Case Manager Care Coordination

Primary City/State:

Page, Arizona

Department Name:

Case Mgmt-Hosp

Work Shift:

Day

Job Category:

Clinical Care

$10,000 Sign on Bonus and Relocation Available

Health care is full of possibilities. Medical imaging plays a pivotal role in excellent patient care at Banner Health. If you’re looking to leverage your abilities – you belong at Banner Health. 

Page offers spectacular red buttes and mesas set against cobalt skies, capped by miles of blue shoreline on Lake Powell. Cruise the clear blue-green waters on a panoramic boat tour, or rent water skis, or kayaks. Visit top-rated attractions like Horseshoe Bend, Antelope Canyon or the Navajo slot canyons. Play golf or enjoy nighttime entertainment great food, dancing, live music, and more!

Page Hospital emphasizes a uniquely holistic approach to recovery. The care provided to each patient goes beyond physical needs, caring for the person’s spiritual and emotional well-being in an environment uniquely designed for healing.

As the Care Coordination Case Manager , you will have the opportunity to provide comprehensive care coordination for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. Case Managers cover units throughout the hospital and generally work in multiple areas each day. Case Managers are responsible for conducting initial assessments on patients, participating in daily multi-disciplinary rounds, communicating the discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a transitional care associate.

Schedule: Typically Monday-Friday 8am-4:30pm, or as determined by caseload.

Page Hospital has provided exceptional patient care to the people of Page and nearby northern Arizona communities since 1958. Today, our 25-bed Critical Access Hospital offers a wide range of medical services that include a Level IV Trauma emergency department, surgery, medical imaging, obstetrics, cardiopulmonary, acute care and rehabilitation. Page is a dynamic community that boasts spectacular vistas and convenient access to some of the nation's most popular recreational destinations, including Lake Powell, Glen Canyon Dam and the Grand Canyon. If you're looking for the opportunity to contribute to the health of a growing community while experiencing an exhilarating lifestyle, Page Hospital is the place.

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.

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