Denver Health

Coach

• Perform outreach and engagement into local evidence-based treatment for people experiencing substance misuse and mental health challenges
• Create supportive relationships with individuals seeking treatment and link them to appropriate resources
• Facilitate peer recovery support services in group and/or individual settings
• Assist participants with personal recovery plans and provide resources to reduce barriers to care
• Assist patients with necessary paperwork and document appropriately
• Partner with treatment providers, hospitals, Emergency Departments, harm reduction organizations, support services, law enforcement, and community-based organizations
• Participate in community meetings addressing substance misuse and mental health challenges
• Assist patients in accessing therapeutic and supportive services
• Promote personal growth, development, and recovery
• Mentor and role-model, aid in goal setting and skills building, and remove barriers to follow-up care
• Advocate for people in recovery and support others in achieving and maintaining recovery

Peer Recovery Coach I – Correctional Care

Social Worker

• Under general supervision, plans, organizes and implements social work treatment for Emergency Department/hospitalized patients and their families.
• Assesses the biopsychosocial needs of patients and families and creates an individual plan of care, as it relates to the patient's current health concerns and ongoing access to care outside of the hospital.
• Provides clinical interventions that help meet identified needs by utilizing personal, family and community resources.
• Provides crisis intervention, supportive counseling, case consultation and care coordination services.
• Conducts comprehensive biopsychosocial assessments that are thorough, individualized, objective and complete.
• Provides intervention appropriate to the presenting problem.
• Utilizes key case management components including assessment/reassessment, care planning, coordination of care, and documentation.
• Evaluates emotional components, impact of health issues and assists patient to identify strengths, dysfunctional factors and to establish detailed discharge/transition of care plans.
• Provides care coordination throughout the continuum of care and/or hospitalization from case referral to case closure.
• Applies knowledge of individual, group and family functioning to ensure appropriateness of treatment methods to assist patient in achieving care plan goals.
• Demonstrates the ability to develop effective brief interventions that are socio-culturally sensitive.
• Routinely consults, negotiates, and coordinates with internal and external resources to assure collaborative efforts to maximize patient outcomes.
• Facilitates multi-disciplinary communications and patient care meetings (i.e. case conferences/family meetings, rounding) and utilizes information to assess and reassess care needs.
• Demonstrates and educates staff as to the scope of function of the Social Work role in the health care team.
• Ensures patient involvement in care planning and goal setting with informed consent documented.
• Demonstrates knowledge and applicability of the principles of growth and development over the life span, as well as demonstrating the ability to assess the patient’s status and interpreting appropriate cultural information of the patient(s) to whom care/service is being delivered/provided.
• Demonstrates knowledge of major concepts principles and theories of normal and abnormal human development, and its application to specific age groups.
• Utilizes knowledge of patient populations’ cultural, religious, ethnic and social systems in interactions, care planning and education.
• Demonstrates comprehensive effective knowledge of programs, eligibility, and skill in obtaining appropriate resource/services; is able to educate others, to identify gaps and suggest alternatives.
• Assists clients to maximize adjustment to illness/disability/trauma by addressing biopsychosocial issues and enhancing problem solving and coping skills.
• Evaluates emotional components, impact of health issues and assists client to identify disruptive factors to establish treatment goals.

Inpatient Addiction Consult Social Worker, MSW

Nurse

• Provide care to all healthcare consumers under general supervision
• Apply critical thinking, evidence-based practices, and competence to collaborate with the health care team
• Maintain a broad and comprehensive nursing scope of practice that includes infant, pediatric, and Adult clinical care
• Maintain a broad and comprehensive nursing scope of practice that includes preventive care, emergent care/crisis response, triage skills, general acute care skills, and behavioral health skills
• Monitor, record and report symptoms and changes in patient’s condition and vital signs
• Maintain accurate, detailed reports and records
• Direct and supervise less skilled nursing/health care personnel
• Prepare patients for, and assist with examinations and treatments
• Assess the needs of individuals, families and/or communities to identify potential health or safety problems
• Instruct individuals and families on health education and disease prevention and after care

RN Registered Nurse – Corrections

General

• Performs dental hygiene services for the care and treatment of patients in the community health dental clinics.
• Completes preventative prophylaxis cleanings, periodontal maintenance treatment, non-surgical periodontal therapy, oral hygiene instruction, fluoride application and placement of dental sealants.
• Completes medical and dental histories, taking necessary radiographs according to ALARA principles, taking vital signs when indicated and ensuring the patient's periodontal and dental exams are up-to-date.

Dental Hygienist – PRN

• Adheres to the American Nurses Association (ANA) standards of professional nursing and performance
• Applies critical thinking, evidence-based practices and competence to collaborate with the health care team
• Assess the needs of individuals, families and/or communities to identify potential health or safety problems
• Maintain accurate, detailed reports and records
• Monitor, record and report symptoms and changes in patient’s condition and vital signs
• Modify patient treatment plans as indicated by patient’s responses and conditions
• Develop and modify patient care plans as indicated by patient’s responses and conditions
• Prepare patients for, and assist with examinations and treatments
• Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care
• Direct and supervise less skilled nursing/health care personnel

Registered Nurse – Operating Room, PRN

• Perform telephone triage under conditions that may be demanding, stressful and repetitious.
• Functions independently to collect data and make assessments, develop a working diagnosis, determine interventions and disposition per guidelines.
• Guides evaluation including instructing patient/caller how to evaluate normal/abnormal symptoms, effectiveness of treatment and when to call back.
• Documents symptoms/complaints, nursing assessment, advice and patient/caller response.
• Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improve health care outcomes of patients/callers and their access to appropriate health care.
• Collects patient health data in order to identify relevant and unique patient/caller needs.
• Performs initial assessment for neonatal, pediatric, adolescent, adult, and/or geriatric patients.
• Evaluates care advice for appropriateness for age of patient/caller.
• Differentiates normal from abnormal findings, including potential problems.
• Identifies patient needs and basic understanding of assessment findings as they relate to the practice of telephone triage.
• Acts appropriately in critical situations.
• Identifies unique learning needs of patient/caller and participates in their education through care advice and repeat by patient/caller of understanding.
• Reviews medications/drug dosages and allergies with health history and ensures immunizations are up to date as appropriate.
• Performs as team leader as assigned to monitor the safety of the call queue and acts as liaison for staffing or interdisciplinary issues.
• Acts as resource for other staff. Provides feedback to supervisors as appropriate.
• Analyzes assessment data to determine most appropriate guideline selection for patient/caller.
• Documentation is clear and concise and reflects Nursing assessment and care advice given.
• Performs QI/documentation/audio audits. Advises appropriate disposition for guideline selection for patient/caller.
• Demonstrates the ability to adjust (override) the disposition according to the unique needs/situation of the patient/caller and using appropriate Nursing Judgment.
• Integrates quality improvement activities into practice.
• Assists in identifying ways to promote quality care and in collecting data needed to promote process and operational improvements.
• Integrates QA audit findings into practice.
• Recognizes self-learning needs and plans to meet them.
• Incorporates new knowledge obtained into practice.

RN, Nurse Advice Line – Evening Shift

Provider Enrollment Specialist

• Under minimal supervision coordinates, monitors and maintains Medicare, Medicaid and Dental Plans enrollments for the Medical Staff and Advanced Practice Providers
• Ensures compliance with the accrediting and regulatory agencies (i.e., TJC, NCQA, and CMS) in regards to credentialing while developing and maintaining a working knowledge of the statues and laws
• Coordinates and facilitates the enrollment of professional providers with various payers for professional services and governmental reimbursement through Medicare and Medicaid
• Reviews provider credentialing and/or recredentialling/revalidation data for accuracy based on licensing requirements and various insurer and government payer requirements
• Completes timely application processes based on payer and government specific formats
• Continually follows up on enrollment and/or recredentialling/revalidations statuses until complete
• Maintains systems/applications used in the enrollment processes
• Completes provider payer enrollment/credentialling and recredentialing with all identified payers in a timely manner
• Handles highly sensitive and confidential information regarding professional providers
• Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified
• Maintains positive working relationships with providers
• Plays an active role in explaining and informing providers and practice/office managers of the submission requirements for credentialing/recredentialing processes, stressing the importance of compliance with these processes
• Obtains updated provider information from various sources including provider offices, state licensing boards, malpractice insurance companies, residency training programs, etc
• Identified and resolved problems with primary source verification elements by interpreting, analyzing, and researching data
• Proactively obtains updated provider credentialing data prior to expiration
• Creates, develops, and maintains applicable matrices and/or utilizes departmental software that supports the enrollment functions
• Completes all additions, updates, and deletions
• Supports new provider onboarding processes related to enrollment
• Provides updates to on-site practice management staff and others with any changes to requirements for credentialing individual providers based on government and commercial payer credentialing processes
• Proactively communicated any changes regarding contracting as it relates to enrollment and operations
• Communicates updated payer enrollment information including payer provider numbers to practice operations in a timely manner while fostering working relationships and teamwork with departments, vendors, etc.
• Develops databases and spreadsheets for tracking organization providers
• Ensures data is accessible/transparent for executive inquiries or other information as deemed necessary by management

Medical Billing and Coding

• The Coder I reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers.
• Provides feedback regarding documentation and coding issues.
• Utilizes software applications and coding references to perform coding related tasks.
• Completes required coding training or other assigned coding instruction.
• Participates in departmental coding meetings, trainings, and roundtables.
• Maintains current coding credential(s).
• Assists in the creation, evaluation, updating, and ongoing review of Desk Procedures for assigned areas.

Coder I

Business Intelligence Developer

• Under minimal supervision, this role is responsible for engaging with business stakeholders, project managers, application analysts, and vendors in the design, build, and maintenance of information management solutions.
• This position coordinates data and reporting needs between the user community and Managed Care systems.
• This role uses healthcare industry knowledge and data management expertise to document customer's requirements and translate them into technical requirements, data analysis and reports.
• The role utilizes strong understanding of statistical modeling to perform data analysis.
• This role is responsible for supporting the analytics and reporting regarding strategic programs including HEDIS, Medicare Stars, quality of care, and other managed care subject areas.
• Gather requirements for internal reports and analysis, as well as external vendor data extracts (10%)
• Translates requirements into report/extract designs (10%)
• Evaluates data sources and technical approaches to satisfy user requirements (10%)
• Gains understanding of the source data’s meaning, accuracy, and completeness and how it may affect the report/extract design and business outcomes. (5%)
• Documents the solution to include tech specifications, data mappings, and other design documents to be maintained in a common repository (5%)
• Codes the solution to meet the agreed upon specifications and performs unit testing of the product. (5%)
• Maintains regular communication with end users on design implications, timeline, and solution outcomes (5%)
• Coordinates with end-users on the validation and acceptance of the final work product (5%)
• Ensures solution is properly tested and promoted to production following standard change management practices (5%)
• Creates, maintains and monitors associated job schedules (5%)
• Participates as needed in the planning, scoping, design and delivery of project components that are information management specific deliverables. (5%)
• Coordinates with business owners, vendors, and project leadership to ensure timelines and outcomes are met. (5%)
• Advises project teams on issues and needs as they arise that may affect the project outcomes, making recommendations to address the stated concerns. (5%)
• Supports the process of assigning, managing and re-prioritizing project priorities as needed. (5%)
• Provides project updates, status, estimates to complete, etc. to support project outcomes. (5%)
• Provides technical and administrative support to maintain and administer the BI reporting portal and BI reporting tools (5%)
• Oversees the BI reporting change management process. (5%)

Business Intelligence Specialty Analyst

Call Center Representative

• Under close supervision, serves customers by answering incoming calls utilizing Denver Health and Departmental policies/processes to resolve customer requests and directing calls to the appropriate area when necessary.
• Responsible for effectively screening/identifying customer requirements and taking appropriate action based on this information.
• Provides assistance to Denver Health staff by collecting demographic, medical complaint and key information required to facilitate appropriate patient care and call resolution.
• Completes computerized patient scheduling, collection of comprehensive demographic and insurance information required to facilitate timely and accurate billing of services, obtainment of pre certification authorization and benefit information necessary for payment

Scheduler I, Call Center, Part Time

Technician

• Assists medical teams using endoscopes to diagnose or treat patients with gastrointestinal problems
• Prepares the room, equipment, and assists during endoscopy procedures
• Provides support to physicians and nurses while the procedure is underway
• Handles specimens collected
• Performs high level disinfection of endoscopy equipment
• Processes patient intake
• Prepares and disassembles rooms for procedures
• Transports patient
• Charts in medical record of physician observations and patient interactions
• Collects patient biopsies and specimens
• Assists physician and RN with invasive procedures and other duties to contribute to the flow of the unit
• Assists physician in complicated procedures that utilize fluoroscopy

GI Laboratory Technician

• Under general supervision, facilitate and coordinate the care delivered to an assigned group of patients through multidisciplinary and patient/family collaboration.
• Conduct assessments, planning, support, and evaluation of patient care and related outcomes.
• Facilitate appropriate status and level of care, screening for high risk and transition of care needs.
• Work with patient and family to identify goals and outcomes, developing evidence-based interventions and care plans.
• Implement care plans and conduct systematic and timely evaluation of outcomes of nursing care.
• Document care according to organizational standards, contractual and regulatory requirements.
• Advocate to secure benefits for patients and identify potential barriers to payer coverage.
• Coordinate community resources and provide care management to appropriate patients according to organizational policies and payer guidelines.