Centura Health

Denver, Colorado, United States

RN Case Manager / Utilization Review

Posted over 1 month ago

Job Description

Welcome to Centura Health

Welcome to Centura Health - the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.

Pay Range

$33. 43 - $47.09/hr

Flourishing Begins Here

You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

As a Case Manager at Centura Health, you'll advocate for patients while collaborating closely with interdisciplinary health care partners, facilities and families to ensure the best possible care experience from admission through discharge and beyond by connecting patients to resources that help them maintain and build on positive outcomes.

Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible for assuring medical appropriateness criteria are met for status and level of care.

What You Bring/Job Requirements

In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:

  • Nursing Diploma or Associates Degree in Nursing required; BSN preferred
  • RN License in Applicable State of Employment required
  • 1 year of nursing or case management experience required.
  • Experience working with EMR preferred.
  • Working knowledge of regulatory requirements and accreditation standards strongly preferred.
  • BLS from the American Heart Association preferred

Physical Requirements - Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)

Your Connected Community

When people and places align, incredible things happen. Just like the 21,000+ amazing associates who work here, every community within Centura Health's connected ecosystem has its own unique history, story and personality. Located in central Denver's historic Washington Park residential neighborhood, associates at Porter Adventist Hospital enjoy beautiful surroundings, leading technology, outstanding leadership and easy access to everything great central Denver has to offer. As a full-service Magnet designated, 368-bed acute-care referral center specializing in cancer care, joint replacement, spinal care and advanced robotic surgery, Porter Adventist Hospital treats some of the region's most complex medical cases and surgical patients. Our Heart and Vascular Institute is the first and only program in Colorado to receive full Heart Failure Accreditation status from the Society of Cardiovascular Patient Care. We have also received numerous awards and honors including: 100 Greatest Hospitals in America by Becker's Hospital Review for 3 years in a row (2015-2017); named as one of the top two hospitals in Colorado by U.S. News and World Report; recipient of the Healthgrades Distinguished Hospital Award-Clinical Excellence for 3 years in a row (2015-2017); one of Healthgrades America's 100 Best Hospitals for Joint Replacement for 2 years in a row (2016-2017), and many others.

Caring for Your Whole Well Being

We're committed to delivering whole person care and understand that a comprehensive benefits package will enrich the lives of our associates at work and at home. At Centura Health, we offer incredible benefits that impact mind, body, and spirit to eligible associates. Our total rewards are designed with your well-being in mind and may include:

  • 401K, which includes matching when eligible
  • Three Health Insurance Plan Options including covering eligible dependents
  • Two Dental Insurance Plan Options including covering eligible dependents
  • Vision Insurance including covering eligible dependents
  • Daycare & Medical Flexible Spending Account Options
  • Leaves of Absence, Short Term Disability, and Long Term Disability
  • Life Insurance and Spouse & Child/Dependent Life Insurance Coverage Options
  • Voluntary Benefits including Hospital Indemnity Coverage, Critical Illness, Accident, Permanent Life insurance, and Norton LifeLock
  • Paid Time Off
  • Shift Differentials
  • Employee Wellness Resources
  • Employee Assistance Programs
  • Tuition Reimbursement
  • Relocation assistance based on location
  • Associate Discounts for Phone, Cell Phone Plans, Auto Insurance, Home Insurance, Auto Buying, Pet Insurance, and much more...

The pay rate for this position is listed above and varies based on experience, skills, and comparison to others who are already in this role. *If you do not see the pay range for this position listed, you are on a third party job board. All of our pay ranges are clearly posted on our careers site www.centura.org/careers. Please visit our Careers page and apply today!

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