Registered Nurse RN Case Manager Care Coordination
2 weeks ago
Primary City/State:
Mesa, ArizonaDepartment Name:
Case Mgmt-HospWork Shift:
DayJob Category:
Clinical CareNursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters. If you want to make a difference in people’s lives - this could be the opportunity you’ve been waiting for.
As the RN Case Manager, you will bring your experience and passion for health care to our Care Coordination team You will have the opportunity to build relationships with the goal of making an impact on our patients at such an important time in their lives. You will be an active and engaged change agent; dedicated to the needs of our patients and families. Steadfast to safe, kind, effective, efficient, evidenced-based and high quality clinical care, outcome focused and solution oriented.
This is a full time, day shift opportunity. Schedule is 5-8 hour shifts. Weekend rotations are required in this role. Enjoy a flat rate $3/hour weekend shift differential.
Located 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 SUMMARY
This 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 FUNCTIONS
1. 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 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 2-3 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. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.
PREFERRED QUALIFICATIONS
Certification for CCM (Certified Ca
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