other
1 hour ago*
Case Manager
📍 United States·🏢 Remote
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Responsibilities
- Arrange schedule to facilitate meetings with physicians for patient care rounds, team meetings and other opportunities to improve communication You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required
- 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.
Requirements
- Involve staff from the next level of care in the treatment plan as early as possible to promote continuity and collaboration Reports on all relevant information to the staff assuming responsibility for the next level of care Employees are expected to comply with all regulatory requirements, including CMS and Joint Commission Standards Knowledge of all applicable federal and state regulations.
- Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement related to post-acute services within the continuum of care Consults with physician section leaders for support in cases where continued stay is not appropriate, and case managers are unable to come to resolution by working with assigned physician Communicating with the department director LOS and financial information, as well as issues that may affect the Continuum of Care process All employees are
- Qualifications: RN or Social Worker with current, active, unrestricted RN license in Colorado OR Master of Social Work (MSW) Degree 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 Per Diem onsite at a hospital location in Boulder CO (at least 2 weekend shifts per month and holiday rotations) Preferred
- experience or certification Solid working knowledge of Microsoft packages Knowledge or understanding of community resources, policies, and procedures Proficient typing skills Proven 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 Proven solid written and verbal