At Presbyterian/St. Luke's Medical Center we understand that hiring excellent nurses and providing them with the support they need ensures patient-centered care. For more than 135 years, Presbyterian/St. Luke’s (P/SL) has been meeting the healthcare needs of patients and their families. Located in the Uptown neighborhood in Denver, CO, we provide the most advanced care for patients across the Rocky Mountains and Great Plains. We are proud to serve our community with experienced physicians who offer a wide range of medical services for patients of all ages. Presbyterian/St. Luke's Medical Center has 680 beds and a staff of 1,500 employees. The hospital has many buildings that are newly constructed, although parts of the original cross-shaped building, dating from the 1940s, are still visible.
Why choose Presbyterian/St. Luke's?
P/SL is one of the largest hospitals in Colorado.
Affiliate of HealthONE, Denver's largest healthcare system
Over 80 specialties and 1,000 specialists and primary care physicians
Three Year Accreditation with Commendation from the Commission on Cancer (CoC)
The Joint Commission Accreditation
Dedicated to patient safety and the Joint Commission's "Speak Up" initiative
What you can expect from being a Case Manager at P/SL:
The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
PERFORMANCE EXPECTATIONS: •Provides case management services for both inpatient and observation patients as assigned •Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another •Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family •Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. •Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition •In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate •The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified •Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals •Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command •Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states •Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency •Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team •Align patient’s needs with available resources to ensure a safe discharge / transition •Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies •Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered •Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources •Participates in performance improvement activities including, but not limited to, identifying, documenting and intervening when avoidable days occur •Adheres to established policy and procedure and standards of care; escalates issues through the established chain of command timely •Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives •Serve as an advocate for patient's rights, needs, and values; ensuring that patients’ ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned •Other duties as assigned
Benefit Highlights: • Training and Professional Development • Tuition Reimbursement • 401k (3%-9% match based on tenure) • Employee Stock Purchase Plan • Full Medical, Dental, and Vision insurance • Healthcare and Dependent Care Flexible Spending Accounts
About us: HCA: • Founded in 1968 with the guiding mission of being committed to the care and improvement of human life. • 240,000+ employees • 250+ locations in 20 states and England • A Top 100 Healthcare Provider –Fortune Magazine • Named a World’s Most Ethical Company 9 years running • HCA strengthens the communities we serve averaging 30,000+ volunteer hours annually along with millions of dollars in financial contributions.
Licensure/Certification/Registration: Current licensure in the State of Colorado as a Registered Nurse. Certification in case management, nursing, or utilization review preferred.
Education: Bachelor’s prepared RN. In lieu of BSN, RN must have 5 years case management experience and complete a bachelor’s of science in nursing within 2 years of hire date.
Experience: 5 years of nursing experience with 2 years critical care or 3 years nursing experience with 2 years case management experience preferred.
Special Qualifications: InterQual experience preferred. Ability to establish and maintain collaborative and effective working relationships. Ability to communicate effectively in oral, written and electronic formats. Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills.
Degree of Supervision Required: Involves general guidance and direction by the Department Director and Case Management Manager. Employee will be expected to perform most job duties independently and in accordance with established departmental and hospital policies and procedures.
Ages of Patients Served: This position requires knowledge of growth and developmental needs of patients and families. Personnel in this position must recognize and respond to the behaviors of patients and families in each age category. The employee must be able to demonstrate the special skills required to care for patients and their families according to standards. (The skills and knowledge needed to provide such care may be gained through education, training or experience).
Join our HealthONE family -- the largest healthcare system in the Denver metro area. Eight world-class hospitals. 40+ outpatient facilities. Countless opportunities.HealthONE is an equal opportunity employer.