Primary Care RN Case Manager Entry – Senior

University of Colorado Anschutz Department:
College of Nursing

Job Title:

Primary Care RN Case Manager (Open Rank: Entry – Senior) Position #:  

– Requisition #: 40595

Job Summary:

The University of Colorado College of Nursing is seeking a Primary Care RN Case Manager for a full-time, 1.0 FTE, benefited position. This is an outpatient care coordination role, not a bedside or inpatient nursing position. The RN Case Manager will be based at Sheridan Health Services, a Family Health Clinic located in Denver,CO (80236).

In this role, the RN Case Manager will coordinate patient careacross the clinic, including connecting patients with specialtycare, triaging incoming patient calls throughout the day, and helping families access available community resources. The rolealso includes clinical care for children and adults as part of the broader care coordination process through clinical triage, and medication administration, among other nursing duties. This RNshould be team-oriented and committed to Sheridan Health Services'mission of providing care that is competent, caring,cost-effective, and delivered with a high degree of patient satisfaction.

Sheridan Health Services is a Patient-Centered Medical Home and follows a model of care that places the patient at the center,incorporating each patient's individual values and beliefs intocare decisions.

Sheridan Health Services is a multi-site, nurse-managed federally qualified community health center, funded through the Health Resources and Services Administration Bureau of Primary Healthcare,and is a collaborative effort between the College of Nursing andthe Sheridan School District. There are two convenient locations toserve community health needs, primarily for residents of Arapahoe,Denver, and Jefferson counties. The SHS is located in southwest

Denver on the Fort Logan campus and provides services to adults and children, 65% of whom identify as Latinx, and 42% of whom are best served in another language, with Spanish being the predominant second language. Services offered include primary care across the lifespan; prenatal and postpartum, gynecology, dentistry, pharmacy,behavioral health, and outpatient substance abuse treatment.

https://nursing.cuanschutz.edu/patient-care/sheridan-health-services

• Case management and care coordination across service lines formutual patients (i.e., Adult & Pediatric Primary Care,Maternal/Child, Behavioral Health, and Psychiatry).
• Work closely with the Adult Primary Care team at FHC to assist with care coordination, navigation, and referral processing for patients with complex care needs.
• Coordination of care with community partners.
• Work with other SHS providers to provide comprehensive and integrated care.
• Manages critical lab results and complex test results (bloodwork, imaging studies) through coordination with the PCP and communication with the patient to include relaying results,triage/assessment, health education, and developing a follow-upplan.
• Follow up with patients identified for case management on aregular basis, helping them to assess progress toward goals andadapt the plan as needed.

• Manage independent and collaborative nursing visits focusing on optimizing health outcomes via blood pressure management andfollow-up, diabetes visits, substance use disorder check-ins for medication-assisted treatment, health coaching, and nutrition counseling.
• Teach self-injection for medications such as hormone replacement and diabetes medication.
• Assess social determinants of health when meeting with patients to identify barriers and create individualized care plans that address specific barriers to care.
• Collaborate with providers to…