RN Case Manager PRN

Banner Health; Payson (AZ); On-site; USD 60,000 - 85,000; Full time

Job summary

Banner Health in Payson, Arizona seeks a Case Manager to provide comprehensive care coordination for patients across units. The role involves assessing plans of care and coordinating resources to meet health care needs.

You will participate in daily rounds, communicate discharge plans to patients and families, and collaborate with physicians, payers, and the health care team. A bachelor’s degree in health care or case management and RN licensure are required.

Qualifications

• Bachelor's degree in case management or health care.
• Current RN license in state worked.
• BLS certification required.
• 3–5 years clinical experience.
• Ability to work in an interdisciplinary team.
• Flex hours and rotating on-call after hours.
• Experience in acute care and/or home care settings.
• 1 year experience in acute care/hospital or home care for registry roles.

Responsibilities

• Coordinate care across the health care continuum to optimize outcomes.
• Assess plan of care and monitor utilization and progress.
• Communicate discharge plans to patients, families and the medical team.
• Delegate tasks to a transitional care associate as needed.
• Lead interdisciplinary discharge planning and ensure continuity of care.
• Evaluate medical necessity and appropriateness of care and resolve barriers.
• Educate care team on case management concepts and processes.
• May supervise other staff.

Skills

Case management

Utilization review

RN license

BLS

Interdisciplinary teamwork

Time management

Clinical experience

Education

Bachelor's degree in health care or case management

Job description

Primary City/State:

Payson, Arizona

Department Name:

Banner Staffing Services-AZ

Work Shift:

Varied

Job Category:

Clinical Care

Banner Staffing Services offers a world of opportunities to make an impact on one of the country’s leading health systems. If you’re looking to leverage your abilities to make a difference – you belong at Banner Staffing Services.

As the internal staffing (registry) provider for Banner Health, Banner Staffing Services (BSS) provides opportunities within one of the country’s leading health systems. The BSS team is dedicated to providing personal attention and professional support for its employees. Registry opportunities are a great way to market your skills within Banner Health. As a BSS employee, you are eligible to apply (at any time) as an internal applicant to any regular full-time or part-time opportunities within Banner Health.

In addition, registry employment through BSS offers:

• Competitive wages
• Paid orientation
• Flexible Schedules (select positions)
• Fewer Shifts Cancelled
• Weekly pay
• 403(b) Pre-tax retirement plan
• Employee Assistance Program
• Employee wellness program
• Discount Entertainment tickets
• Restaurant/Shopping discounts
• Auto Purchase Plan

BSS Registry positions do not have guaranteed hours and no medical benefits package is offered. BSS requires: Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education)

As the Case Manager , 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.

Position Summary

This position provides comprehensive care coordination for patients as assigned. This position assesses the patients plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patients health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care.

Core Functions

• Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
• Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues.
• 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.
• Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
• May supervise other staff.
• 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: 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 Qualifications

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. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required. Requires a proficiency level typically achieved with 3-5 years clinical experience. Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management. 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. For assignments in an acute care setting, must be able to work flexible hours and take rotating call after hours. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital and/or home care setting. Experience must include working in an acute care and/or home care setting within the past 12 months as a Case Manager in the specialty area.

Preferred Qualifications

CCM (Certified Case Manager) preferred

Additional Related Education And/or Experience Preferred.

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