RN Case Manager Deer Valley

HonorHealth•Deer Valley, AZ

3d•Onsite

About The Position

HonorHealth is seeking an RN Case Manager to guide care coordination for high-risk acute care patients and facilitate discharge plans for patients with medically complex post-acute care needs. This role involves analyzing medical records to determine the legitimacy of admissions, treatments, and length of stay, advocating for patients and families, and liaising with key team members to ensure healthcare needs are met. The RN Case Manager collaborates with physicians and assists in facilitating healthcare resources for timely service and care delivery. They work with patients, providers, and stakeholders to coordinate health services and referrals for safe discharge. The position requires daily reevaluation of transition of care needs and coordination of transitions to the next level of case management or care coordination services. The role also includes performing concurrent reviews of patient treatment plans and assisting in the maintenance of department logs, databases, statistics, and utilization review documents.

Requirements

Associates in Nursing Required
3 years, clinical experience in a hospital setting Required
Registered Nurse (RN) - License, State Licensure And/Or Compact State Licensure Required

Nice To Haves

Bachelors in Nursing or healthcare related field. Preferred
5 years, as an RN in Case Management Preferred
7 years, as a Registered Nurse (RN) Preferred
Experience in an outpatient clinical setting working with PCP, Home Health or Rehab Preferred
Certified Case Manager - Certification, in Case Management Preferred
Case Management acute care experience highly preferred

Responsibilities

Guides care coordination for high risk acute care patients.
Facilitates the discharge plan for patients with medically complex post-acute care needs.
Analyzes medical records to determine legitimacy of admission, treatment, and length of stay in acute setting in accordance with patient needs, regulatory standards and insurance company guidelines.
Advocates for patients/families and liaisons with key team members to ensure that patient healthcare needs are being addressed.
Collaborates with physicians and assists in the facilitation of healthcare resources to ensure services and care are delivered in a timely manner.
Works in collaboration with patients, providers, and key stakeholders in coordinating health services and referrals to assist with ensuring safe discharge.
Collaborates with patient/significant others as well as other members of the health care team in determining the appropriate level of care, utilization of resources and length of stay (utilizing electronic admission and discharge criteria program and physician input).
Communicates with stakeholders, appropriate health care related information, both verbally and in written form, to ensure timely coordination care and services for patients receiving inpatient care.
Identified point of contact for managing transitions of care.
Reevaluates transition of care needs daily and coordinates transition to next level of case management or care coordination services.
Performs concurrent review of patient treatment plans in accordance with the hospital policies and third party reimbursement systems.
Assists in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal regulations.
Performs other duties as assigned.