Case Manager Care Coordination

Banner Health•Mesa, AZ

1d•Onsite

About The Position

This position provides comprehensive, developmentally appropriate care coordination for assigned patients, with the intensity of services based on patient needs and payer requirements. The Case Manager is accountable for the clinical quality of care coordination services and identifies and resolves barriers to effective patient care. The role supports patients and families in participating as fully as possible in discharge planning, including planning for safe discharge, continuity of care, and the distinct needs of patients of all ages and patients who are physically disabled, mentally ill, chronically ill, or terminally ill. Case Managers cover hospital units and may work in multiple areas each day. The position includes conducting initial patient assessments, participating in daily multidisciplinary rounds, communicating discharge plans and updates to patients, families, and the medical team, and delegating tasks to a transitional care associate. The schedule is Monday through Friday, 7:00 a.m. to 4:30 p.m., with weekend rotations every three weeks and holidays rotated among the team. The role is based at Banner Desert Medical Center in Mesa, Arizona.

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 position is worked.
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, and the employee must have a master's degree and be a Licensed Social Worker.
Basic Life Support (BLS) certification for assignments in an acute care setting.
Typically, proficiency achieved with two years of clinical experience.
Demonstrated 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 the acute facility's needs.
For Case Management positions in acute facilities, Banner Registry and Travel positions require at least one year of Case Manager experience in an acute care hospital.

Nice To Haves

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

Responsibilities

Manage individual patients across the health care continuum to achieve optimal clinical care, financial, operational, and satisfaction outcomes.
Lead process improvement activities for patient populations to achieve optimal clinical, financial, operational, and satisfaction outcomes.
Collaboratively develop and manage interdisciplinary patient discharge plans and communicate plans across the continuum of care.
Conduct initial patient assessments and participate in daily multidisciplinary rounds.
Communicate discharge plans and updates to patients, families, and the medical team.
Delegate tasks to a transitional care associate.
Maintain knowledge of Medicare, Medicaid, and other program benefits to assist patients with discharge planning and 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 health care team members.
Collect and communicate timely, pertinent information to payers and others to fulfill utilization and regulatory requirements.
Educate internal health care team members about case management and managed care concepts and facilitate their integration into daily practice.
May supervise other staff.
Identify and resolve barriers that may hinder effective patient care.
Provide care coordination that accounts for safe discharge, continuity of care, and the needs of patients across age groups and with varied health conditions or disabilities.