RN Case Manager NE

Part Time / 24 Hours Flexible schedule ( 3 eight hour shifts or 4 six hour shifts)

Training:
East Morgan County Hospital and Sterling Hospital After Training:
East Morgan Hospital East Morgan County Hospital is a 25-bed licensed critical access facility, level IV trauma center, offering a full array of health care services and two clinic locations:
Banner Family Medicine Brush and Banner Health Clinic Fort Morgan. East Morgan County Hospital is in Brush, Colorado, 1-hour northeast of Denver. Situated in the agriculturally rich South Platte River valley, Brush is home to 5500 people and serves over 15000. The community thrives on its rural pace and charm and is revered for its "Homegrown Happiness!" Nestled in the wide-open plains of northeastern Colorado, Brush boasts a rich history and limitless outdoor recreation.

With award-winning fishing and boating nearby, numerous parks and biking trails, some of the best of Colorado is here. Accredited by The Joint Commission and Designated as a Pathway to Excellence hospital, East Morgan County Hospital brings together state-of-the-art technology and an exceptional team of health care professionals to provide the most compassionate, innovative, and personalized care possible. As a District owned hospital, operated by Banner Health, East Morgan County Hospital can provide the small-town, close-knit atmosphere all while having the resources of a large hospital system in the rural setting.

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.

• Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
• 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.
• 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.
• Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
• May supervise other staff.
• Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations.

Internal customers:
All levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers:
Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.

• Must…