Case Manager Care Coordination

Banner Health•Sun City, AZ

8d•Onsite

About The Position

This position provides comprehensive care coordination for assigned patients, with the intensity of services based on patient needs and payer requirements. The role is accountable for the clinical quality of care coordination and for identifying and resolving barriers to effective care. It supports patients and families in participating in discharge planning and plans for safe discharge and continuity of care, considering the needs of patients of all ages, including people with physical disabilities and mental, chronic, or terminal illnesses. The Case Manager Care Coordinator manages patients across the health care continuum, leads population-focused process improvement, and collaborates with the interdisciplinary team to develop and communicate discharge plans. The role uses knowledge of public and other program benefits and community resources to support discharge planning and patient choices, and works with physicians, payers, care team members, community agencies, and regulatory agencies. It also educates internal care team members about case management and managed care concepts. The position may supervise other staff and may participate in rotating call based on acute facility needs. The role is based at Banner Boswell Medical Center and Banner Del Webb Medical Center in Sun City, Arizona. It is full-time, 40 hours per week, with a Monday–Friday schedule of five 8-hour shifts, generally between 7:00 a.m. and 5:30 p.m. Weekend rotation is every three weeks, covering Saturday and Sunday, and holiday rotations are required. A flat-rate $3-per-hour weekend shift differential is offered. A six-week orientation with experienced preceptors is provided. Systems used include Windows 11, Cerner, CareAware, and Microsoft Teams; prior experience with these platforms is not required.

Requirements

RN applicants must have knowledge of case management or utilization review normally obtained through completion of a bachelor's degree in case management or health care.
RN applicants must hold a current Registered Nurse (R.N.) license in the state where they work.
Social Worker applicants must have a Master's Degree in Social Work and an LMSW (or equivalent), LCSW, or an MSW with a requirement to become licensed within six months of hire. In states that do not recognize an LMSW, a master's degree and a Licensed Social Worker credential are required.
Basic Life Support (BLS) certification is required for assignments in an acute care setting.
Typically requires proficiency gained through two years of clinical experience.
Must demonstrate critical-thinking, problem-solving, communication, and time-management skills.
Must be able to work effectively in an interdisciplinary team format.
Banner Registry and Travel Case Management positions in acute facilities require at least one year of Case Manager experience in an acute care hospital.

Nice To Haves

Certified Case Manager (CCM) certification.
Additional related education and/or experience.

Responsibilities

Coordinate care for assigned patients across the health care continuum to support optimal clinical, financial, operational, and patient satisfaction outcomes.
Lead process improvement activities for patient populations.
Collaboratively develop and manage interdisciplinary patient discharge plans and communicate plans across the continuum of care.
Use knowledge of Medicare, Medicaid, other program benefits, and relevant community resources to assist patients with discharge planning and choices.
Establish collaborative relationships with physicians, payers, and other health care team members; collect and communicate timely information to meet utilization and regulatory requirements.
Educate internal health care team members on case management and managed care concepts and facilitate their integration into daily practice.
Identify and resolve barriers that may hinder effective patient care.
Support patient and family participation in discharge planning and plan for safe discharge and continuity of care.
May supervise other staff.
May participate in rotating call based on acute facility needs.