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Department

Job Summary

Under general supervision, the Care Management (CMA) position will support the Care Management Department in providing paraprofessional support for discharge planning. In the discharge planning process, the CMA will communicate with and coordinate post discharge services as directed collaboratively by the Care Management Nurse Care Coordinators and the Clinical Social Workers. Additionally, the CMA will perform general office administrative duties as required, and cover for the URRN CMA in their absence.

Essential Functions:

• Manages appropriate transitions of care for patients regardless of payor from ED (Emergency Department), PAV C and inpatient via collaboratively coordinating with Nurse Care Coordinators (RNCC) and Clinical Social Worker (CSW) using a "customer service" framework to facilitate timely discharges through communication and referrals to post discharge providers including home health, home and inpatient hospice, long term acute care facilities, skilled nursing facilities, assisted living facilities, transportation, and any other type of post discharge provider of services (20%)
• Serves as a contact for external providers and conducts follow-up phone calls, as needed to confirm referral receipt and obtain disposition (approval or rejection) regarding post discharge referrals and maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. (20%)
• Conducts research to identify providers for specific services as needed by the RNCC and SW for the purpose of reviewing the organizations to determine their partnership with insurance companies, to identify cultural specialties and limitations and to meet the unique discharge needs of each patient. (15%)
• Follows the organization?s release of information policies and procedures and identified communication system (Epic fax, fax, email, US mail, etc.) to electronically send the pertinent information for each referral type as directed. (20%)
• Schedules follow-up appointment, as requested, to support post-discharge follow-care including physician office visits, wound care clinic visits, infusion center services, etc. (15%)
• Other clerical duties & interim support or coverage for DME coordination Interim support or coverage for DME coordination (10%)

Education:

• Bachelor's Degree social science or health care field Required or
• High School Diploma or GED Required and
• Four years in experience in healthcare related fields such as hospital, home health provider, insurance utilization review department, doctor?s office, case management, DME company, etc. Required

Work Experience:

• 1-3 years Experience in healthcare related fields such as hospital, home health provider, insurance utilization review department, doctor?s office, case management, DME company, etc. Required

• Knowledge and expertise in developing and using data management tools such as Microsoft, Epic, and experience with office machines (ie- copier, fax, telephone), computers, software (ie- word processing, spreadsheet, etc.).
• Expertise and knowledge of third-party payor requirements and regulations including Medicare/Medicaid, managed care payors, commercial insurance companies, worker?s comp, etc.
• Ability to work within strict time limits when responding to verbal and written requests for review.
• Must be flexible and well organized and able to prioritize.
• Sound knowledge of medical terminology.
• Skilled in establishing and maintaining cooperative and "team" oriented working relationships with others.
• Highly effective communication skills, both verbal and written.
• Strong organization, time management and follow-through skills.
• Solid problem solving and decision-making skills. Demonstrates flexibility and assertiveness.

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.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit: https://www.denverhealth.org/for-professionals/careers/diversity-and-inclusion

Applicants will be considered until the position is filled.

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About Denver Health

Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.

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