Primary Care RN Case Manager (Open Rank: Entry – Senior)

University of Colorado•Aurora, CO

3d•$60,257 - $95,383•Onsite

About The Position

The University of Colorado College of Nursing is seeking a Primary Care RN Case Manager for a full-time, 1.0 FTE, benefited position. This is an outpatient care coordination role, not a bedside or inpatient nursing position. The RN Case Manager will be based at Sheridan Health Services, a Family Health Clinic located in Denver, CO (80236). In this role, the RN Case Manager will coordinate patient care across the clinic, including connecting patients with specialty care, triaging incoming patient calls throughout the day, and helping families access available community resources. The role also includes clinical care for children and adults as part of the broader care coordination process through clinical triage, and medication administration, among other nursing duties. This RN should be team-oriented and committed to Sheridan Health Services' mission of providing care that is competent, caring, cost-effective, and delivered with a high degree of patient satisfaction. Sheridan Health Services is a Patient-Centered Medical Home and follows a model of care that places the patient at the center, incorporating each patient's individual values and beliefs into care decisions.

Requirements

Graduate with a bachelor’s degree in nursing from an accredited school of nursing.
A combination of education and related technical/paraprofessional experience may be substituted for a bachelor’s degree on a year-for-year basis.
One (1) year of professional-level RN experience (for Intermediate Level).
Two (2) years of professional-level RN experience (for Senior Level).
Three (3) years of professional-level RN experience (for Principal Level).
Applicants must meet minimum qualifications at the time of hire.
Applicants must be legally authorized to work in the United States without requiring sponsorship.
Current RN licensure in good standing (any state). Could be working toward CO clinical license during the application process and registered with DORA-Department of Regulatory Agencies. Must have CO RN licensure by date of hire.
Must obtain current BLS/CPR certification by date of hire.
Must have a valid National Provider Identifier (NPI) number by date of hire.
Must remain credentialed and ensure credentialing materials stay current.
Must be willing and able to work in a normal patient care environment with some exposure to biological hazards and infectious diseases.
Must be willing and able to pass a background check.
Independent judgment and work priorities are necessary to monitor and respond to changes in a client’s condition.
Interpersonal skills to work effectively with patients, their families, and other members of the interdisciplinary health care team.
Skilled in the use of the electronic medical health record and other clinic software.
Basic knowledge of Colorado state immunization requirements.
HIPAA and OSHA compliance.
Intermediate level computer competency.
Exemplary organizational skills and ability to prioritize organizational needs.
Ability to work independently and function collaboratively as a team member.
Highly responsible, reliable, and courteous.
Maintain patient confidentiality.
Experience with leading teams.

Nice To Haves

Spanish bilingual preferred.
Experience providing care coordination in a Federally Qualified Health Center, a public health setting, and/or to low-income families.
Experience in program development and implementation.
Case Management certification and/or two (2) years or more experience with case management.
Experience managing personnel.

Responsibilities

Case management and care coordination across service lines for mutual patients (i.e., Adult & Pediatric Primary Care, Maternal/Child, Behavioral Health, and Psychiatry).
Work closely with the Adult Primary Care team at FHC to assist with care coordination, navigation, and referral processing for patients with complex care needs.
Coordination of care with community partners.
Work with other SHS providers to provide comprehensive and integrated care.
Manages critical lab results and complex test results (blood work, imaging studies) through coordination with the PCP and communication with the patient to include relaying results, triage/assessment, health education, and developing a follow-up plan.
Follow up with patients identified for case management on a regular basis, helping them to assess progress toward goals and adapt the plan as needed.
Manage independent and collaborative nursing visits focusing on optimizing health outcomes via blood pressure management and follow-up, diabetes visits, substance use disorder check-ins for medication-assisted treatment, health coaching, and nutrition counseling.
Teach self-injection for medications such as hormone replacement and diabetes medication.
Assess social determinants of health when meeting with patients to identify barriers and create individualized care plans that address specific barriers to care.
Collaborate with providers to address patient care needs over the phone.
Utilize motivational interviewing to support positive lifestyle changes to improve overall health
Focuses on population-based health to improve preventive care access, immunization rates, chronic disease management measures, and health outcomes.
Ensures infrastructure for implementing, tracking, and reporting progress on quality and grant-related activities and measures.
Documents patient care using the electronic medical record system.
Takes an active role in promoting and building the integrated health team.
Participates in community outreach events.
Assists with orientation for new students, faculty, and staff to the clinic.
Precepts CU BSN students.
Serves as a resource for MAs and support staff to assist with patient care.
May exercise supervision of Medical Assistants, Patient Navigator, and/or Referral Coordinator if appropriate.
Networks with outside specialty providers to establish low/no-cost care for patients.
Helps connect patients to specialty providers when needed.
Meets individually and in groups with patients to assess current health and care needs.
May work with other staff to develop health promotion.
Provides training to students.
Supervision and professional development of Medical Assistants if applicable.
Actively reviews grant deliverables and monitors grant work plans to meet deliverables.
Leads group education and health promotion initiatives. This may include developing marketing materials, recruiting patients, developing curriculum, and leading Group sessions.
Leads staff training initiatives as appropriate.
Develops and leads orientation for new students, faculty, and staff to the clinic.
Heavily involved in student training. This may include the development of course activities and projects that are aligned with the course curriculum, as well as student oversight and evaluation.
Supervision and professional development of Medical Assistants.