RN Nurse Manager - Care Management

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Department

Job Summary

Under minimal supervision, the Nurse Manager of Care Management performs managerial and leadership functions over professional nursing and support care team in inpatient care management that perform the functions of utilization review and management, progression of care facilitation and transition of care coordination. Applies critical thinking, evidence-based policies, procedures, guidelines and competence to collaborate with the health care team to promote excellence in healthcare consumer safety and quality outcomes and independently works with the Director to maintain departmental budget.

Adheres to the American Nurses Association (ANA) standards of professional nursing practice / process and performance, and the ANA Code of Ethics (2015)* to provide care to all healthcare consumers. Applies critical thinking, evidence-based practices and competence to collaborate with the health care team to promote excellence in healthcare consumer safety and quality outcomes. Utilizes the Theory of Human Caring and Caritas in daily practice. "Jean Watson, PhD, RN, AHN-BC, FAAN, Founder / Director, Watson Caring Science Institute."

Essential Functions:

• In collaboration with the Senior Director of Care Management, implements and directs all Hospital Care Management initiatives, policies, procedures, and processes to promote an efficient and effective Care Management program (15%)
• In collaboration with the Senior Director of Care Management, oversees and coordinates staff activities to facilitate integrated and proactive care management processes including discharge planning, utilization review and management, progression of care facilitation, and transitions of care processes between Ambulatory and Hospital care teams.
  (15%)
• Staff Management, Scheduling, Educating, Mentoring and Recruitment (15%)
• In collaboration with the Senior Director, reviews and manages the department budget to meet or exceed budgetary expectations. (10%)
• Promotes employee engagement (10%)
• Ensures compliance with state, federal, regulatory and payer requirements. Policy development and revisions (10%)
• Support and implementation of organizational initiatives and strategic planning (10%)
• Promote positive patient experience (10%)
• Records Management (5%)

Education:

• Bachelor's Degree Nursing Required

Work Experience:

• 1-3 years Management experience within an Acute or Ambulatory Care Management Required and
• 1-3 years Two or more years of relevant clinical experience with diverse populations in a health care setting including hospital, clinic or home health providing patient education, case management, and/or care coordination Required and
• 1-3 years Utilization Review

Licenses:

• RN-Registered Nurse - DORA - Department of Regulatory Agencies Required and
• BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association or American Red Cross Required

Knowledge, Skills and Abilities:

• Knowledge of care management concepts, principles, strategies, and processes. including tools and techniques for identification, stratification, and management of high-risk clients.
• Adherence to Standards of Professional Nursing Practice/ Process / Performance [ANA Standards addendum- signed] and accrediting body standards.
• Possess strong program leadership and management skills. Ability to deal effectively with rapidly changing priorities with a team focus through assertive and creative problem solving, conflict resolution, and negotiation skills.
• Ability to work effectively in a team matrix environment. Ability to communicate clearly and effectively at all levels and in a cross functional environment.
• Ability to work closely with multidisciplinary staff, charge nurses, clinical nurse educator(s), and Nursing Managers, providers, executive leadership to provide care to patients with respect to their uniqueness using informed judgment, competence, individual qualifications, and collaboration with the health care team.
• Possess a high level of understanding of community resources, treatment options, funding options and special programs.
• Supports compliance with national patient safety goals, accrediting agency standards, and quality initiatives.
• Evaluates practice in relation to professional standards, statues, regulations, hospital and departmental policies, standards of care, and regulatory
• Promotes quality care by redefining priorities for care based on evaluation of healthcare consumer/family response or changing condition.
• Proficient in EHR documentation

Shift

Work Type

Salary

Benefits

• Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans

• Free RTD EcoPass (public transportation)

• On-site employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands, travel, and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.