Registeted Nurse Case Manager

Job Number
210149
Banner Baywood Medical Center
Shift
Evening
Department
Banner Baywood Medical Center - ED Case Management-Hosp
Position Type
FT: Full-Time
Internal Code A
COREHTF
Street Address
6644 East Baywood Ave
City & State
US-AZ-Mesa
Posting Category
Nursing - Case Management

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If you are a New Graduate Nurse with less than 12 months of experience, please apply to our New Nurse Experience openings.


 

RN - Case Manager:

 

This RN Case Management position provides care coordination; discharge planning; patient advocacy; patient and family education; insurance coordination/authorization; community resource and referral information. Case Management helps assure coordination of care across the health care continuum; effective and efficient utilization of resources based upon patient need, clinical criteria and covered services and safe, timely and appropriate discharge plans. 

 

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About Banner Baywood Medical Center
Banner Baywood Medical Center is a 332-bed hospital serving the health care needs of the dynamic and growing East Valley communities of metropolitan Phoenix, Arizona. We provide complete acute care services including cancer, stroke, women's health, rehabilitation, emergency medicine and surgery. In addition, our orthopedic unit has earned repeated recognition as having one of the Top 100 Orthopaedic Programs in the U.S. by The Health Network and HCIA, Inc.

 

Truven-2013
Stage7-2013

About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

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Job Summary

This position provides comprehensive care coordination for patients as assigned. This position assesses the patients plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patients health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care.

 

Essential Functions

  • Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes.

 

  • Acts in a leadership function with process improvement activities for populations of patients to achieve the 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.

 

  • Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing standard criteria. Identifies issues that may delay patient discharge and facilitates resolution of these issues.

 

  • 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.

 

 

Minimum Qualifications

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. For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.

Requires a proficiency level typically achieved with 3-5 years clinical experience. Must have a working knowledge of care management, acute care and/or home care environments, community resources and resource/utilization management. 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. For assignments in an acute care setting, must be able to work flexible hours and take rotating call after hours. Banner Registry and Travel positions require a minimum of one year experience in an acute care hospital and/or home care setting. Experience must include working in an acute care and/or home care setting within the past 12 months as a Case Manager in the specialty area.

Preferred Qualifications

CCM (Certified Case Manager) preferred

Additional related education and/or experience preferred.