Case Manager Team Lead

Job Summary and Responsibilities

As our Case Manager Team Lead, you will direct, plan, organize, and lead all activities of the Department staff during a shift, ensuring timely, efficient processes, and the highest quality of professional care.

 

Every day you will ensure high standards are met to serve the needs of patients, physicians, regulatory agencies, community agencies, and all hospital departments, fostering exceptional service and compliance.

 

To be successful in this role, you will possess strong leadership and organizational skills, a deep understanding of case management processes, and the ability to drive quality and efficiency while maintaining professional standards and compliance.

• Obtains, reviews, and analyzes admission information per hospital policy, documenting assessments, proactively reviewing medical records for compliance, assessing and coordinating resource use, communicating plan modifications, facilitating family conferences, and prioritizing observation patient throughput.
• Daily review of all clinic bed, observation, 1-day inpatient stays, and same-day discharge charts for appropriate status, orders, and calculated observation hours, proactively managing length of stay, participating in Utilization Review meetings, and obtaining required regulatory documentation.
• Facilitates discharge planning using ECIN, working with patients, families, and the treatment team to make referrals/arrangements and document actions.
• Identifies and tracks variances in the anticipated plan of care for process improvement, referring to CMO or PA for peer review, and uses established criteria for level of care, medical necessity, and continued stay, enlisting Physician Advisor involvement as needed.
• Assesses/reassesses patient's clinical and psychosocial status, diagnosis, and treatment plan, involving and communicating with physicians as needed, and documents Case Management actions and discharge planning promptly in the electronic health record.
• Assists in directing, organizing, and prioritizing all shift activities, ensuring patient, physician, and staff needs are met, problem-solving immediate issues, demonstrating a positive role model, and assisting in staff hiring, orientation, development, and performance recommendations.

Job Requirements

Required

• Graduate of accredited school of nursing or Master's of Social Work
• Four (4) years as a registered nurse or four (4) years as a social worker
• If Registered Nurse, current state RN license
• BLS certification from the American Heart Association

Where You’ll Work

Penrose - St. Francis Health Services is a full-service, 712-bed acute care provider in Colorado Springs comprising Penrose Hospital, St. Francis Hospital and St. Francis Hospital - Interquest. Penrose Hospital serves as the anchor hospital of Penrose-St. Francis Health Services with 300-licensed beds and the ability to provide tertiary (high tech) medical-surgical services with an emphasis on elective and outpatient care. Established in 1890, Penrose Hospital has grown to become a major health treatment and referral center, specializing in cancer care, cardiac care, emergency trauma care and physical rehabilitation. It’s an incredible time to join us as we are a proud Magnet® Hospital with designation from the American Nurses Credentialing Center (ANCC) for superior quality in nursing care. With more than 300 days of annual sunshine, mild winters and easy-to-access recreational areas like Pikes Peak, Garden of the Gods and some of Colorado’s top destination resorts, you will enjoy an incredible lifestyle while having the career you’ve always wanted.