Details
Posted: 06-Aug-22
Location: Greeley, Colorado
Salary: Open
Categories:
Nursing Support
Primary City/State:
Greeley, Colorado
Department Name:
Case Mgmt-Hosp
Work Shift:
Day
Job Category:
Clinical Care
Primary Location Salary Range:
$30.30/hr - $50.51/hr, based on education & experience
In accordance with Colorado???s EPEWA Equal Pay Transparency Rules.
Better Than Ever for Nurses. When we make things better than ever for nurses at Banner Health, we make things better than ever for all of us. This means investing in the holistic health and happiness of our nurses???through better pay, better benefits, better opportunities and a better community.
As the RN Case Manager, you will have the opportunity to do discharge planning for hospitalized patients to their next level of care. This is a full time, day shift position. Hours are 5/8s with every third weekend and 1-2 holidays per year. Weekend rotations are required in this role. Enjoy a flat rate $2/hour weekend shift differential.
A 378-bed Level II trauma center and acute care facility with over 3000 employees, North Colorado Medical Center is the largest hospital in the region. As a regional medical center, we provide community-based and specialty services for a service area that includes southern Wyoming, western Nebraska, western Kansas and northeastern Colorado. In order to provide the most compassionate and innovative care possible, we bring together state-of-the-art technology and an exceptional team of health care professionals. For the healthcare professional, our Greeley, Colorado location offers access to a wide variety of recreational activities in an inviting, close-knit community.
POSITION SUMMARY
This position provides comprehensive care coordination for patients as assigned. This position assesses the patients plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patients health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care.
CORE FUNCTIONS
1. Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
4. Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues.
5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
7. May supervise other staff.
8. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: All levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.
MINIMUM QUALIFICATIONS
Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 3-5 years clinical experience. Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. For assignments in an acute care setting, must be able to work flexible hours and take rotating call after hours. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital and/or home care setting. Experience must include working in an acute care and/or home care setting within the past 12 months as a Case Manager in the specialty area.
PREFERRED QUALIFICATIONS
CCM (Certified Case Manager) preferred
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy
