As a member of Kaiser Permanente Colorado's team, you'll be proud of the contributions you make every day. From our financial professionals and IT team members to our RNs and physicians on the front line of care-we work together to advocate the health and well-being of our members, colleagues, and communities. And we do it all in an environment known for breathtaking scenery. Maintaining a close relationship with the natural beauty that surrounds them, the cities of Denver, Boulder, Longmont, and Colorado Springs offer something for everyone-from historic districts to family neighborhoods to world-class ski resort trails. Prepare to be inspired.

Practices professional nursing by the performance of both independent nursing functions & delegated medical functions in accordance w/ accepted practice standards. Such functions include the initiation & performance of nursing care through health promotion, supportive or restorative care, disease prevention, diagnosis & treatment of human disease, ailment, pain, injury, deformity, & physical or mental condition using specialized knowledge, judgment, & skill involving the application of biological, physical, social, & behavioral science principles. CRS 12-38-103 (10). Makes members/patients & their needs a primary focus of one's actions; develops & sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, & needs. Builds rapport & cooperative relationship w/ members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs & resolves problems.

Essential Functions:
- (Adopted from Colorado State Nurse Practice Act CRS 12-38-103) Evaluating health status through the collection & assessment of health data CRS 12-38-103 (10)
- Providing therapy & treatment that is supportive & restorative to life & well being either directly to the patient or indirectly through consultation with, delegation to (per Colorado State Board of Nursing rules & regulations for delegation), supervision of, or teaching others
- Referring to medical or community agencies per KP guidelines those patients who need further treatment, evaluation, or assistance
- Review & monitor therapy & treatment patient plans
- Initiate appropriate consultations and/or actions accordingly
- facilitates the coordination & integration of care between health care services; manages populations of patients to ensure appropriate utilization of health care resources
- Leads health care team by influence & role modeling integrated effective nursing practice, service, innovation & providing outstanding support for physician practices
- Patient advocate
- Specialty Responsibilities Clinical responsibilities include proactive monitoring, assessment, education & follow-up of patients enrolled in care management to maintain or improve clinical outcomes
- Develops individualized nursing care plans, involving patients & their families in self-care practices using motivational & behavioral change modalities
- Coordinates care w/ primary providers & the health care team
- Additional duties include coordinating components of the Disease Management program at assigned medical offices, teaching diabetes classes, supporting diabetes focus clinics, staff & provider education, planning w/ primary care teams as population management strategies are developed, which may include group visits, outreach strategies for at risk patients, & panel management support to providers
- Maintains the population management database
- In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives
- Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors

Basic Qualifications:
- Experience w/ diabetes in an acute or ambulatory care setting
- Experience working w/ patients w/ chronic conditions over time
- Applicant must be a graduate of board approved RN program & completed a minimum of 750 clock hours of faculty planned clinical experience & guided learning activities which required direct supervision by faculty, associate nursing instructional personnel (ANIP) or preceptor who is physically present or immediately accessible
- Currently licensed as a RN in the State of Colorado
- National Provider Identifier (NPI) & Taxonomy code required at time of hire
- Working knowledge of patient care management, including collaboration, negotiation, coordination of care w/ team members, & utilizing motivational & behavioral change theories to empower patients
- Advanced physical assessment skills
- Working knowledge of databases & word processing programs
- Strong organization & history taking skills
- Demonstrated customer service skills, customer focus abilities & the ability to understand KP customer needs


Preferred Qualifications:
- Bachelor's degree desirable
- MS Excel and databases are used daily to be successful in this position
- Virtual clinic and panel management experience preferred
- Master's degree or other advanced nursing degree strongly preferred
- CDE strongly preferred




Primary Location: Colorado-Denver

Scheduled Hours (1-40): 40

Shift: Variable

Working Days: Mon - Fri

Working Hours Start: 7:30 AM variable

Working Hours End: 6:45 PM variable

Schedule: Full-time

Job Type: Standard

Employee Status: Regular

Employee Group: UFCW - Local 7

Job Level: Individual Contributor

Job: QA / UR / Case Management

Public Department Name: Disease Management

Travel: Yes, 10% of the time

Job Eligible for Benefits: Yes

External hires must pass a background check/drug screen. We are proud to be an equal opportunity/affirmative action employer.