Job Description:This position is responsible for providing management and
oversight of daily care management activities provided in the
Ambulatory/Community Setting. He/she will work in partnership with the
Medical Staff, nursing, clinical, and Revenue Cycle leaders to ensure
the provision of optimalpatient care, attainment of financial goals, and
development of leaders. This position has departmental accountability for
ambulatory care management services (may include all or a combination of the
following: Medical social work (including trauma), transition
planning, and care coordination. This position typically reports to the
Enterprise Care Management Director Ambulatory & Community. Typical
Distribution of Job Duties: 50% Tactical, 40% Operational, 10%
Strategic. Tactical Duties include ensuring appropriate staffing,
availability of equipment, interdepartmental relations, and employee
relations (day-to-day activities). Operational Duties includ process
improvement, and employee performance evaluations in coordination with
clinic leadership. Strategic Duties include developing goals to meet the
Enterprise Care Management Strategic Plan, meeting NCQA requirements and
contributing to creation of top performing care management program at
Intermoun
Scope
As a Care Manager you need to know how to
Coordinates the care and services for patients identified as needing
assistance or meeting Care Management criteria.
Collects in-depth information about a patients medical, functional, and
social condition, to identify individual needs in order to develop a plan to
meet those needs.
Works with patients and family/caregivers to determine specific goals and
actions based on assessment.
Coordinates discharge planning.
Executes specific interventions to meet established goals.
Organizes, integrates and coordinates the necessary resources to accomplish
the goals and plan.
Assesses the patients prior level of functioning, access to and/or use of
community resources and available support systems.
May
conduct psychosocial needs assessments and interventions based on site
guidelines, licensure, and scope of practice.
May support behavioral health processes based on site guidelines.
Assists the care team in developing a plan of care which includes, but is
not limited to: assuring appropriateness of services and care setting,
assuring individualized support and education, determining the need for
continued services, planning for discharge, and identifying and connecting
patients/families with available community resources if needed.
Collaborates with Physicians and other members of the health care team on the
patients behalf.
Identifies appropriate admission and continued stay issues. Enhances the
quality of patient care through effective and efficient use of resources.
Helps to identify strategies for reducing length of stay and appropriate
utilization of services.
Utilizes criteria including clinical pathway data and implements strategies to
resolve controllable variances.
Attends, facilitates and participates in rounds and case conferences.
Advocates for patient rights.
Minimum Qualifications
- Social Worker: Master degree in Social Work from and accredited program is
required
OR
- Bachelors Degree in Nursing (BSN)
Required
- RN: Current valid State RN License is required
- MSW Colorado: Current valid LCSW license or SWC/LSW required at hire
with LCSW required within 3 years of employment.
Required
- Three (3) experience as a Registered Nurse in an acute care setting or
Social Worker in a community or acute care setting.
OR
- Three (3) years experience as a Care Manager in an acute care setting.
Preferred
At least five (5) years of care management in an acute care setting- Care
Management Certification is preferred
Physical Requirements:Interact with others by effectively communicating,
both orally and in writing.- and -Operate computers and other off ce equipment
requiring the ability to move fingers and hands.- and -See and read computer
monitors and documents.- and -Remain sitting or standing for long periods of
time to perform work on a computer, telephone, or other equipment.- and
-May require lifting and transporting objects and office supplies,
bending, kneeling and reaching.
Anticipated job posting close date:05/02/2024
Location:Saint Joseph Hospital
Work City:Denver
Work State:Colorado
Scheduled Weekly Hours:40