Complex Case Manager Care Coordination
Banner Health
Complex Case Manager Care Coordination
Banner Health
Nonprofit health system operating hospitals
Primary City/State:
Tucson, ArizonaDepartment Name:
Case Mgmt-HospWork Shift:
DayJob Category:
Clinical CareThe future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you.
Are you a seasoned hospital Case Manager who thrives in complexity, loves solving the unsolvable, and is energized by the challenge of turning the most difficult discharge scenarios into successful outcomes? If so, this is the role you've been waiting for! Join our high-performing acute care team where your expertise, creativity, and critical thinking will take center stage as you manage a focused caseload of 20–25 of the most medically and socially complex patients in the hospital. You'll operate with a high degree of autonomy in a fast-paced environment, working Monday through Friday — no weekends, no holidays — while reporting directly to the Director and collaborating alongside physician leaders and the ACMO. This isn't a role for someone still learning the basics; it's designed for a confident, experienced professional who knows how to navigate multi-layered barriers, influence key stakeholders from bedside to C-suite, and drive discharge plans forward when the path forward isn't clear. As an informal leader, you'll serve as a trusted resource and go-to expert for your peers, making a meaningful impact not just on patients, but on the culture and outcomes of the entire department. If you're ready to bring your best thinking, your boldest ideas, and your passion for complex problem-solving to a role where it truly matters — this Complex Case Management Care Coordination opportunity was built for you.
SCHEDULE:
Seeking candidate with experience in high acute hospital setting.
POSITION SUMMARY
This position provides comprehensive care coordination for patients as assigned. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process. This position provides developmentally appropriate care for the population that it serves which includes planning for the safe discharge, continuity of care, the ability to recognize and plan for the unique needs of all ages as well as the physically disabled, mentally ill, chronically ill and terminally ill patient.
CORE FUNCTIONS
1. Manages individual patients across the health care continuum to achieve the optimal clinical care, financial, operational, and satisfaction outcomes.
2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care.
4. Maintains knowledge of Medicare, Medicaid and other program benefits to assist patients with discharge planning and choices. Knowledge of community resources relevant to health care, end of life dynamics, substance abuse, abuse, neglect, and domestic violence.
5. 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.
6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice.
7. May supervise other staff.
8. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor on any unusual situations. Positions are entity based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.
MINIMUM QUALIFICATIONS
RN: 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.
Social Worker: Requires a Master's Degree in Social Work. Requires a Licensed Master Social Worker (LMSW) (equivalent*) or Licensed Clinical Social Worker (LCSW) or have a MSW with the requirement to become licensed within 6 months of hire date. An equivalent license applies to states that do not recognize an LMSW; therefore, the employee must possess a Master’s Degree and be a Licensed Social Worker.
For assignments in an acute care setting, Basic Life Support (BLS) certification is also required.
Requires a proficiency level typically achieved with 2 years clinical experience. 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. May have to take rotating call based on the acute facility need. For Case Management positions in acute facilities, Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital.
PREFERRED QUALIFICATIONS
Certification for CCM (Certified Case Manager) preferred.
Additional related education and/or experience preferred.
EEO Statement:
Our organization supports a drug-free work environment.
Privacy Policy:
Nonprofit health system operating hospitals
Banner Health is a nonprofit health care system operating a large network of hospitals, clinics and home- and long-term-care services across six Western states. It runs 33 acute-care hospitals, Banner Health Network, university medicine programs and a mix of urgent care, family clinics, home care, hospice, pharmacies and a nursing registry to provide coordinated care. Its network links hospitals, physician groups and care sites to guide patients through primary, specialty, inpatient and end-of-life services, aiming to simplify transitions between care settings. Its goal is to improve community health by delivering broad, accessible, coordinated care and reinvesting profits into health services and community programs.
Explore more opportunities at Banner Health