With a generation of caring for the communities of north Denver, North Suburban Medical Center has earned a reputation for high-quality, compassionate care. North Suburban leads the north Denver area in Core Measure quality ratings and is one of just two hospitals in the state of Colorado to be named a Top Performer on Key Quality Measures by The Joint Commission each of the last five years.
Position Summary: Responsible for the coordination of services through the continuum of care that balances the delivery of quality patient care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness of admission and continued need for care delivery in the acute hospital setting. Supports collaboration and communication among the patient/family and entire health care team regarding the patient's plan of care and continued needs post-discharge and facilities those services required. Performs telephonic clinical reviews with claims insurance personnel to facilitate reimbursement for the delivery of patient care services. Identifies quality and/or risk issues and reports to the appropriate individual/department.
A. Licensure/Certification/Registration: Colorado State Licensure as a Registered Nurse; Current BLS certification; Case Management or CPHQ certification strongly preferred.
B. Education: Graduation from an accredited school of nursing, Bachelor’s degree in nursing is preferred.
C. Experience: Skill in assessing planning and managing patient care delivery as acquired thorough a minimum of 2 years of clinical nursing experience in the acute care setting. Prior utilization/quality/discharge planning/and/or case management experience highly preferred.
D. Knowledge/Skills/Abilities: a. Solid clinical knowledge base in medical/surgical nursing. b. Ability to perform effectively in team situations. c. Ability to assess information and apply critical thinking processes to determine course of action and relay this information to the interdisciplinary team. d. Excellent human relations and oral/written communication skills. e. Above average organizational/prioritization skills.
Degree of Supervision Required: Works independently, utilizing time constructively and organizing workload for maximum productivity.
Orientation Period: The length of time of orientation is based on the individual’s need and the opportunities for learning that my or may not be presented by the current patient population. General orientation is for a period of at least two weeks. Ongoing support and resources are provided.
We focus on keeping benefits fair, smart and competitive with a full package of rewards that support your health, life, career and future. As part of our commitment to a healthy work/life experience, HCA rewards our employees with comprehensive health and wellness benefits, financial and retirement planning support, and time away from work options.Learn more.
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