RN Case Manager NE

Banner Health; Hagerman (NM); On-site; USD 50,000 - 83,000; Part time

Job summary

Banner Health is seeking a Part-Time Nurse Case Manager to provide comprehensive care coordination for patients. The role assesses the plan of care, implements and monitors utilization of resources, and documents patient progress across the care continuum.

Responsibilities include leading discharge planning, evaluating medical necessity, collaborating with physicians, payers, and the health care team, and educating colleagues on case management concepts.

Qualifications

• Requires bachelor's degree in case management or health care.
• Current Registered Nurse (R.N.) license in state worked.
• BLS certification required for acute care assignments.
• 3-5 years of clinical experience.
• Working knowledge of care management and resources.

Responsibilities

• 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.

Skills

RN License

Case Management

BLS

Care Coordination

Interdisciplinary Team

Education

Bachelor's degree in case management or health care

Job description

SCHEDULE

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

LOCATION

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.

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

• 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.

MINIMUM QUALIFICATIONS

• Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
• Requires current Registered Nurse (R.N.) license in state worked.
• For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
• Requires a proficiency level typically achieved with 3-5 years clinical experience.
• Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management.
• Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills.
• Must demonstrate ability to work effectively in an interdisciplinary team format.
• For assignments in an acute care setting, must be able to work flexible hours and take rotating call after hours.
• Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital and/or home care setting. Experience must include working in an acute care and/or home care setting within the past 12 months as a Case Manager in the specialty area.

PREFERRED QUALIFICATIONS

• CCM (Certified Case Manager) preferred
• Additional related education and/or experience preferred.

Estimated Pay Range: $36.14 - $60.23 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

Anticipated Closing Window (actual close date may be sooner): 2027-02-16

EEO Statement: EEO/Disabled/Veterans

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information.

Banner Health supports a drug-free work environment.