RN Registered Nurse Care Manager FT Days

Case Management Society of America (CMSA) ®; Denver (CO); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking an RN Care Manager to lead patient-centered care coordination in Denver. This role focuses on optimizing transitions of care, ensuring effective communication across medical teams, and adhering to regulatory compliance. Ideal candidates will have prior care management experience and be licensed registered nurses committed to enhancing patient outcomes.

Benefits

Benefits from Day One

Paid Days Off from Day One

Student Loan Repayment Program

Career Development

Whole Person Wellbeing Resources

Qualifications

• Registered Nurse - State Licensure and/or Compact State Licensure required.
• Prior Care Management/Utilization Management experience needed.
• ACM/CCM Certification preferred.

Responsibilities

• Coordinates patient-centered care through collaboration with the interdisciplinary team.
• Facilitates transitions of care and discharge planning.
• Conducts evaluations of post-hospital needs within specified timeframes.

Skills

Patient care coordination

Care transitions planning

Education on resource utilization

Education

Associate's Degree Nursing

Bachelor's Degree BSN

Job description

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time

Shift : Days

Location: 2525 S DOWNING ST, Denver, 80210

The role you’ll contribute:

The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians, and the interdisciplinary team, ensures patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs, development of a transition of care plans and initiation of the implementation of the transitions of care plans prior to the discharge of the patient. The RN Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The RN Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds. Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning, and care coordination. The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics, Transitional Care supportive programs and clinics, follow up appointments, Skilled Nursing Facilities, Rehabilitation Services and Facilities and Community-based Organizations. The RN Care Manager adheres to departmental and system goals, objectives, policies, and procedures, and ensures quality patient care and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

• Completes Initial Evaluation for transition of care needs on all identified patients within one calendar day of admission and documents according to policies and procedures. Interviews patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial Evaluation.
• Reviews necessary patient information including labs, medications (Pre and post hospital), History and Physical, Therapy notes, ED notes, test results and progress notes.
• Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team.
• Incorporate clinical, social, and financial factors into the transition of care plan.

The expertise and experiences you’ll need to succeed:

Required qualifications:

• Associate's Degree Nursing
• Prior Care Management/Utilization Management experience
• Registered Nurse - State Licensure and/or Compact State Licensure State specific license

Preferred qualifications:

• Bachelor's Degree BSN
• Accredited Case Manager (ACM) /CCM Certification

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.