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Our Values

Respect | Belonging | Accountability | Transparency

Department

Job Summary

Under minimal supervision the Supervisor of Care Management is responsible for providing operational direction, supervision and oversight to inpatient care management teams that perform the functions of utilization review and management, progression of care facilitation and transition of care coordination. Participates in planning, implementing and managing existing and new Care Management programs, policies and procedures. Ensures compliance with all policies and procedures, as well as compliance with all state, federal, regulatory and payor requirements. Directs patient assignments and staff scheduling according to census demands and assists in meeting utilization, financial, quality and patient satisfaction targets by effectively assisting in managing utilization, productivity, personnel and supplies.



Essential Functions:

• Supervises the daily activities of the assigned employees providing guidance and direction as needed
  • Makes staff assignments to ensure coverage to all areas
  • Conducts daily rounds to provide support for decision-making and problem solving
  • Serves as a resource to the healthcare team regarding inpatient care management issues
  (30%)
• Participates in the development, refinement, implementation and administration of Care Management programs, policies, procedures and standard work
  • Provides daily staff oversight and direction on Care Management processes to ensure compliance with all departmental policies and processes
  • Coordinates ongoing staff education and training regarding current and new programs and processes
  (20%)
• Monitors and evaluates compliance with performance standards for each key process on a regular basis
  • Monitors staff activity and productivity
  • Assists in developing performance reports
  • Analyzes patterns of variance and implements strategies to improve departmental/staff performance
  • Provides feedback information to the staff regarding departmental and individual staff performance
  (10%)
• Responsible for effective collaboration with internal and external resources to achieve goals and objectives
  • Leads productive meetings with interdisciplinary team members (physicians, residents, mid-levels, nursing, other healthcare professionals and external providers, etc.)
  • Develops and initiates cost saving strategies to achieve decreases in resource utilization and patient throughput
  • Participate on committees and workgroups to develop collaborative and integrated work processes
  (10%)
• Ensures compliance with state, federal, regulatory and payer requirements
  • Ensures the application of medical necessity criteria to support appropriate status placement, level of care and transition of care processes
  • Ensures that payers receive the clinical reviews necessary for admission and continued stay day certification
  • Implements monitoring plans for the Important Message from Medicare and patient choice and other regulatory and payor requirements
  (5%)
• Provides staff management activities
  • Participates in the hiring, orienting, training, performance reviews, counseling, disciplining and terminating of employees
  (5%)
• Assists in preparing and maintaining the departmental budget
  • Ensures confidentiality of patient information by creating and maintaining a secure and trusting environment by not sharing information learned on the job, except when necessary in the performance of the job responsibilities or to improve a patient’s care.
  (5%)
• Sets clear expectations for staff by developing job specific customer service expectations and behaviors for each position supervised; clearly communicates expectations to each employee and establishes the expectations as job requirements and performance appraisal components; delegates responsibility/authority whenever possible.
  (5%)
• Identifies training and staff development needs of employees and ensures appropriate training provided. (5%)
• Actively identifies problems and opportunities for improvement; identifies appropriate solution and involves others in the implementation process. (5%)

Education:

• Master's Degree Required

Work Experience:

• Typically, five or more years of relevant clinical experience with diverse populations in a healthcare setting including hospital, clinic or home health providing patient education, case management, and/or care coordination. Required and
• 1-3 years Experience in discharge planning, home health care, community health or managed care Required and
• Two or more year’s supervisory experience preferred.

Licenses:

• BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association or American Red Cross Required and
• LCSW-Licensed Clinical Social Worker - LCSW State Licensing Board Required

Knowledge, Skills and Abilities:

• Strong program development, leadership and management skills.
• Knowledge of care management concepts, principles, strategies, and processes.
• including tools and techniques for identification, stratification, and management of high-risk clients.
• Demonstrated ability for assessment, evaluation and interpretation of medical information, and care planning.
• Possess a high level of understanding of community resources, treatment options, funding options and special programs.
• Extensive knowledge of the management of acute and chronic conditions.
• Ability to operate PC-based software programs including proficiency in Word, Excel and PowerPoint and other computer-based systems.
• Possess advanced written and oral communication skills, decision making and problem-solving skills.

Shift

Work Type

Salary

Benefits

At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

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

• Tuition reimbursement & assistance

• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• 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

About Denver Health

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, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each 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. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. 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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