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Registered Nurse

Boulder Community Health

This is a Contract position in Boulder, CO posted September 24, 2020.

Boulder Community Health was recently honored as Best Local Employer by the Daily Camera in the 2018 Boulder County Gold, their People’s Choice Awards for businesses in Boulder County. Come join us and be a part of an independent, community-focused health system and feel good knowing that your work will make a difference in people’s lives and be a positive contribution to the community.

POSITION SUMMARY

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 for and reported as appropriate.

JOB QUALIFICATIONS

Education or Formal Training

BSN preferred

Special Qualifications (Licensure, Registration, etc.)

1. Current Colorado RN license in good standing

2. Case Management Certification preferred

Knowledge, Skill and Ability

1. Must have ability to compile, evaluate and report statistics to members of the team, and utilize the information to facilitate process improvement activities. Strong communication skills are necessary for meeting facilitation, educational presentations, team collaboration and patient interviews.

2. Must have strong analytical, critical thinking and organizational skills.

3. Knowledge/understanding of community resources, policies and procedures.

Experience

Three to five years of recent clinical or case management experience in area of specialization preferred

WORKING ENVIRONMENT/PHYSICAL ACTIVITIES

1. May be exposed to infectious and contagious diseases.

2. Contact with patients under wide variety of circumstances.

3. Subject to varying and unpredictable situations.

4. Must be able to handle emergency or crisis situations and may perform emergency care.

5. Occasionally subjected to irregular hours and pressure due to multiple calls and inquiries.

6. Requires judgment/action that prevents injury to patients.

7. Light physical efforts (lift/carry up to 20-25 lbs).

8. Prolonged, extensive, or considerable standing/walking.

9. Occasional lifting, positioning, pushing and/or transferring of patients.

10. Occasional lifting of supplies/equipment.

11. Requires manual dexterity and mobility.

12. Occasional reaching, stooping, bending, kneeling and crouching.

13. Must have normal range of hearing in person and on the phone.

14. Requires ability to articulate verbally in a clear manner.

INTERRELATIONSHIPS

1. Position requires excellent communication, interpersonal and public relations skills.

2. Responsible for development of exemplary working relationships with patients, their families and representatives, physicians, insurance companies, coworkers and hospital staff.

3. Responsible for representing the hospital with a courteous, positive and professional attitude; conducting duties and behavior with ENCORE! standards at all times.

4. Responsible for maintaining patient confidentiality at all times, discussing only pertinent and necessary details or data with the appropriate people to provide excellent patient care and service.

SUPERVISORY DUTIES

1. Takes lead role in directing disposition of patients and utilization considerations.

2. Assumes leadership role to facilitate interdisciplinary collaboration.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Professional Accountabilities

a. Adheres to ENCORE! values and customer service expectations.

b. Adheres to name badge/dress code compliance.

c. Effectively problem-solves and actively pursues resolution.

d. Directly communicates with staff, physicians, patients and families.

e. Role models leadership behavior through courtesy, respect and efficiency.

2. Utilization Management

a. 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.

b. Consults with MD section leaders for support in cases that continued stay is not appropriate, and case manager is unable to come to resolution by working with assigned physician.

c. Responsible for communicating with the department director LOS and financial information, as well as issues that may affect the Continuum of Care process.

3. Continuum of Care Planning

a. The Case Manager will be responsible for:

Typical daily case volume is approximately a ratio of 18:1

b. Integrating the assessment of the need for post-hospital services and determination of an appropriate discharge plan for complex cases.

c. Educates patient/family as to options/choices within the level of care determined to be appropriate. Initiates and insures completion of all necessary paperwork.

d. 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.

e. 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 next level of care in the treatment plan as early as possible to promote continuity and collaboration.

4. Risk Management

a. Interface with department directors, Risk Management and patient representatives to identify potential QA or risk issues. Perform any necessary investigation, documentation and follow-up as required.

b. Participates in departmental SQI projects.

c. Must have clinical knowledge of the Labor and Delivery, Pediatric and Neonatal, Medical Surgical, and Oncology patient and process.

d. Must be able to functionally coordinate and discharge plan for all age groups, including but not limited to the unborn child through geriatric age groups.

e. Prioritize and demonstrate critical thinking skills in complex care situations.

About Boulder Community Health and Boulder, Colorado

Uncompromising medical excellence, delivered with the values of respect and compassion. Since 1922, Boulder Community Health has built our reputation on this promise. As a community-owned and operated not-for-profit hospital and clinics, we remain dedicated to meeting the evolving healthcare needs of our citizens and providing access to high quality medical care. Our state-of-the art facilities are home to many medical professionals who offer an extensive range of medical services.

Nestled in the foothills of the Rocky Mountains, adventure awaits you right outside your door. Big, beautiful vistas, serene snow-capped mountains, and a lifestyle conducive to enjoying the outdoors bring a truly fresh perspective to our practice of healthcare.

Surround yourself by natural beauty and an active, life-embracing community, while you enjoy state of the art facilities and equipment along with a competitive compensation and benefits package, including health/dental/life, paid annual leave, tuition reimbursement and much more.

EOE/Affirmative Action/Drug-free workplace