Peak Vista Care Manager - Jet Wing in Colorado Springs, Colorado
Title:Care Manager - Jet Wing
Department Location:Health Center at Jet Wing, 1815 Jet Wing Dr. Colorado Springs, CO 80916
Category:Nursing / Allied Health / Clinical Support
Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services to include medical, dental and behavioral health throughout 26 outpatient health centers within El Paso, Teller, Lincoln, Adams, Elbert and Kit Carson counties. We deliver care with our strong “Hospitality” culture. Our organization has over 950 employees and serves more than 94,000 patients annually in the Pikes Peak and East Central regions of Colorado. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).
Position #5116 Care Manager
LOCATION: Health Center at Jet Wing, 1815 Jet Wing Drive, Colorado Springs, CO 80916
Helps provide access to the right care, at the right time, in the right order, in the right setting with the right documentation. Works as a liaison between all modes of care. Responsible for working with the whole Care Coordination team in an interdepartmental effort to wrap around high risk patients. Responsible for assisting high risj patients in achieving maximum wellness through a collaborative, interdisciplinary process involving the patient, family and/or caregivers as well as providers and other support staff. This process includes assessment, planning, facilitation and advocacy through communication and the identification of available resources. Assists high-risk patients in identifying and obtaining services necessary to meet their overall needs and goals. This will in turn promote quality and cost-effective outcomes. High-risk factors may include more than one of the following:
• Poor pain control
• Previous home health and durable medical equipment usage
• Suicide risk
• Chronic, catastrophic, terminal illness
• History of abuse, neglect, no known social support
• Lives alone, homeless
• Transitional needs to a post-acute facility
• Poor nutritional status
• Financial concerns
• Repeated emergency department visits and or hospitalizations
• Low functional status or cognitive deficit
• Co-morbid health conditions
• Mental illness or substance abuse
• Pervasive history Guideline Non-Adherence
Performs home visits to meet patients’ needs in the community: Assesses clients’ psychosocial needs including health literacy status and care deficits (safety concerns and home layout barriers) and makes the appropriate referral for services; Assesses patient’s willingness to change. Coordinates service planning with client, family, or caregiver to maximize health care responses; Facilitates access to quality and cost effective care. Coordinates and follows-up on referrals. Advocates and builds rapport with community agencies; Coordinates communication with members of the health care team and educating the client, family or caregiver and care team about treatment options and community resources as well as psychosocial needs and socioeconomic status and deficits. Coordinates care with the Clinical Care Teams. This position involves driving to client’s homes for assessment and follow-up and accompanying patients to off-site appointments as needed. Scope of authority includes: providing resource coordination, follow up, patient education, and self-management education services to patients and to serve as a consultant to medical staff and requesting support from professional staff when required. Performs other duties as assigned.
Education: Minimum 4 year degree in human service field OR related medical field or equivalent experience/licensure required.
Work Experience: Three years’ experience in case management, crisis intervention or client-centered counseling and extensive knowledge of community resources required.
Cognitive Skills (Language, Math, Reasoning Ability): Excellent language, reasoning and thinking abilities.
Computer Skills: Word, Excel, Electronic Health Record
Other Skills: Knowledgeable of community resources, sensitivity to low income and diverse groups of people, ability to work with families from a strengths-based model and strong interpersonal skills. Bi-lingual (Spanish) preferred. Self-motivated. Valid driver’s license and insured automobile required. Must be able to work a flexible schedule including some evenings.Education: High School Graduate or equivalent education required
Computer Skills: Basic – ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; enter and correct data, modify a workbook, format a worksheet, and use printing functions; create a simple presentation in PowerPoint, run it, and print it.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Frequent standing and walking, occasional long periods of sitting, moderate bending, moderate energy requirements and fine motor skills. Able to travel from clinic to clinic as required and make home visits as needed. Must be able to lift 20 pounds.
*Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace and an Equal Opportunity Employer.
**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com