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in Glendale, AZ

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Hours Full-time, Part-time
Location Glendale, AZ
Glendale, Arizona

About this job

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

Care coordination is a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet the individual's health care needs through communication and available resources to promote quality cost-effective outcomes. Management of individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and patient satisfaction outcomes. Care coordination is accountable for resource utilization, revenue integrity, avoidable days and disposition of patients from the acute care setting.

This RNCM position will continue to ensure timely throughput, monitor and manage LOS, provide customer satisfaction and safe discharge plans to our patients. This position will ensure BTMC's Care Coordination Department will have continued resources to manage our inpatient and Observation patients in the pediatric and adult populations. This position will continue to enhance the patient experience.

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About Banner Thunderbird Medical Center

Nonprofit Banner Thunderbird Medical Center opened its doors in 1983 and has been growing ever since to meet the health care needs of the communities it serves in northwest metropolitan Phoenix. Today, the 555-bed hospital - one of the largest hospitals in the state - is annually ranked as one of the top hospitals in the Phoenix metropolitan area by US News & World Report and enjoys a reputation as the preferred provider of care to children and adults in the area in consumer preference surveys. The tertiary care hospital provides everything from routine to advanced, specialized care to both adult and pediatric patients. Specialized services include cardiology, orthopedic surgery, pediatrics, neurosurgery, robotic surgery, stroke care and a women and infants services program. Additionally, in partnership with top-ranked MD Anderson Cancer Center, Banner Thunderbird also offers state-of-the-art cancer care. Banner Thunderbird is certified as a Joint Commission Primary Stroke Center and features a 35-bed Level III neonatal intensive care unit that cares for babies of high-risk pregnancies and those born prematurely. Banner Thunderbird is also home to the only pediatric intensive care unit for seriously ill or injured children in the area. If you would like to contribute to truly leading edge caring, we invite you to bring your experience and skills to Banner Thunderbird.

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 change the way care is provided. 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.