Care Manager

Our Client, a Healthcare company, is looking for a Care Manager for their Grand Junction, CO location.

Responsibilities:

• Under general supervision is responsible for the ongoing development, implementation, and evaluation of processes of the Client 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 service's needs.
• The RN Case Manager provides advocacy, communication, collaboration, resource management, and education to interdisciplinary team members of Client.
• 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.
• 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.
• Ability to document Case Management plans in a clear and concise manner.
• Assist physicians, patients, families, staff and payers in providing care for patient populations that is appropriate, effective, and cost efficient.
• Attend and actively participate in all departmental and interdepartmental meeting relative to Case
• Management/Social Services functions.
• Collaborates with payers and review organizations to ensure proper utilization of patient care resources.
• Documents clearly and concisely all contacts and information of the patient's case management process appropriately.
• Educates physicians and staff regarding appropriate level of care/utilization issues.
• Maintains current knowledge of Case Management/Social Services, discharge planning, and nursing issues through continuing education.
• Suggests and introduces new methods and techniques.
• Participates in professional activities in order to continue their professional development and contribute to that of the profession.
• Knowledge of the continuum of care, discharge planning and utilization processes.

Requirements:

• Bachelor's Degree in nursing (Master's degree preferred) with at least three (3) years of clinical experience in a hospital setting and at least five (5) years of case management experience in a hospital setting
• Certification in case management (preferred) or willingness to obtain within two (2) years of employment
• Current unrestricted Registered Nurse license in the State of Colorado (required)
• Current BLS
• Minimum Years of Experience: 2

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities