Complex Case Manager Care Coordination

About the role

• Primary City/State: Greeley, Colorado
• Department Name: Case Mgmt-Hosp
• Work Shift: Day
• Job Category: Clinical Care

The future is full of possibilities. At Banner Health, we're excited about what the future holds for health care. That's why we're changing the industry to make the experience the best it can be. If you're ready to change lives, we want to hear from you.

What You'll Do

• Manage a caseload of 20-25 patients with complex medical and psychosocial needs
• Develop discharge plans for the most challenging cases in the hospital
• Collaborate with physician and hospital leadership to drive results
• Serve as a resource to peers on discharge planning

You're a Great Fit If You

• Have acute hospital case management experience
• Are a strong critical thinker who solves problems creatively
• Communicate and influence effectively at all levels
• Thrive in a fast-paced, flexible environment

Perks Include

• 6 major holidays off
• High autonomy with direct access to leadership
• Meaningful, complex work that impacts patient outcomes

Schedule

• Full Time/ 40 Hours
• Monday-Friday
• 5 Eight hour shifts
• No Weekends or Holidays

Banner North Colorado Medical Center is a 378-bed Level II trauma center and acute care facility with over 3000 employees. Our hospital offers an array of inpatient and outpatient services including medical, pediatric, obstetric, orthopedic, surgical, heart, cancer, and critical care.

As a regional medical center, we provide community-based and specialty services for a service area that includes southern Wyoming, western Nebraska, western Kansas, and northeastern Colorado. In order to provide the most compassionate and innovative care possible, we bring together state-of-the-art technology and an exceptional team of health care professionals.

The Banner MD Anderson Cancer Center is amongst Northern Colorado's leading cancer diagnosis and treatment facilities for the healthcare professional, our Greeley, Colorado location offers access to a wide variety of recreational activities in an inviting, close-knit community.

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

RN: 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.

Social Worker: Requires a Master's Degree in Social Work. Requires a Licensed Master Social Worker (LMSW) (equivalent*) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master's Degree and be a Licensed Social Worker.

For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.

• Requires a proficiency level typically achieved with 2 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.
• For Case Management positions in acute facilities, 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.

Estimated Pay Range

$36.08 - $60.13 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package.

Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

Anticipated Closing Window (actual close date may be sooner)

2027-03-04