Case Manager Care Coordination

Banner Health; Mesa (AZ); On-site; USD 78,000 - 102,000; Full time

Job summary

Banner Health in Mesa, AZ seeks a Case Manager Care Coordination to provide comprehensive care coordination for hospitalized patients. The role covers initial assessments, daily rounds, discharge planning communication, and delegation to a transitional care team across multiple units.

The position requires RN licensure or MSW/LCSW/LMSW certification with licensure within 6 months. BLS certification is required; full-time schedule includes day shifts with weekend rotations on a large,

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 and a Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW) or MSW with licensure within 6 months of hire date.
• An equivalent license applies to states that do not recognize an LMSW; ensure licensure within 6 months of hire.
• Basic Life Support (BLS) certification is required for acute facilities.

Responsibilities

• Manages individual patients across the health care continuum to achieve optimal outcomes.
• Leads process improvement activities for patient populations to improve outcomes.
• Develops and manages the interdisciplinary discharge plan with the care team.
• Educates on case management and managed care concepts within the health care team.
• Maintains knowledge of Medicare, Medicaid and other program benefits for discharge planning.
• Collaborates with physicians, payers, and health care staff for timely information and regulatory needs.
• Possibly supervises other staff and works within established procedures.

Skills

Interdisciplinary teamwork

Communication skills

Critical thinking

Time management

Problem solving

Education

Bachelor's degree in Nursing

Master's degree in Social Work

Certified Case Manager (CCM) certification

Job description

Primary City/State:Mesa, ArizonaDepartment Name:Case Mgmt-HospWork Shift:DayJob Category:Clinical CareThe 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.In the Case Manager Care Coordination position, you will have the opportunity to provide comprehensive care coordination for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Case Managers cover units throughout the hospital and generally work in multiple areas each day. Case Managers are responsible for conducting initial assessments on patients, participating in daily multi-disciplinary rounds, communicating the discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a transitional care associate.SCHEDULE:Full Time/ 40 HoursMonday-Friday5 Eight hour shifts7:00am- 4:30pmEvery 3 weeks weekend rotationHoliday rotations are required in this role Enjoy a flat rate $3/hour weekend shift differentialLocated on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and was recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 700 licensed beds, including over 100 dedicated to children and 76 dedicated to our NICU. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 33 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the da Vinci Surgical System. Becker’s Hospital Review named Banner Desert Medical Center as one of the top 50 busiest Emergency departments in the country.If you aim to deliver top-tier care to the most vulnerable patients, consider joining Banner Children's Hospital at Desert in Mesa, Arizona. Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a 76-bed NICU, a 24-bed PICU, six pediatric ORs and a 22-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.POSITION SUMMARYThis 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 FUNCTIONS1. Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.4. 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.5. 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.6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.7. May supervise other staff.8. 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 QUALIFICATIONSRN: 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 QUALIFICATIONSCertification for CCM (Certified Case Manager) preferred.Additional related education and/or experience preferred.EEO Statement:EEO/Disabled/VeteransOur organization supports a drug-free work environment.Privacy Policy:Privacy Policy