RN Case Manager, Clinical Improvement, Full-Time

Community Hospital - Grand Junction; Grand Junction (CO); On-site; Full time

Job summary

Community Hospital is seeking a full-time RN Case Manager to enhance the case management system while ensuring effective patient care. This role requires a Bachelor’s Degree in nursing and significant clinical experience. The ideal candidate will coordinate care efforts, manage clinical reviews, and engage in departmental activities to achieve optimal patient outcomes. Competitive salary is offered with benefits including medical insurance and a relocation bonus.

Benefits

Medical, dental, vision insurance

Life Insurance

Free Parking

Paid time off

Education assistance

403(b) with employer matching

Wellness Program

Relocation expenses

Discretionary bonuses

Qualifications

• Bachelor's degree in nursing with at least three years of clinical experience.
• Current unrestricted RN license in Colorado required.
• At least three years of case management experience in a hospital setting.

Responsibilities

• Maintain and improve the case management system through interaction with patients and healthcare providers.
• Assist in providing appropriate care for patient populations.
• Coordinate clinical review requests from payer sources to ensure timely payments.

Skills

Patient Care

Clinical Coordination

Communication

Case Management

Utilization Review

Education

Bachelor’s Degree in Nursing

Registered Nurse License

Job description

RN Case Manager Position Highlights:

• Job Type: Full-Time
• Location: Community Hospital
• Position: Open until July 340, 2025 or until filled

Responsibilities:

• 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.
• Assist physicians, patients, families, staff and payers in providing care for patient populations that is appropriate, effective, and cost efficient.
• Coordinates clinical review requests from payer sources to ensure timely reviews and ultimately timely payments to the hospital.
• Attend and actively participate in all departmental and interdepartmental meetings relative to Case
• Management/Social Services/Discharge Planning functions.

Requirements:

• Bachelor’s Degree in nursing with at least three (3) years of clinical experience in a hospital setting.
• At least three (3) years of case management experience in a hospital setting.
• At least two (2) years of Utilization Review experience with knowledge of evidence-based criteria guidelines OR equivalent combination of education and experience.
• Current unrestricted Registered Nurse license in the State of Colorado (required)
• Case management certification (preferred) or will obtain within 1 year of employment

This position's range is: $38.00 - $43.70 per hour, depending on education and experience.

Compensation:

• $38.00 - $43.70 per hour, depending on education and experience.
• Bonus: $5,000
• Discretionary bonuses, relocation expenses, merit increase, market adjustments, recognition bonuses, and other forms of discretionary compensation may be available.

Benefits:

• Medical, dental, vision insurance
• Life Insurance
• Free Parking
• Paid time off
• Education assistance
• 403(b) with employer matching
• Wellness Program
• Additional benefits based on employment status

Additional Information:

• Relocation: Must relocate to Grand Junction, CO 81505
• Work Location: In-person/onsite

Be Extraordinary. Join Us Today!

Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. Community Hospital does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Qualifications Education

Required

Associates

Experience

Required 2 years

At least three (3) years of clinical experience in a hospital setting. At least two (2) years of case management experience in a hospital setting.

Licenses & Certifications

Required

Registered Nurse

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.