Case Manager Care Coordination

Primary City/State

Page, Arizona

Department Name

Case Mgmt-Hosp

Work Shift

Day

Job Category

Clinical Care

Pay

$10,000 Sign on Bonus and Relocation Available

Healthcare Overview

Medical imaging plays a pivotal role in excellent patient care at Banner Health. Page Hospital emphasizes a uniquely holistic approach to recovery, offering a wide range of medical services including a Level IV Trauma emergency department, surgery, medical imaging, obstetrics, cardiopulmonary, acute care and rehabilitation.

Job Location

Page Hospital provides exceptional patient care to the people of Page and nearby northern Arizona communities. The hospital is located in a dynamic community with spectacular vistas and convenient access to popular recreational destinations such as Lake Powell, Glen Canyon Dam, and the Grand Canyon.

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. The goal is to empower the patient and the family to participate to the fullest of their abilities in the discharge planning process.

Core Functions

• Manages individual patients across the health care continuum to achieve the optimal clinical care, 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.
• 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.
• 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.

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.