Talent.com
RN Coordinator, Transition of Care Denver Health Medical Plan ( Must Live In Colorado )
RN Coordinator, Transition of Care Denver Health Medical Plan ( Must Live In Colorado )Denver Health and Hospital Authority • Denver, Colorado, USA
RN Coordinator, Transition of Care Denver Health Medical Plan ( Must Live In Colorado )

RN Coordinator, Transition of Care Denver Health Medical Plan ( Must Live In Colorado )

Denver Health and Hospital Authority • Denver, Colorado, USA
3 days ago
Job type
  • Full-time
Job description

We are recruiting for a motivated RN Coordinator Transition of Care - Denver Health Medical Plan (

  • Must Live In Colorado
  • ) to join our team!

We are here for lifes journey.

Where is your life journey taking you

Being the heartbeat of Denver means our heart reflects something bigger than ourselves something that connects us all :

Humanity in action Triumph in hardship Transformation in health.

Department

Managed Care Administration

Remote Opportunity For Colorado Residents Only

Job Summary

Under general supervision the Transition Care Coordinator (RNCC) is responsible for facilitating and coordinating the care delivered to an assigned group of members through multidisciplinary and member / family collaboration to ensure quality and cost effective outcomes are delivered within appropriate care coordination parameters. Coordination involves assessment planning support and evaluation of member care and related outcomes. Activities to be performed are screening and assessment of medical behavioral health and social determinants needs and gaps in care collaboration with the Member to develop a care plan with SMART (SMART goals are : Specific Measurable Attainable Relevant and Timely) goals periodic outreach within defined timeframes to support member in achieving their goals and supporting the Members self-efficacy to navigate systems. RNCC communicates closely with the Members care team inclusive of : the member the members designated health representatives primary care provider behavioral health providers and other care coordinators involved with the Members care.

Essential Functions :

  • Use DHMP Care Management protocols and critical thinking to assess identify opportunities to improve Member healthcare outcomes collaboratively set SMART goals with the Member develop a care plan with interventions and support and enable the Member to achieve their goals and independently navigate needed services to improve overall health outcomes. (10%)
  • Visit members with complex needs in community based settings including community centers hospitals or providers offices. (10%)
  • Provide a complete continuum of quality care through close communication with members via in-person phone or electronic interaction. (10%)
  • Support members with education relevant to their disease process medication reviews and connections to community resources such as food housing or financial support programs. (10%)
  • The RNCC will work with members with complex needs prioritize care management and work with a multidisciplinary team to support the needs of the Members on their caseloads. (10%)
  • Document in readable understandable language according to professional regulatory and agency standards. (10%)
  • Document and disseminate results of care to member caregivers and others involved in the care or situation as appropriate in accordance with contractual requirements state and federal laws regulatory requirements and Denver Health policy. (10%)
  • RNCC will be responsible for a defined caseload of Members identified as needing Complex Care Management (CCM) or Population Health Management / Disease Management (PHM) services. (10%)
  • Members meet the threshold for CCM by meeting defined threshold conditions including multiple chronic physical health and / or behavioral health conditions polypharmacy high costs of care avoidable use of high cost services and / or associated social health disparities. (10%)
  • Members meet the threshold for PHM by having at least one of several defined conditions including a chronic physical or behavioral health condition like diabetes or depression; a person with special health care needs; high-risk pregnancy or other identified condition. (10%)
  • Education :

  • Associates Degree Nursing required
  • Work Experience :

  • 1-3 years of clinical experience in a hospital acute care home health / hospice direct care or case management required required
  • 1-3 years of experience in care coordination or case management required
  • Licenses :

  • RN-Registered Nurse - DORA - Department of Regulatory Agencies required and
  • BLS-Basic Life Support (BLS / CPR) - AHA - American Heart Association or American Red Cross required
  • Knowledge Skills and Abilities :

  • Must have reliable transportation to travel to community-based locations within the Denver-metro area.
  • Bilingual ability English / Spanish.
  • Problem solving skills; the ability to systematically analyze problems draw relevant conclusions and devise appropriate courses of action.
  • Ability to communicate verbally and in writing complex or technical information in a manner that others can understand as well as ability to understand and interpret complex information from others.
  • Knowledge of health plan case management care coordination or member navigation.
  • Medicaid and Medicare Managed Care knowledge.
  • Skills working with the needs of vulnerable populations who have chronic or complex bio-psychosocial needs.
  • Knowledge and understanding of case management / coordination of care principles programs and processes in either a hospital or outpatient healthcare environment.
  • Ability to collaboratively support team members and / or staff to achieve pre-determined goals. Effectively collaborate with and respond to varied personalities in differing emotional conditions and maintain professional composure at all times. Strong customer service orientation and aptitude required.
  • Shift

    Days (United States of America)

    Work Type

    Regular

    Salary

    $84968.00 - $131705.60 / yr

    Benefits

    Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5% and generous medical plans

    Free RTD EcoPass (public transportation)

    On-site employee fitness center and wellness classes

    Childcare discount programs & exclusive perks on large brands travel and more

    Tuition reimbursement & assistance

    Education & development opportunities including career pathways and coaching

    Professional clinical advancement program & shared governance

    Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program

    National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

    Our Values

    Respect

    Belonging

    Accountability

    Transparency

    All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made.

    Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.

    As Colorados primary and essential safety-net institution Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.

    Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

    Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.

    Applicants will be considered until the position is filled.

    Required Experience :

    IC

    Key Skills

    EMR Systems,Employee Relations,Typing,Patient Care,Clerical Experience,HIPAA,Computer Skills,EMT Experience,Medical Terminology,Transcription,Epic,Phone Etiquette

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

    Monthly Salary Salary : 84968 - 131705

    Create a job alert for this search

    Transition Coordinator • Denver, Colorado, USA

    Related jobs
    MDS Coordinator (Registered Nurse / RN)

    MDS Coordinator (Registered Nurse / RN)

    Life Care Center of Littleton • Littleton, CO, US
    Full-time
    Must have MDS experience and will be part of Nursing On Call rotation.Life Care Center of Littleton and we have a lot to be proud of! We are the recipients of the 2018 Silver – Achievem...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,836 per week in Denver, CO

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,836 per week in Denver, CO

    TravelNurseSource • Denver, Colorado, US
    Full-time
    TravelNurseSource is working with GO Healthcare Staffing to find a qualified ICU / Critical Care RN in Denver, Colorado, 80220!. The ideal candidate must have at least 2 years of experience, with acti...Show more
    Last updated: 2 days ago • Promoted
    Travel RN Medical Progressive Care

    Travel RN Medical Progressive Care

    UC Health • Denver, CO, United States
    Full-time
    UCHealth Anschutz Inpt Pavilion, US : CO : Aurora.High Acuity Medical Progressive Care Unit (MPCU).CO RN license or eNLC privileges. BLS - BLS through the American Heart Association or the American Red ...Show more
    Last updated: 1 hour ago • Promoted • New!
    Travel RN Acute Care BMT

    Travel RN Acute Care BMT

    UC Health • Denver, CO, United States
    Full-time
    UCHealth Anschutz Inpt Pavilion, US : CO : Aurora.Day & Night Rotation or Nights.CO RN license or eNLC privileges.BLS - BLS through the American Heart Association or the American Red Cross CPR for the ...Show more
    Last updated: 3 hours ago • Promoted • New!
    RN

    RN

    Clear Creek Care Center • Westminster, CO, United States
    Full-time
    Increase Your Pay Even More With Our Mod Comp Plan.Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, ...Show more
    Last updated: 30+ days ago • Promoted
    CRNA Locums need in Colorado

    CRNA Locums need in Colorado

    Locums Choice • Denver, CO, United States
    Full-time
    Job Summary : Locums Choice seeks a CRNA for coverage in Colorado.Candidates must be Board Certified.Must be comfortable with spinals 12hr night call shifts available 6 month assignment with possibi...Show more
    Last updated: 30+ days ago • Promoted
    CRNA - Anesthesiology job available in Denver, Colorado

    CRNA - Anesthesiology job available in Denver, Colorado

    WPA Medicine Staffing • Denver, CO, US
    Full-time
    A respected facility in Denver, Colorado is seeking CRNA or CAA coverage for an ongoing assignment starting January 2026. This opportunity offers flexibility, full travel coverage, and a chance to w...Show more
    Last updated: 2 days ago • Promoted
    RN - Long Term Care in Denver, Colorado - $1,974 / week

    RN - Long Term Care in Denver, Colorado - $1,974 / week

    VETTED • Denver, CO, United States
    Full-time
    Vetted is seeking a RN - Long Term Care for a travel job in Denver, Colorado.The job was posted 26 days ago.The assignment starts on ASAP and is 52 weeks long with 13 hour shifts 3 days a week.You ...Show more
    Last updated: 5 days ago • Promoted
    Unit Care Coordinator (Registered Nurse / RN)

    Unit Care Coordinator (Registered Nurse / RN)

    Berkley Manor Care Center • Denver, CO, United States
    Full-time
    At Berkley Manor Care Center you will find a family, not just a job.We take pride in working together as a team.Our goal is to provide the best care and environment to our residents.This is a great...Show more
    Last updated: 5 days ago • Promoted
    Travel Nurse RN - Cardiovascular Intensive Care Unit - $1,922 per week in Aurora, CO

    Travel Nurse RN - Cardiovascular Intensive Care Unit - $1,922 per week in Aurora, CO

    TravelNurseSource • Denver, Colorado, US
    Full-time
    TravelNurseSource is working with OneStaff Medical to find a qualified CVICU RN in Aurora, Colorado, 80045!.An independently-owned, nationally-recognized and amazingly awesome staffing firm ready t...Show more
    Last updated: 30+ days ago • Promoted
    RN Coordinator

    RN Coordinator

    Personal Assistance Services of Colorado • Denver, CO, United States
    Full-time
    Monthly performance bonus : Percent-to-goal, paid for meeting PASCO Nurse Coordinator metrics, including for IHSS roles.Full benefits (health insurance, vision, PTO, sick / wellness leave, weekly pay ...Show more
    Last updated: 5 days ago • Promoted
    Travel RN Medical Progressive Care

    Travel RN Medical Progressive Care

    UCHealth • Lakewood, CO, US
    Full-time +1
    UCHealth Anschutz Inpt Pavilion, US : CO : Aurora.High Acuity Medical Progressive Care Unit (MPCU).CO RN license or eNLC privileges. BLS - BLS through the American Heart Association or the American Red ...Show more
    Last updated: 11 hours ago • Promoted • New!
    RN

    RN

    Crestmoor Care Center • Denver, CO, United States
    Full-time
    Increase your pay even more with our Mod Comp Plan.Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, ...Show more
    Last updated: 30+ days ago • Promoted
    RN

    RN

    Allison Care Center • Lakewood, CO, United States
    Full-time
    Increase Your Pay Even More With Our Mod Comp Plan.Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, ...Show more
    Last updated: 30+ days ago • Promoted
    RN

    RN

    Uptown Healthcare Center • Denver, CO, United States
    Full-time
    Increase Your Pay Even More With Our Mod Comp Plan.Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, ...Show more
    Last updated: 30+ days ago • Promoted
    RN Coordinator, Transition of Care - Denver Health Medical Plan ( • Must Live In Colorado •)

    RN Coordinator, Transition of Care - Denver Health Medical Plan ( • Must Live In Colorado •)

    Denver Health • Denver, CO, United States
    Full-time
    We are recruiting for a motivated RN Coordinator, Transition of Care - Denver Health Medical Plan ( • Must Live In Colorado •) to join our team!. We are here for life's journey.Where is your life jou...Show more
    Last updated: 4 days ago • Promoted
    RN Clinical Coordinator Emergency Room

    RN Clinical Coordinator Emergency Room

    Unavailable • Westminster, CO, United States
    Full-time +1
    At CommonSpirit Mountain Region, we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.Anthony North Hospi...Show more
    Last updated: 5 days ago • Promoted
    Utilization Review Coordinator / Outpatient Nurse (RN) - Behavioral Health Setting

    Utilization Review Coordinator / Outpatient Nurse (RN) - Behavioral Health Setting

    Universal Health Services, Inc. • Highlands Ranch, CO, United States
    Full-time
    Highlands Behavioral Health System.Highlands features individual units for adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient progr...Show more
    Last updated: 5 days ago • Promoted