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