Nurse Case Manager, Grand Valley Oncology, Full-Time

Company: Colorado West Healthcare System, dba Community Hos
Location: Grand Junction
Posted on: February 18, 2021

Job Description:

The Job: This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes across the patient care continuum. Case management services include monitoring patient care to ensure progress toward desired outcome, addressing patient and family needs, resolving obstacles to effective care, and coordinating care with payers and vendors, patients and families. This position may be required to access and administer medications within their scope of practice and according to State Law.Work Schedule: Full TimeLocation: Grand Valley OncologyPrimary Responsibilities:* Coordinates with other multidisciplinary team members to enhance and achieve positive outcomes with the patient's new cancer diagnosis.* Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.* Facilitates cost effective outcomes by collaborating with physicians, pharmacy or outside providers for medically necessary care* Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.* Provides clinical support to prior authorization staff for medical necessity as needed.Requirements:* Bachelor's degree in nursing. * Two (2) to five (5) years' experience in oncology case management, and/or utilization management preferred. * Knowledge of the Patient-Centered Medical Home initiative.* The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual. * Current BLS CertificationThis position's pay range is: $28.55 - 39.97 per hour, depending on education and experience. Discretionary bonuses, relocation expenses, merit increases, market adjustments, recognition bonuses and other forms of discretionary compensation may be paid to eligible employees based upon organizational and individual performance.Benefits:Employees are eligible to participate in an attractive benefits package including medical, dental, vision, paid time off, education assistance, 403(b) with employer matching, and more. Eligibility is based on employment status. Details regarding specific benefit you may be eligible for will be discussed during the hiring process.Be Extraordinary. Join Us Today!Powered by JazzHRRCFtfWLVpk

Keywords: Colorado West Healthcare System, dba Community Hos, Grand Junction , Nurse Case Manager, Grand Valley Oncology, Full-Time, Executive , Grand Junction, Colorado