RN Case Manager John C Lincoln

10 John C. Lincoln Medical Center; United States; On-site; USD 90,000 - 110,000; Full time

Benefits offered by this job

Sign-On Bonus up to $10,000

Job summary

HonorHealth in Phoenix, AZ is seeking an experienced RN Case Manager to guide care coordination for high risk acute care patients and facilitate discharge planning for medically complex post-acute needs. You will analyze medical records to determine admission legitimacy and ensure care aligns with patient needs, regulations and insurer guidelines.

You will advocate for patients and families, liaise with physicians and the health care team to secure timely services and smooth transitions of care.

Qualifications

• Bachelor's Degree in Nursing or healthcare related field.
• Preferred Associate's Degree in Nursing from an NLN/CCNE institution, or diploma from an NLN/ACEN institution.

Responsibilities

• Collaborates with patient/significant others and health care team to determine level of care and utilization of resources and length of stay.
• Communicates with stakeholders and health care information to ensure timely coordination of care for inpatients.
• Identified point of contact for managing transitions of care.
• Reevaluates transition of care needs daily and coordinates transition to next level of case management or care coordination services.
• Performs concurrent review of patient treatment plans per hospital policy and third party reimbursement systems.
• Maintains department logs, databases, statistics, and utilization review documents.
• Performs other duties as assigned.

Skills

Care coordination

Communication

Collaboration

Advocacy

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing (NLN/CCNE)

Diploma (NLN/ACEN)

Job description

Primary City/State: John C Lincoln - 250 E Dunlap Ave Phoenix, AZ 85020 Category: Case Management Shift: Day Department: Case Management up to $10,000 Sign-On Bonus Monday - Friday; 8am to 4:30pm with one weekend per month rotation Located at W. Dunlap Ave & N. 2nd St

Great care starts with great people. (Like you.) At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities

Job Summary Guides care coordination for high risk acute care patients, and facilitate the discharge plan for patients with medically complex post-acute care needs. Analyzes medical records to determine legitimacy of admission, treatment, and length of stay in acute setting in accordance with patient needs, regulatory standards and insurance company guidelines. Advocates for patients/families and liaisons with key team member to ensure that patient healthcare needs are being addressed. Collaborates with physicians and assists in the facilitation of healthcare resources to ensure services and care are delivered in a timely manner. The RN Case Manager works in collaboration with patients, providers, and key stakeholders in coordinating health services and referrals to assist with ensuring safe discharge.

Essential Functions

Collaborates with patient/significant others as well as other members of the health care team in determining the appropriate level of care, utilization of resources and length of stay (utilizing electronic admission and discharge criteria program and physician input). Communicates with stakeholders, appropriate health care related information, both verbally and in written form, to ensure timely coordination care and services for patients receiving inpatient care. Identified point of contact for managing transitions of care. Reevaluates transition of care needs daily and coordinates transition to next level of case management or care coordination services. Performs concurrent review of patient treatment plans in accordance with the hospital policies and third party reimbursement systems. Assists in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal regulations. Performs other duties as assigned.

Education

• Bachelor's Degree in Nursing or healthcare related field.
• Preferred Associate's Degree in Nursing from an accredited NLN/CCNE institution, or diploma from an accredited NLN/ACEN institution.

Experience

• Required Experience 3 years clinical experience in a hospital setting
• Required 5 years as an RN in Case Management
• Preferred 7 years as a Registered Nurse (RN)
• Preferred Other Experience in an outpatient clinical setting working with PCP, Home Health or Rehab

Licenses and Certifications

• Case Mgmt/Social Services\CCM
• Certified Case Manager Certification in Case Management
• Preferred Nursing\RN
• Registered Nurse - State Licensure And/Or Compact State Licensure Current RN (AZ or State Compact Licensure)
• Required

We're all in for your career. Expert care from experts who care. At HonorHealth, you’ll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication. We’re delivering a healthcare experience that simply feels better through:

Benefits

• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff

Since 1927, we’ve been focused on doing what matters most — caring for people and communities across the greater Phoenix area. From humble beginnings to one of Arizona’s largest nonprofit healthcare systems, we’re just as driven as we were a century ago. Come join us and go all in for your career.