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Catastrophic Case Manager Jobs in Colorado (NOW HIRING)

Nurse Disease Management I

Denver, CO · On-site

$70K - $110K/yr

Refers member to catastrophic case management. Minimum Requirements: * Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or ...

Nurse Disease Management I

Littleton, CO · On-site

$70K - $110K/yr

Refers member to catastrophic case management. Minimum Requirements: * Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or ...

Nurse Disease Management I

Denver, CO · On-site

$70K - $110K/yr

Refers member to catastrophic case management. Minimum Requirements: * Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or ...

The work includes catastrophic personal injury and wrongful death, trucking and transportation ... We also continue to invest in AI enabled legal resources, modern case management systems, research ...

The work includes catastrophic personal injury and wrongful death, trucking and transportation ... We also continue to invest in AI enabled legal resources, modern case management systems, research ...

The practice encompasses general liability, product liability, premises liability, and catastrophic ... Manage a caseload of 10-20 matters * Actively investigate claims and prepare case handling ...

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Catastrophic Case Manager information

What is a catastrophic case manager?

Catastrophic Case Managers are healthcare professionals who coordinate and manage care for patients with severe, life-altering injuries or illnesses, such as traumatic brain injuries, spinal cord injuries, or complex medical conditions. Their primary role is to help patients and their families navigate the healthcare system, ensuring access to necessary treatments, rehabilitation, and support services. They work closely with medical providers, insurance companies, and community resources to develop and implement comprehensive care plans that promote recovery, improve quality of life, and control costs.

How does a catastrophic case manager typically collaborate with healthcare providers and families to ensure optimal patient outcomes?

Catastrophic Case Managers play a vital role in coordinating care for individuals with severe injuries or illnesses. They work closely with physicians, nurses, therapists, and social workers to create and monitor comprehensive care plans tailored to each patient's needs. Regular communication with both healthcare providers and the patient's family is essential to address medical, emotional, and logistical challenges. By serving as a central point of contact, Catastrophic Case Managers help ensure that all parties are aligned and that resources are used effectively to support recovery and quality of life.

What are the key skills and qualifications needed to thrive as a catastrophic case manager, and why are they important?

To thrive as a Catastrophic Case Manager, you need a strong background in nursing or social work, extensive knowledge of complex medical conditions, and relevant licensure (such as RN or LCSW). Familiarity with case management software, medical billing systems, and industry certifications like CCM (Certified Case Manager) are often required. Exceptional communication, problem-solving, and empathy are vital soft skills for coordinating care and supporting patients and families through challenging situations. These skills ensure comprehensive and effective case management, leading to improved patient outcomes and cost-effective care.

What is the difference between Catastrophic Case Manager vs Medical Case Manager?

AspectCatastrophic Case ManagerMedical Case Manager
CredentialsTypically requires licensure (e.g., RN, LCSW), certifications (e.g., CCM, CRC)Often requires RN, LPN, or social work licensure; certifications like CCM are common
Work EnvironmentHospitals, insurance companies, catastrophic injury settingsHospitals, clinics, insurance companies, community health
Employer & IndustryInsurance firms, healthcare providers, government agenciesHealthcare organizations, insurance companies, community services

While both roles involve coordinating patient care, Catastrophic Case Managers focus on severe injury cases requiring intensive management, whereas Medical Case Managers handle a broader range of medical cases. The key differences lie in case complexity and the specific settings they work in.

What are popular job titles related to Catastrophic Case Manager jobs in Colorado?

For Catastrophic Case Manager jobs in Colorado, the most frequently searched job titles are:

What cities in Colorado are hiring for Catastrophic Case Manager jobs?

Cities in Colorado with the most Catastrophic Case Manager job openings:

RN Case Manager - Care Ally

Brush, CO • On-site


Duly Health and Care
Health Care and Social Assistance • 5 - 10K employees

7.0

Company rating: 7.0 out of 10

Based on 113 frontline employees who took The Breakroom Quiz

422nd of 896 rated healthcare providers

People enjoy working here

Recommended by parents

Respectful managers


Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 18 days ago


Job description

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.
With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.
Benefits:
• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
RN Case Manager - Care Ally - Elmhurst
  • Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed

The RN Case Manager - Care Ally works in collaboration with physicians, patients and families to promote quality outcomes for patients with complex medical needs. The Case Manager is responsible for increasing efficient utilization of health care services; identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines. The Case Manager is responsible for managing patients in all health care settings to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care. The Nurse Case Manager acts as an advocate through the coordination and communication with the health care team and family regarding care planning and implementation of recovery goals. In addition, the case manager will assess and coordinate resources available to patients and maximize the use of health care benefits.
  • Analyze data collected from the predictive modeling tools to identify eligible patients for the Case Management Program.
  • Enroll and manage a case load of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements.
  • Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements. In addition, complete all documentation, member communications, and case closures per policies and procedures.
  • Proficient in knowledge of current Case Management Standards
  • Coordinate Health Care Services with appropriate physicians and health care providers.
  • Manage and provide a comprehensive summary and log of all active Case Management Cases as required by the UM/QA Committee and/or Health Plan.
  • Act as a resource for Utilization Management Staff, physicians, office staff and Patients.
  • Assist with the evaluation and amendment of Case Management Policy and Procedures
  • Attend continuing education sessions and training relating to your job functions as required.
  • Perform additional duties/tasks as assigned.

Qualifications:
If you are committed to putting our patients first and helping shape the future of care, you belong at Duly.
LICENSURE/CERTIFICATION:
  • Must be an active Registered Nurse License in the State of Illinois in good standing.
  • Certification in Case Management, preferred.
  • Current CPR certification must be maintained (BLS).

EDUCATION:
  • Associate's degree in nursing required; Bachelor's degree in nursing preferred.

EXPERIENCE:
  • 2-4 years of experience working within the primary care or hospital setting as a Registered Nurse.
  • Previous experience working within case management preferred.

The compensation for this role includes a base pay range of $ 67K-101K with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.


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