in Care Conferences and Care Rounds as required and assists with the development of care plans that will meet the patient’s current and continuing healthcare needs.
• Ensures that services are appropriate for the patient’s level of care and identifies any test/procedure that could be done as an outpatient and discusses alternative with the physician.
• Identifies all readmissions within 30 days and initiates a readmission risk assessment within 24 hrs of identification.
• Communicates the results of the risk and transition of care screening processes to the physician(s) and other healthcare team members, including external Case Managers and community-based clinic providers, as identified.
• Generates a referral to the assigned Clinical Social Worker partner for implementation and collaboration of the transition of care plan throughout the hospital stay, as needed.
• Supports the development and implementation of the patient’s transition of care plan working collaboratively with the Clinical Social Worker partner.
• Communicates any clinical changes that would alter the transition of care plan to all healthcare team members, especially the Clinical Social Worker.
• Ensures state and federal regulations/rules and insurance company requirements/processes are met.
• Documents the initial transition of care screening information in the patient’s clinical record according to departmental policies and procedures.

Benefits

• Generous paid time off
• fully paid parental leave
• exceptional retirement contributions
• comprehensive health coverage
• nationally recognized well-being programs
• tuition assistance
• career advancement pathways
• professional development
• loan forgiveness eligibility
• employer contributions
• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer