Population Health RN Case Manager

About the position

The Population Health RN Case Manager works collaboratively with physicians, interdisciplinary teams, patients, and families to promote positive patient outcomes. Performs a care continuum process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to support the individual's health needs, utilizing skilled communication, education, and resources to promote quality and cost-effective outcomes. Provides focused support to various areas such as utilization management, value-based performance team, emergency department, acute, ambulatory, and specialty care teams.

Responsibilities

• Interfaces with Primary Care Physicians, Specialists, and various disciplines on the development of case management plans/programs.
• Monitors and evaluates the effectiveness of the case management plans and modifies as necessary.
• Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, value-based care, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.
• Acts as a clinical liaison, per their specialty, with outside agencies and facilities, outside providers, employers, and/or workers' compensation carriers and third-party administrators.
• Acts as a patient advocate and educator to ensure that the patient has the knowledge to care for his/her condition and the patient is educated and empowered to be responsible for participating in the plan of care.
• Prepares reports, communicates program changes to appropriate staff, and develops protocols per state regulations.
• Develops and updates training and educational materials and presents to appropriate staff, patients, and families.

Requirements

• Bachelor's degree in nursing, biological science, or a directly related field from an accredited institution.
• Two (2) years of registered nurse experience in a clinical/hospital setting.
• One (1) year of experience in case management in specialty area.

Nice-to-haves

• 3 years registered nurse experience in a clinical/hospital setting.
• 2 years of experience in case management in specialty area.
• Bilingual, Spanish-speaking.
• Nursing certification (ANCC) in specialty area.
• Kronos, Epic, and Health Stream Experience.

Benefits

• Medical: Multiple plan options
• Dental: Multiple plan options
• Additional Insurance: Disability, Life, Vision
• Retirement 401(a) Plan: Employer contributes 10% of your gross pay
• Paid Time Off: Accruals over the year
• Vacation Days: 22/year (maximum accrual 352 hours)
• Sick Days: 15/year (unlimited maximum accrual)
• Holiday Days: 10/year
• Tuition Benefit: Employees have access to this benefit on all CU campuses
• ECO Pass: Reduced rate RTD Bus and light rail service