RN Case Manager, Full-Time - First Connect : Job Details

Job Description:

Work Schedule: Full Time, 7:30am-4pm, Monday-Friday

***One Saturday morning per month (about 5 hours)

No call requirements

Location: Community Hospital

Responsibilities:

• Maintain and improve the case management system using ongoing interaction with patients, physicians, and other health providers to meet designated clinical, operational, and financial outcomes for aggregate patient populations.
• Assist physicians, patients, families, staff and payers in providing care for patient populations that is appropriate, effective, and cost efficient.
• Coordinates clinical review requests from payer sources to ensure timely reviews and ultimately timely payments to the hospital.
• Attend and actively participate in all departmental and interdepartmental meetings relative to Case
• Management/Social Services/Discharge Planning functions.

EDUCATION and/or EXPERIENCE:

Bachelors Degree in nursing with at least three (3) years of clinical experience in a hospital setting, at least three (3) years of case management experience in a hospital setting, and at least two (2) years of Utilization Review experience with knowledge of evidence-based criteria guidelines OR equivalent combination of education and experience.

CERTIFICATES/LICENSES:

Current unrestricted Registered Nurse license in the State of Colorado (required)

Case management certification (preferred) or will obtain within 1 year of employment

Position Urgency:Quick StartShifts:Full-TimeState License Details:Must Be Currently ActiveMinimum Years of Experience:2Minimum Guaranteed Hours:40Sub Specialty:Care ManagerGeneral Certifications:, N/ANursing Certifications:Contract Length in Weeks:13