Job ID82353

LocationAurora, Colorado

Full/Part TimeOn Demand

Regular/TemporaryRegular

Why Work at Children's....

Here, it's different. Come join us. Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day. We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the nation's top 10 pediatric hospitals by U.S. News & World Report. As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties. Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat. That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through o A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

Job Overview

The Registered Nurse (RN) Case Manager develops, coordinates, implements and evaluates individualized patient care plans. The Case Manager collaborates with the patient, family, other healthcare team members, community providers, and community resources and payers, resulting in an appropriate level of care, placement, length of stay, follow up care, outcomes and reimbursement.

Additional Information

Department: Case Management Hours per week: varies based on unit needs Shift: Sunday through Saturday 0800 to 0001 as needed This position will provide Utilization Management support

Qualifications

EDUCATION - Bachelor of Science in Nursing (BSN) EXPERIENCE - Three years of nursing experience in a pediatric setting or three years of Case Management experience. Previous Utilization Review experience strongly preferred LICENSURE - Registered Nurse License.

Responsibilities

POPULATION SPECIFIC CARE No Direct Patient Care ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. Provides assessment, planning, facilitation, and advocacy for optimal clinical and financial outcomes. Collects and assesses relevant information, including but not limited to, medical needs, payer resources, family resources and community resources, in order to develop patient specific plans. Coordinates with the family in development of patient specific plans. Performs a variety of case management functions, including but not limited to, coordinating admissions from and transfers to referring facilities and providers, utilization review, discharge planning, transportation coordination and care coordination in a variety of clinical settings. Communicates and collaborates with internal and external resources across the continuum of care to meet patient, family and organizational goals. Advocates for the appropriate use of internal and external resources. Executes and documents activities and interventions designed to eet patient, family and organizational goals. Continuously reviews and modifies strategies, processes and interventions based on patient and environmental variability, to meet patient, family and organizational goals. Measures, interprets and utilizes data to advance clinical, quality, financial and patient outcomes and utilize resources effectively. Participates in departmental committees and projects as assigned.

Other Information

COMPETENCIES ADAPTABILITY - Maintaining effectiveness when experiencing major changes in work responsibilities or environment (e.g., people, processes, structure, or culture); adjusting effectively to change by exploring the benefits, trying new approaches, and collaborating with others... For full