Case Manager - Per Diem
About the role
The Case Manager is responsible and accountable for coordination of patient services through an interdisciplinary process, which provides a clinical and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission, continued hospitalization, as well as appropriate level of care. Discharge planning will begin at the time of (or prior to) admission, and reassessed ongoing throughout the course of hospitalization. Quality and Risk Management issues will also be monitored and reported as appropriate.
Responsibilities
- The CM will be responsible for integrating the assessment of the need for post-hospital services and determination of an appropriate discharge plan for complex cases
- Educates patient/family as to options/choices within the level of care determined to be appropriate. Initiates and ensures completion of all necessary paperwork
- Facilitates completion of orders as required prior to transfer of patient to the next level of care in a timely manner so discharge is not delayed
- Continuum of Care planning will emphasize education and collaboration with physicians, family members, clinical social workers, nursing staff, therapists and case managers from contracted payors when appropriate to determine discharge plan that will be of maximum benefit to the patient. Involve staff from the next level of care in the treatment plan as early as possible to promote continuity and collaboration
- Reports all relevant information to the staff assuming responsibility in the next level of care
- Daily communication and collaboration with the patient care staff to provide continuous assessment, evaluation and continuum planning to assure the patient receives the appropriate level of care at the appropriate time
- Captures and documents all relevant information in the patient’s medical record
- Coordinates patient care processes to achieve desired quality outcomes and identifies/controls inappropriate resource utilization
- Facilitates patient and family education and promotes continuity of care to achieve optimal patient outcomes. Assures patient rights by offering a choice when appropriate
Qualifications
- Registered Nurse (RN) with a current, active, unrestricted RN License in Colorado OR a Social Worker (either a Licensed Clinical Social Worker [LCSW] in Colorado or Master of Social Work [MSW] will qualify)
- 2+ years of experience working as a clinician in an acute care setting with proficient knowledge of hospital workflows
- Live in the Boulder CO regional area (this position is location based and not open to remote work)
- Willing/able to work one weekend shift per two weeks and availability as needed
Skills
- Knowledge or understanding of community resources, policies, and procedures
- Solid clinical acumen with the ability to use sound judgment, deductive reasoning, and problem-solving skills
- Demonstrates a high level of organization with the ability to stay focused on the detail
- Demonstrates collaborative skills and ability to interact with people of diverse backgrounds
- Solid written and verbal communication skills
- Self-motivated and able to function in a fast-paced work environment
- Maintains quality and productivity standards
- Solid working knowledge of Microsoft packages
- Ability to learn and understand various clinical software applications
- Proficient typing skills
Benefits
Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well.
Life Resources and support to focus on what matters most to you, in every facet of your life.
Emotional Education, tools and resources to help you reduce and manage stress, build resilience and more.
Physical Health plans and other coverage to support wellness for you and your loved ones.
Financial Benefits for today and to help you plan for the future, including your retirement.
We’re honored to be recognized for our exceptional work culture