Registered Nurse Case Manager

2 days ago


Mesa, Arizona, United States Banner Health Full time
Job Title: Registered Nurse Case Manager

Job Summary:

Banner Health is seeking a Registered Nurse Case Manager to join our team. As a key member of our healthcare team, you will be responsible for providing comprehensive care coordination for patients with high-risk pregnancies. Your primary focus will be on conducting outreach calls to educate members on maintaining a healthy pregnancy, while ensuring a holistic approach that encompasses medical, behavioral health, and social factors impacting the member's health.

Responsibilities:

  • Manage individual patients across the healthcare continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes.
  • Act in a leadership function with process improvement activities for populations of patients to achieve optimal clinical, financial, operational, and satisfaction outcomes.
  • Collaborate with physicians, payers, and other members of the healthcare team to establish and promote a collaborative relationship.
  • Educate internal members of the healthcare team on case management and managed care concepts.
  • Supervise other staff as needed.

Requirements:

  • Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or healthcare.
  • Requires current Registered Nurse (R.N.) license in state worked.
  • Requires a proficiency level typically achieved with 3-5 years clinical experience.
  • Must demonstrate critical thinking skills, problem-solving abilities, effective communication skills, and time management skills.

Preferred Qualifications:

  • Certification for CCM (Certified Case Manager) preferred.
  • Case Management experience highly preferred.
  • RN OB/GYN experience highly preferred.

Work Environment:

This position offers a hybrid work environment, requiring both training and occasional in-office duties at the Banner Corporate Centers in Mesa or Tucson, Arizona. The work schedule for this position is Monday through Friday, 8:00 a.m. to 5:00 p.m. Please be aware that residency in Arizona is required for this role.

About Banner Health:

Banner Health is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.



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