Case Manager Care Coordination

Banner Health•Tucson, AZ

1d•Onsite

About The Position

This position provides comprehensive care coordination for assigned patients, with the intensity of services adjusted to 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 empowers patients and families to participate in discharge planning and supports safe discharge, continuity of care, and developmentally appropriate planning for patients of all ages, including people with physical disabilities, mental illness, chronic illness, or terminal illness. The Case Manager works directly with patients and families to identify needs and arrange post-acute services such as home health, durable medical equipment, and rehabilitation placements. The role manages patients across the health care continuum and collaborates with the interdisciplinary team to develop, manage, and communicate discharge plans. It also supports process improvement, utilization and regulatory requirements, and education of health care team members on case management and managed care concepts. The position may supervise other staff and may participate in rotating call based on acute facility needs. The position is based at Banner - University Medical Center Tucson. It is full-time, scheduled for 40 hours per week, with a stated Monday–Friday schedule and five eight-hour shifts, 7:00 a.m.–4:30 p.m. Weekend and holiday rotations are required; a $3 per hour weekend shift differential is offered. A comprehensive six-week orientation with experienced preceptors is provided. The systems covered include Windows 11, Cerner, CareAware, and Microsoft Teams; prior experience with these platforms is not required.

Requirements

For the RN pathway: current Registered Nurse (R.N.) license in the state where the employee works.
For the RN pathway: knowledge of case management or utilization review, normally obtained through completion of a bachelor's degree in case management or health care.
For the Social Worker pathway: a Master's Degree in Social Work and an LMSW (or equivalent), LCSW, or 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 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.

Nice To Haves

Certified Case Manager (CCM) certification.
Additional related education and/or experience.
For Banner Registry and Travel Case Management positions in acute facilities, at least one year of Case Manager experience in an acute care hospital.

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 improve clinical, financial, operational, and satisfaction outcomes.
Collaboratively develop and manage interdisciplinary patient discharge plans and communicate plans across the continuum of care.
Maintain knowledge of Medicare, Medicaid, other program benefits, and relevant community resources to support discharge planning and patient 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 about case management and managed care concepts and facilitate their integration into daily practice.
Identify and resolve barriers that may hinder effective patient care.
Support patients and families in participating in discharge planning and arrange needed post-acute services.
May supervise other staff.
May participate in rotating call based on acute facility needs.