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Registered Nurse Case Manager – PRN (as needed) – JOB# 1266

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Estes Park Health in Estes Park Colorado, is a strong independent community owned health care provider that offers comprehensive care comprised of skilled, compassionate caregivers. We are a non-profit critical access resource in our mountain community, providing the full spectrum of care for our friends, neighbors and visitors, from pediatrics to geriatrics. With a persistent dedication to patient-focused care, we continue to score high in patient satisfaction surveys.

Estes Park Health serves the entire Estes Park Valley and Rocky Mountain National Park. It integrates acute and emergency care with community health, which includes the full range of diagnostic and therapeutic health care through medical and surgical services; a 23-bed critical access acute care facility, a 24-hour emergency department with ambulance service and air transport; primary care and specialty clinics; home health and hospice; and Urgent Care Services.

Benefits of Living in Estes Park:

  • Very desirable, resort-style living minutes from Rocky Mountain National Park (gateway to RMNP).
  • Year-round destination entices adventurers, explorers, and photographers.
  • Hiking, backpacking, cycling, mountain biking, back country skiing, rock climbing, and kayaking.
  • Maintain healthy work-life balance!

The RN Case Manager is responsible for utilization review and utilization management for patients requiring observation and inpatient care at EPH. These duties are carried out in conjunction with the Medical Social Worker.

SHIFT:

PRN(as needed), shifts and hours will vary. *The shift and hours listed above may be subject to temporary or permanent change at any time according to the needs required to provide excellent and full services to our customers during employment.

POSITION REQUIREMENTS:

  • Required: Associates Degree in Nursing
  • Preferred: Bachelor’s Degree in Nursing
  • Current Colorado RN license
  • Required: 3-5 years Acute Care Nursing
  • Required: 1-2 years Utilization Review and quality data collection and reporting
  • American Heart Association BLS.
  • Preferred: Certification in UM or UR, must have within 12 months of hire

DUTIES:

  • Performs utilization review for all patients utilizing software and other utilization management tools.
  • Collaborates with physicians and provides information and education pertinent to medical necessity, patient conditions and corresponding utilization criteria.
  • Oversees medical necessity documentation, data collection, and analysis. This includes collaboration with providers to optimize documentation.
  • Interacts and collaborates with third party payers to facilitate the provision of clinical patient information.
  • Reviews admissions and provides consultative recommendations related to placement and admission criteria
  • Coordinates the Swing Bed Program. Ensure all CMS and state regulations are met.
  • Establishes effective working relationships with Estes Park Health (EPH) staff, referral agencies, and other facilities with whom EPH receives and transfers patients to coordinate resources and services.
  • Collaborates with the RN Case Manager to ensure receiving agencies/facilities receive appropriate patient information to facilitate continuity of care.
  • Participates in patient/family care conferences.
  • Facilitates education to optimize patient’s discharge plan.
  • Collaborates with the RN Case Manager to assess discharge planning needs of patients, taking into consideration their emotional, physical, mental and spiritual needs and involving the family if appropriate.
  • Chair the Utilization Management Committee
  • Perform in accordance with all local, state, and federal laws and regulatory agency standards
  • All other duties as assigned.

Base Pay $33.15 – 45.47 +PRN differential

A Unique Retirement Plan for you!

All employees are enrolled in a Money Purchase Pension Plan 401(a) which replaces Social Security contributions.  You control the investments on-line yourself or with you financial advisor to help it grow.  We also offer a 457(b) plan for you to ad additional funds to your investments.

We offer a full range of benefits to fit your needs and family for full time and part time employees!

  • Medical – Choose from a HSA or PPO medical plan with pre-tax spending accounts.
  • Dental – An affordable all-inclusive services plan.  No need to choose from 2 or 3 options.
  • Vision – Just for you or your whole family.
  • Paid Time Off – Personal and sick leave immediately available as accrued each pay period.
  • Medical Transport – Add MASA as a supplemental for both Air and Ground usable in all 50 states.
  • Accident and Critical Illness – For those unexpected life issues that may happen. Cash payouts to you.
  • Term Life and AD&D INS. – Free to full and part time employees.
  • Voluntary Life Ins. – Additional coverage for you to purchase for yourself, spouse and or children.
  • Short Term Disability – 2 levels to purchase for your needs.
  • Long Term Disability – Free to you while employed.
  • Employee Assistance Program – A comprehensive program for you and your family member which includes a national provider network for counseling services, life balance services, legal and financial services.

For more information about this opportunity call Human Resources at 970-577-4458 Monday-Friday 9am-4pm (MST) or e-mail questions to jobs@eph.org.

Equal Opportunity Employer: In compliance with federal law, including the provisions of Title VII of the Civil Rights Act of 1964, Section 503 and 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, EPH does not discriminate on the basis of race, sex, religion, color, national or ethnic origin, age, disability, or military service in its administration of policies, programs, activities or employment. In addition, EPH does not discriminate on the basis of sexual orientation or gender identity.

The descriptions above are listed as is at the time of posting and could change as needed at any time in accordance with state, local and federal laws.