Case Manager Care Coordination
Banner Health
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.
Join Our Compassionate Care Team as a Case Manager Care Coordinator! We're seeking a dedicated RN or Master Social Worker to make a meaningful impact in patients' lives by coordinating safe, seamless transitions from hospital to home. In this rewarding role, you'll work directly with patients and their families to identify needs and arrange essential post-acute services including home health, durable medical equipment, and rehabilitation placements. Enjoy an excellent work-life balance with a 4-day work week while being supported by a collaborative, team-oriented culture that values your expertise. We provide comprehensive 6-week orientation with experienced preceptors who will guide you through our systems including Windows 11, Cerner, CareAware, and Microsoft Teams—no prior experience with these platforms required. If you're passionate about patient advocacy and want to be part of a supportive environment where you can truly make a difference in discharge planning, we'd love to hear from you!
SCHEDULE:
LOCATION:
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.
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.
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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.
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