RN Case Manager

Better Than Ever for Nurses. As an RN Case Manager, you will manage a caseload of high-risk patients and provide individualized support based on each patient's unique needs. You will conduct outreach primarily by phone, complete assessments, develop individualized care plans, perform medication reviews, connect patients with appropriate resources, and provide chronic disease education and management. You will collaborate with an interdisciplinary care team and communicate with healthcare providers to coordinate care and support positive patient outcomes. The RN, Case Manager position is a hybrid role. Travel will be required in Northern Colorado. Schedule is Monday - Friday 8am - 5pm. Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians.

Responsibilities

Manage a caseload of high-risk patients and provide individualized support based on each patient's unique needs; Conduct outreach primarily by phone; Complete assessments and develop individualized care plans; Perform medication reviews; Connect patients with appropriate resources; Provide chronic disease education and management; Collaborate with an interdisciplinary care team and communicate with healthcare providers to coordinate care and support positive patient outcomes; Provide comprehensive care coordination, assess the patient plan of care, and monitor utilization of resources and patient progress; Act in a leadership function with process improvement activities and interdisciplinary discharge planning; Evaluate medical necessity and appropriateness of care and identify issues that may delay discharge; Establish collaborative relationships with physicians, payers, and other health care team members; Educate internal health care team members on case management and managed care concepts; May supervise other staff

Requirements

Knowledge of case management or utilization review, normally obtained through a bachelor's degree in case management or health care; Current Registered Nurse (R.N.) license in the state worked; Basic Life Support (BLS) certification for assignments in an acute care setting; Proficiency typically achieved with 3-5 years clinical experience; Working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management; Critical thinking skills, problem-solving abilities, effective communication skills, and time management skills; Ability to work effectively in an interdisciplinary team format; At least two years of case management experience; Must live in Northern Colorado (candidates must live in the state of CO to be considered)

Nice to have

Certification for CCM (Certified Case Manager); Additional related education and/or experience