Nursing Jobs in Louisville, CO
$105,046.99 - $157,570.48 / YEAR
Job Overview The Associate Clinical Manager is responsible for managing a unit/department by implementing and maintaining specific policies, procedures, and guidelines; leading team members in providing direct patient care by demonstrating expert clinical knowledge; ensuring compliance with quality and safety initiatives and practices; and partnering with a multidisciplinary team in meeting the clinical needs of patients and families The Associate Clinical Manager also provides leadership and management to unit/department team members. Finally, the Associate Clinical Manager serves as a charge nurse by preparing schedules and assigning team members to patients; overseeing the admission, discharge, and general flow of patients; and monitoring and ordering medicines and supplies. Duties & Responsibilities An employee in this position may be called upon to do any or all of the following essential functions. (These examples do not include all of the functions which the employee may be expected to perform.) Manages the implementation and maintenance of unit/department specific policies, procedures, and guidelines while ensuring consistency with evidence-based practice and organizational policies, standards, and procedures. Leads unit/department team members in providing direct patient care by demonstrating expert clinical knowledge and promoting the application of the Professional Practice Model and Professional Standards in daily work. Serves as a charge nurse by preparing schedules and assigning team members to patients; overseeing the admission, discharge, and general flow of patients; and monitoring and ordering medicines and supplies. Works with team members to create individualized plans of care to meet a patient needs. Interprets and explains regulatory standards and hospital policies, procedures, and rules to employees and ensures compliance with applicable quality and safety initiatives and practices. Ensures staffing resources are utilized appropriately and shifts resources to meet both patient and unit needs. Partners with a multidisciplinary team in meeting the clinical needs of patients and families. Rounds with patients, families and team members to promote patient family experience and quality patient care. Resolves operational and patient/family issues, making decisions that are inclusive of multiple perspectives and solves underlying problems. Assists team members in achieving unit outcomes, performance and professional development standards; identifies opportunities for continual improvement. Champions clinical practice and professional growth by working with the CNE/CNS to meet the educational needs of the unit/department and by monitoring and evaluating staff competencies. Develops, coaches, and evaluates team members. Mentors team members in creating/evaluating projects focused on improving clinical practice. Minimum Qualifications EDUCATION – Bachelor’s degree in Nursing. Master’s degree in Nursing or a directly related health care field is preferred. EXPERIENCE – Three years of clinical experience. EQUIVALENCY – None LICENSURE – Registered Nurse (RN) CERTIFICATION(S) – BLS/CPR from the American Heart Association with at least 6 months left before expiration is required upon hire. ANCC recognized certification in clinical specialty. Depending on the unit/department, employees may also be required to have a Pediatric Advanced Life Support (PALS), Adult Advanced Life Support (ACLS), and/or Emergency Nursing Pediatric Course (ENPC). Salary Information Pay is dependent on applicant's relevant experience. Annual Salary Range (Based on 40 hours worked per week): $105,046.99 to $157,570.49 Benefits Information Here, you matter. As a Children’s Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career. As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April. Children’s Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year. EEO Statement It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained. Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information. Department: Ambulatory, Multidisciplinary Clinics Status: Full-time, benefit eligible Shift : 7:30am - 4:00pm Monday through Friday 
$84,558.69 - $126,838.03 / YEAR
Summary Job Overview The Utilization Review RN participates as a member of a multidisciplinary team to support medical necessity reviews, ensure compliance, and actively participate in denial mitigation. It is a collaborative approach that uses pre-established guidelines and criteria to perform review activities to ensure the proper utilization of hospital services and payment of those services by Medicare, Medicaid, and other third-party payors. Department Name: Utilization Review Job Status: part time, 24 hours per week, eligible for benefits Shift: Shifts are 8-hour days Friday, Saturday, and Sunday. Start and end times will vary depending on the department needs. This position will be primarily remote but there may be occasions when you are expected to work onsite at one of the CHCO locations. The specific details will be discussed in the interview process, and subject to change at our discretion. This position is eligible for relocation assistance, if relocating from 100 miles or greater. Duties & Responsibilities An employee in this position may be called upon to do any or all the following essential functions. These examples do not include all the functions which the employee may be expected to perform. Assesses all new inpatient admissions for identification of status and medical necessity for admission; communicates clinical review process with appropriate Payors. Assesses the continuity of care in conjunction with the Case Managers regarding the continued medical necessity of hospitalization and the status of the discharge plan; communicates this to the appropriate payors. Coordinates with other members of the healthcare team to help identify and control inappropriate resource utilization. Conducts concurrent admission and continued stay reviews based on appropriate utilization review criteria. Utilizes information provided by Patient Access regarding authorized length of stay and follows up with third-party payors on an ongoing basis, documents communications regarding continued authorizations. Follows up on denials communicated to the department and works with the revenue cycle staff to assist with appeals. Maintains and demonstrates appropriate clinical knowledge to assist physicians in providing documentation of severity of illness and intensity of service to assure that criteria for acute hospitalization are met. Employees are expected to comply with all regulatory requirements, including CMS and Joint Commission Standards. Minimum Qualifications Education: Bachelor of Science in Nursing (BSN) Experience: Three years of recent clinical or case management experience that includes recent UR experience in a hospital or with a Third-Party Payor Licensure(s): Registered Nurse License Salary Information Pay is dependent on applicant's relevant experience. Annual Salary Range (Based on 40 hours worked per week): $84,558.69 to $126,838.03 Benefits Information Here, you matter. As a Children’s Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career. As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April. Children’s Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year. EEO Statement It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained. Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.