Job Description:

The Nurse Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with chronic conditions or complex needs. This position educates patients and families to help them manage their health care needs. The incumbent facilitates communication, coordinates services, addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management.

Scope

As a Case Manager RN you need to know how to:

• Coordinate the care and services for patients identified as needing assistance or meeting Care Management criteria. Collect in-depth information about a patients medical, functional, and social condition, to identify individual needs in order to develop a plan to meet those needs.
• Work with patient and family/caregivers to determine specific goals and actions based on assessment. Coordinate discharge planning. Execute specific interventions to meet established goals. Organize, integrate and coordinate the necessary resources to accomplish the goals and plan.
• Assess the patients prior level of functioning, access to and/or use of community resources and available support systems.
• Assist the care team in developing a plan of care which includes, but is not limited to: assuring appropriateness of services and care setting, assuring individualized support and education, determining the need for continued services, planning for discharge, and identifying and connecting patients/families with available community resources if needed.
• Collaborate with Physicians and other members of the health care team on the patients behalf.
• Identify appropriate admission and continued stay issues. Enhance the quality of patient care through effective and efficient use of resources. Help to identify strategies for reducing length of stay and appropriate utilization of services. Utilize criteria including clinical pathway data and implement strategies to resolve controllable variances.
• Attend, facilitate and participate in rounds and case conferences. Advocate for patient rights. Monitor efficiency and availability of services and evaluate outcomes through variance tracking, data collection.
• Identify needs, facilitate, or provide education to physicians and ancillary departments/nursing units regarding case management, discharge planning process, and roles. Participate in multidisciplinary groups and development of guidelines.

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Minimum Qualifications

• Graduate of an accredited school of nursing
• Bachelors Degree in Nursing (BSN)
• Current Colorado RN license or compact license with the ability to obtain Colorado RN license
• Minimum of three (3) years of experience as a Registered Nurse in an acute care setting

Preferred

• At least five (5) years of nursing experience
• Prior knowledge of managed care / utilization review
  
  

Physical Requirements:

Physical Requirements

Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.

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Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.

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Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc.

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Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

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Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc).

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May be expected to stand in a stationary position for an extended period of time.

Location:

Platte Valley Medical Center

Work City:

Brighton

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$34.14 - $60.66

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package and our commitment to diversity, equity, and inclusion .