RN Case Manager

Job Description

A Day in the Life of an RN Case Manager:

The RN Case Manager role integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. The nurse has knowledge of and utilizes appropriate age-related patient care protocols relating to the physical and psychological needs of neonatal, pediatric, adolescent, adult and geriatric patients.

Why Work at Cheyenne Regional?

ANCC Magnet Hospital

403(b) with 4% employer match

21 PTO days per year (increases with tenure)

Education Assistance Program

Employer Sponsored Wellness Program

Employee Assistance Program

Loan Forgiveness Eliguible

Here Is What You Will Be Doing:

Coordinates development, implementation, monitoring and modifying of an individual’s plan of care through an interdisciplinary and collaborative team process.

Manages individuals with focus on high risk individuals/populations across the continuum of care.

Participates in resource/utilization management by maintaining expertise on benefits, reimbursement and contract/regulation changes of managed care, Medicare, Medicaid and commercial payers to allow optimization of reimbursement on a case-by-case basis.

Documents InterQual criteria in clinical terms in patient’s record to validate patient meets criteria for admission, continued stay and discharge.

Coordinates patient/family conferences for patients with extended length of stay or complicated needs as indicated.

Identifies, analyzes, and reports Case Management findings to facilitate performance improvement through accurate preparation and maintenance of reports, records and statistics.

Coordinates and communicates care and continuum planning in collaboration with the patient, family, physician, members of the multidisciplinary team and payers assuring that individuals are treated at the appropriate level of care across the continuum.

Desired Skills:

Ability to communicate effectively and interact positively with patient, patient’s family, staff and physicians so as to promote positive patient care

Ability to function independently. Computer knowledge

Ability to adapt to flexible work routine/schedule

Knowledge of the hospital structure, nursing policy and procedures, billing process, and Carepaths

Here Is What You Will Need:

Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC)

Three (3) or more years of nursing experience in a hospital setting

Cheyenne Regional AHA RQI within 14 calendar days of start date

Nice To Have:

Bachelor’s degree from an accredited school of nursing

Case Management certification

About Cheyenne Regional:

Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of Integrity, Caring, Compassion, Respect, Service, Teamwork and Excellence to I.N.S.P.I.R.E. great health.

Full-time