Under general supervision is responsible for ongoing development, implementation, and evaluation of processes of the CWHS 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 services needs. The RN Case Manager provides advocacy, communication, collaboration, resource management, and education to interdisciplinary team members of CWHS. 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.
ESSENTIAL DUTIES AND 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.
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
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.
Ability to work with diverse patient and staff populations with knowledge and sensitivity to cultural and spiritual influences impacting on patient care.
Exhibit a positive and collaborative attitude as a change agent.
EDUCATION and/or EXPERIENCE:
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 and certification in case management (preferred)
equivalent combination of education and experience.
Current unrestricted Registered Nurse license in the State of Colorado (required)
Case management certification (preferred)
Internal Number: 3
About Community Hospital
Community Hospital in Grand Junction, Colorado, is a full-service, acute-care hospital licensed for 60 beds. As part of the Colorado West Healthcare System, we offer full outpatient diagnostic services and inpatient care for the Western Slope region of Colorado, and eastern Utah. Community Hospital brings together expert staff and world-class technology in a healing, family-centered environment. We provide a full range of medical services, including inpatient and outpatient surgery,and emergency care. We have comprehensive diagnostic capabilities: state-of-the-art ultrasound, CT (Philips Ingenuity 128 MDCT), digital mammography and cardiac testing. Community Hospital proudly partners with University of Utah Heath Care and Huntsman Cancer Institute to provide world-class medical and radiation oncology right here at home. Community Hospital is Joint Commission accredited. Our laboratory is College of American Pathologists-accredited. For those lab tests that we don’t conduct on site, the Mayo Clinic is our exclusive partner for reference laboratory services. We pride ourselves on delivering personalized care to our patients, and in working closely with our medical-care providers in t...reating the whole person. This approach has resonated with our patients, and we are growing to meet our community’s demand. On October 15th, 2014, Community Hospital broke ground on a new four-story, 140,000 square foot, state-of-the-art facility. Our NEW hospital opened Thursday, March 17th, 2016! Where We LiveGrand Junction is located in beautiful Western Colorado and is the largest city in between Denver and Salt Lake City. An outdoor lovers paradise with hundreds of miles of mountain biking and hiking right out your front door. Fantastic winter and summer activities including skiing, snowmobiling, snowshoeing, camping, hiking and 4-wheeling on the Grand Mesa located just 45 minutes away. Enjoy the numerous lakes and rivers taht supply abundant opportunites for boating, rafting, paddleboarding, and fishing. Avoid the traffic with easy access to world class skiing in Aspen, Telluride, Vail, and Crested Butte.Come and tour one of the valley's 24 unique wineries and explore downtown Main Street with numerous unique shops and several delicious cafe's and restaurants. Journey through the awe-inspiring Colorado National Monument or catch an event at Colorado Mesa University or a Grand Junction Rockies baseball game. Your activity options are endless in Western Colorado. What do you want to do today?