Case Manager Care Coordination

Banner Health•Gilbert, AZ

1d•Onsite

About The Position

The Case Manager will join a collaborative multidisciplinary team in an acute-care hospital setting. This role is vital in assessing and coordinating post-acute care needs, including home health services and medical equipment, to ensure safe and successful patient discharges. The position utilizes industry-standard tools such as Cerner, Microsoft Outlook, and specialized referral platforms like Parachute and Repisodic for streamlined care coordination and communication. The opportunity emphasizes a positive and supportive team culture that prioritizes strong engagement, professional growth, and a collaborative environment where contributions are valued and expertise makes a meaningful difference in patients' lives.

Requirements

RN: 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.
Social Worker: Requires a Master's Degree in Social Work. Requires a Licensed Master Social Worker (LMSW) (equivalent) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master’s Degree and be a Licensed Social Worker.
For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 2 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.
For Case Management positions in acute facilities, Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.

Nice To Haves

Certification for CCM (Certified Case Manager) preferred.
Additional related education and/or experience preferred.

Responsibilities

Manages individual patients across the health care continuum to achieve optimal clinical care, financial, operational, and satisfaction outcomes.
Acts in a leadership function with process improvement activities for populations of patients to achieve 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.
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.
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.