Population Health RN Case Manager

Job Summary:

The Population Health RN Case Manager works collaboratively with physicians, interdisciplinary teams, patients, and families to promote positive patient outcomes. Performs a care continuum process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to support the individual's health needs, utilizing skilled communication, education, and resources to promote quality and cost-effective outcomes. Provides focused support to various areas such as utilization management, value-based performance team, emergency department, acute, ambulatory, and specialty care teams.

Duties include assessment to identify member needs and development of a specific care management plan to address past, present, and ongoing care needs. In conjunction with the Physician, implements care/treatment plan by coordinating access to health services across multiple providers/ disciplines, monitors care, makes determination to arrange transportation and transfer patient if indicated, identifies cost-effective measures, makes recommendations for alternative levels of care and utilization of resources, promotes medication management, telehealth/remote care options, self-care management and ensures paperwork is completed.

Key Responsibilities:

• Interfaces with Primary Care Physicians, Specialists, and various disciplines on the development of case management plans/programs.
• Monitors and evaluates the effectiveness of the case management plans and modifies as necessary.
• Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, value-based care, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.
• Acts as a clinical liaison, per their specialty, with outside agencies and facilities, outside providers, employers, and/or workers' compensation carriers and third-party administrators.
• Acts as a patient advocate and educator to ensure that the patient has the knowledge to care for his/her condition and the patient is educated and empowered to be responsible for participating in the plan of care.
• Prepares reports, communicates program changes to appropriate staff, and develops protocols per state regulations.
• Develops and updates training and educational materials and presents to appropriate staff, patients, and families.

Work Location:

Onsite- this role is expected to work onsite and is located in the Denver Metro, CO.

Why Join Us:

Community Practice Medicine, housed within the School of Medicine at the University of Colorado, is seeking trained medical professionals to join our growing team. With clinics spanning from Longmont to Castle Rock, we offer a wide variety of opportunities. Specialty areas include, but are not limited to: Orthopedics, Vascular Surgery, OBGYN, Internal Medicine, Urology, Psychiatry, and many more!

The University of Colorado Anschutz Medical Campus is a public education, clinical, and research facility serving 4,500 students and a world-class medical destination at the forefront of life-changing science, medicine, and healthcare. CU Anschutz offers more than 42 highly rated degree programs through 6 schools and colleges and receives over $500 million in research awards each year. We are the single largest health professions education provider in Colorado, awarding nearly 1,450 degrees annually. Powered by our award-winning faculty, renowned researchers, and a reputation for academic excellence, the CU Anschutz Medical Campus drives innovation from the classroom to the laboratory to the delivery of unparalleled patient care.

Why work for the University?

We have AMAZING benefits and offer exceptional amounts of holiday, vacation, and sick leave! The University of Colorado offers an excellent benefits package, including:

• Medical: Multiple plan options
• Dental: Multiple plan options
• Additional Insurance: Disability, Life, Vision
• Retirement 401(a) Plan: Employer contributes 10% of your gross pay
• Paid Time Off: Accruals over the year
• Vacation Days: 22/year (maximum accrual 352 hours)
• Sick Days: 15/year (unlimited maximum accrual)
• Holiday Days: 10/year
• Tuition Benefit: Employees have access to this benefit on all CU campuses
• ECO Pass: Reduced rate RTD Bus and light rail service

There are many additional perks & programs with the CU Advantage.

Qualifications:

Minimum Qualifications:

• Bachelor's degree in nursing, biological science, or a directly related field from an accredited institution.
• Two (2) years of registered nurse experience in a clinical/hospital setting.
• One (1) year of experience in case management in specialty area.

Substitution: A combination of education and related technical/paraprofessional experience may be substituted for the bachelor's degree on a year-for-year basis.

Preferred Qualifications:

• 3+ years registered nurse experience in a clinical/hospital setting.
• 2+ years of experience in case management in specialty area.
• Bilingual, Spanish-speaking.
• Nursing certification (ANCC) in specialty area.
• Kronos, Epic, and Health Stream Experience.

Conditions of Employment:

• Registered Nurse (RN), State of Colorado.
• Current Basic Life Support (BLS) for Healthcare Providers issued by the American Heart Association or the American Red Cross healthcare provider level CPR certification.
• Maintains all required licensures and certifications for the position.
• Maintains all required continuing education requirements.
• Must be able to work in person or have reliable internet for remote work, as approved.
• Must be able to travel/cover to alternate locations as assigned.

Knowledge, Skills, and Abilities:

• Ability to communicate effectively, both in writing and orally.
• Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.
• Outstanding customer service skills.
• Ability to effectively communicate at all levels, to include physicians, leadership, and staff within the various affiliate organizations (UCH, Children's Colorado, CU Medicine, CU SOM).
• Ability to work within large, complex healthcare systems.
• Ability to analyze and interpret data.

How to Apply:

For full consideration, please submit the following document(s):

1. A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position

2. Curriculum vitae / Resume

3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address

Questions should be directed to: Amanda Atencio, amanda.l.atencio@cuanschutz.edu

Screening of Applications Begins:

Immediately and continues until the position is filled. Best consideration will be given to those who apply within 07/13/25

Anticipated Pay Range:

The starting salary range (or hiring range) for this position has been established as

$81,040 to $97,248.

The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans, and retirement contributions that add to your bottom line.

Total Compensation Calculator: http://www.cu.edu/node/153125

Equal Employment Opportunity Statement:

The University of Colorado (CU) is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.

Background Check Statement:

The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students, and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine-preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety-sensitive job duties, you must enroll in the occupational health medical surveillance program.