The Care manager is involved in the coordination of care and services for patients admitted to Saint Joseph Hospital who are identified as needing assistance or meeting Care Management criteria. The Care Manager is responsible for utilization review, utilization management, care coordination, and discharge planning. Information is gathered via an in-depth assessment that provides the healthcare team with the patientâ™s prior level of functioning, access to and/or use of community resources and available support systems. This information is used to assist 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.
The Lead Care Manager will continue to function in the role of case manager with the added responsibility of assuring continued growth, learning and accountability for outcomes within the department. This will be accomplished through oversight of the department work flow assuring staff competencies are maintained and the department remains compliant with regulatory requirements. The lead is responsible for hiring new employees, providing monthly feedback for staff performance, oversight of daily staffing with compliance to budget, and active participation in annual evaluation and pay for performance of all employees in the direct care management role. This will not include those care managers working with Utilization Review and Clinical Documentation Review.
Graduate of an accredited school of nursing , BSN required within 5 years, or
MSW/LSW or masterâ™s degree in a related field
Minimum of five years clinical experience
Minimum of three years clinical case management experience
SCL Health is a faith-based, nonprofit healthcare organization that operates eight hospitals, four safety net clinics, one children’s mental health center and more than 190 ambulatory service centers in three states – Colorado, Kansas and Montana. The health system includes 15,000 full-time associates and more than 500 employed providers.