Primary City/State:

Loveland, Colorado

Department Name:

Banner Staffing Services-WR

Work Shift:

Day

Job Category:

Clinical Care

Primary Location Salary Range:

In accordance with State Pay Transparency Rules.

Great careers are built at Banner. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote hybrid work options. Apply today.

Banner Plans Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.

As a RN Case Manager, you will work closely with the Primary Care Clinics you are assigned to respond to referrals from providers. You will work to optimize the care of the patient. This may include aligning home health, partnering with other departments, helping patients with decisions around care, and working with the care team to complete needed resources for care. You will round every other month in the clinics you are assigned.

As a RN Case Manager, your work will be primarily remote, with in-clinic rounding every other month in the clinics you are assigned. This remote hybrid role requires onsite work in Northern Colorado. This is a Monday-Friday, 8:00 a.m.-4:30 p.m. and 40 hour per week position. You will work as part of our Banner Staffing Services Group.

Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health. Learn more at https://youtu.be/Pu3VR3tGlw0

As a valued and respected Banner Health team member, you will enjoy:

Competitive wages

Paid orientation

Flexible Schedules (select positions)

Fewer Shifts Cancelled

Weekly pay

403(b) Pre-tax retirement

Resources for living (Employee Assistance Program)

MyWell-Being (Wellness program)

Discount Entertainment tickets

Restaurant/Shopping discounts

Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes employment, criminal and education) is required.

POSITION SUMMARY

This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.

CORE FUNCTIONS

Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.

Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.

Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.

Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.

Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.

Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.

May supervise other staff.

Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.

MINIMUM QUALIFICATIONS

Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.

Requires current Registered Nurse (R.N.) license in state worked. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.

Requires a proficiency level typically achieved with 2-3 years clinical experience. Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills. Must demonstrate ability to work effectively in an interdisciplinary team format. May have to take rotating call based on the acute facility need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.

PREFERRED QUALIFICATIONS

Certification for CCM (Certified Case Manager) preferred.

Additional related education and/or experience preferred.

Anticipated Closing Window (actual close date may be sooner):

2024-09-19

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability