RN Case Manager

Brief Description

We are seeking a compassionate and detail-oriented Registered Nurse (RN) Case Manager to join our healthcare team. In this role, you will coordinate patient care, support treatment plans, and ensure patients receive appropriate, cost-effective services across the continuum of care.

• Ability to work both independently and collaboratively in a dynamic environment
• Adaptable to changing priorities with strong organizational skills
• Demonstrates resourcefulness, critical thinking, and effective problem‑solving abilities

• Graduate of an accredited nursing program (Diploma or Associate Degree required; BSN or higher preferred)
• Minimum of two (2) years of hospital‑based case management or utilization review experience preferred OR at least five (5) years of acute care nursing experience
• Active Registered Nurse (RN) license in the state of Colorado

• Monitor and evaluate patient care plans to ensure services are appropriate, effective, and aligned with patient needs, including post‑discharge requirements
• Conduct comprehensive assessments of patients’ physical, functional, psychosocial, environmental, and financial needs to develop cost‑effective, individualized care plans
• Implement and manage care plans, ensuring timely delivery of services and alignment with patient and family goals
• Coordinate referrals to appropriate community resources; facilitate communication among providers and ensure services are delivered without duplication
• Evaluate patients’ formal and informal support systems to support safe and effective care transitions
• Track patient progress toward established goals and perform ongoing reassessments based on changes in health status
• Serve as a patient advocate by addressing barriers to care, supporting problem resolution, and identifying opportunities to enhance available resources
• Facilitate interdisciplinary team meetings to promote collaboration and continuity of care
• Maintain accurate, timely, and compliant documentation related to discharge planning, care coordination, and utilization review activities
• Balance patient advocacy with responsible resource management, ensuring appropriate and cost‑effective use of healthcare services
• Perform concurrent and retrospective utilization reviews of admissions and continued stays using established criteria, including MCG (Milliman Care Guidelines)

This position is scheduled to work PRN – On call as needed and will be eligible for an 8% pay differential. We offer competitive pay and a comprehensive benefits package to support your career growth and personal well‑being.

Equal opportunity Employer.