RN Case Manager, Clinical Improvement, Full-Time
Company: Colorado West Healthcare System, dba Community Hos
Location: Grand Junction
Posted on: April 3, 2021
The Job: Under general supervision is responsible for ongoing
development, implementation, and evaluation of processes of the
CWHS Case Management Plan. The Case Management function is a highly
collaborative process that assesses, plans, implements,
coordinates, monitors, and evaluates the options and services
required to meet the client's/patient's health and human services
needs. The RN Case Manager provides advocacy, communication,
collaboration, resource management, and education to
interdisciplinary team members of CWHS. Responsible for conducting
admission and concurrent review of patients, assessing appropriate
level of care and medical necessity, assessing patient discharge
needs and provision of services necessary to facilitate a safe and
timely discharge. Effective allocation of the hospital's resources
while encouraging provision of high quality patient care is
essential in this role. Is cognizant of regulations and policies of
all review organizations relating to billing of the fiscal
intermediaries and implements processes and changes to meet the
Federal/State regulations and CMS Conditions of Participation.
Work Schedule: Full Time
Location: Community Hospital
- 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
- Attend and actively participate in all departmental and
interdepartmental meetings relative to Case
- Management/Social Services/Discharge Planning functions.
- Associate's Degree in Nursing, Bachelor's Degree in Nursing
- At least three (3) years of clinical experience in a hospital
setting and at least two (2) years of case management experience in
a hospital setting
- Certification in case management (preferred)
- Current unrestricted Registered Nurse license in the State of
- Willing to obtain Case management certification within 3
This position's pay range is: $26.43 to $37.00 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.
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
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Keywords: Colorado West Healthcare System, dba Community Hos, Grand Junction , RN Case Manager, Clinical Improvement, Full-Time, Healthcare , Grand Junction, Colorado
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