Nurse Manager Case Management

Overview

• Lead case management operations in a dynamic healthcare setting, ensuring patient-centered outcomes and regulatory compliance.
• Oversee utilization review, discharge planning, and transitions of care to optimize patient flow and resource utilization.
• Collaborate with interdisciplinary teams to enhance care quality and streamline reimbursement processes.
• Provide clinical leadership and operational oversight, supervising staff and driving quality improvement initiatives.
• Serve as a liaison for providers, staff, payers, and community partners to ensure seamless care delivery.
• Work in a supportive environment that combines small-town warmth with advanced medical expertise.
• Enjoy comprehensive benefits, including housing assistance and discounted ski passes.
• Be part of a team with a high retention rate and a strong sense of community.

Key Responsibilities & Duties

• Manage daily operations of case management, including utilization review and discharge planning.
• Supervise and mentor case management staff, fostering professional growth and development.
• Collaborate with interdisciplinary teams to ensure high-quality, patient-centered care.
• Drive quality improvement initiatives to enhance patient outcomes and operational efficiency.
• Ensure compliance with regulatory standards and optimize reimbursement processes.
• Act as a clinical resource for staff, providers, and community partners.
• Facilitate safe and efficient care transitions across the continuum of care.
• Utilize EPIC systems for effective case management and documentation.

Job Requirements

• Bachelor of Science in Nursing (BSN) required; Master's in Nursing (MSN) preferred.
• Unrestricted RN license in Colorado or ability to obtain before start date.
• Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications required.
• Minimum of 2 years' experience in case management or utilization review roles.
• Preferred 4 years' experience in nursing leadership and familiarity with EPIC systems.
• Bilingual in Spanish and Pediatric Advanced Life Support (PALS) certification preferred.
• Strong knowledge of regulatory standards and quality improvement practices.
• Exceptional communication and collaboration skills to work with diverse teams.