Case Manager Care Coordination

Banner Health•Tucson, AZ

1d•Onsite

About The Position

This position provides comprehensive, patient-centered care coordination across the health care continuum. The case manager supports safe discharge planning, continuity of care, and coordination of post-acute services, empowering patients and families to participate in the discharge process. Care coordination is tailored to patient needs and payer requirements and accounts for the needs of patients of all ages, including those who are physically disabled, mentally ill, chronically ill, or terminally ill. The role collaborates with patients, families, physicians, payers, and other members of the health care team to develop and communicate discharge plans, address barriers to effective care, and meet utilization and regulatory requirements. It also contributes leadership to process improvement and interdisciplinary care planning, and educates team members about case management and managed care concepts. The position may supervise other staff and has discretion to perform its functions within established procedures, consulting a supervisor about unusual situations. The role is based at Banner-University Medical Center Tucson. The schedule is full time, 40 hours per week, Monday through Friday, with five eight-hour shifts and a stated shift window of 7:00 a.m. to 4:30 p.m. Weekend and holiday rotations are required. The posting describes a four-day work week in its introductory section, but lists five eight-hour shifts in the schedule details. A comprehensive six-week orientation with experienced preceptors is provided. The role uses Windows 11, Cerner, CareAware, and Microsoft Teams; prior experience with these platforms is not required.

Requirements

RN pathway: Knowledge of case management or utilization review, normally obtained through completion of a bachelor's degree in case management or health care.
RN pathway: Current Registered Nurse (R.N.) license in the state where the employee works.
Social Worker pathway: Master's degree in Social Work.
Social Worker pathway: Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW), or an MSW with a requirement to become licensed within six months of hire; an equivalent license applies in states that do not recognize an LMSW.
Basic Life Support (BLS) certification for assignments in an acute care setting.
Typically, two years of clinical experience.
Critical thinking, problem-solving, effective communication, and time-management skills.
Ability to work effectively in an interdisciplinary team format.
May need to take rotating call based on acute facility needs.
For Banner Registry and Travel Case Management positions in acute facilities, 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

Manage assigned patients across the health care continuum to support optimal clinical care, financial, operational, and 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.
Maintain knowledge of Medicare, Medicaid, and other program benefits to support discharge planning and patient choices.
Use knowledge of relevant community resources, end-of-life dynamics, substance abuse, abuse, neglect, and domestic violence in care coordination.
Build collaborative relationships with physicians, payers, and other members of the health care team.
Collect and communicate timely, pertinent information to payers and others to meet utilization and regulatory requirements.
Educate internal health care team members about case management and managed care concepts, and facilitate their integration into daily practice.
Identify and resolve barriers that may hinder effective patient care.
May supervise other staff.