RN Case Manager

## RN Case Manager Apply:
Hybrid:
Banner Health Clinic (3519 Richmond Dr):
Full time:
Posted Today:
R4456489
** Primary City/State:
** Fort Collins, Colorado
** Department Name:
** CO Case Mgmt-BMG
*
* Work Shift:

** Day
* * Job Category:
** Clinical Care Better Than Ever for Nurses. When we make things better than ever for nurses at Banner Health, we make things better than ever for all of us. This means investing in the holistic health and happiness of our nurses—through better pay, better benefits, better opportunities and a better community.

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 ideal candidate will live in Northern Colorado and have at least two years of case management experience.
** The RN, Case Manager position is a hybrid role. Travel will be required  in Northern Colorado. Your schedule will be  Monday - Friday 8am - 5pm. Candidates must live in the state of CO to be considered.
** 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 to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY  This position provides comprehensive care coordination for patients as assigned. This position assesses the patients plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patients health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements.

This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care.
CORE FUNCTIONS  
1. Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
4. Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues.
5. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
7. May…