Job: Case Mgr-Hospice Intake

Location: US-AZ-Gilbert
Posted Date: 10/8/2009
Shift: Day
Category: Registered Nurses/Externs - Positions
Department: ..
Facility: Banner Home Care - Gilbert
Position Type: Full-Time-FA
Shift Hours: 8am-5pm
Hours Per Week: 40hrs

Overview: This position provides comprehensive care coordination for patients as assigned. This position assesses the patient's 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 patient's 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. Responsibilities: 1. Manages individual patients across the health care continuum to achieve the optimal clinical, 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. 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.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.

Requires bachelor's degree or equivalent experience.Requires current Registered Nurse (R.N.) license in state worked.Requires a proficiency level typically achieved with 5 years clinical experience. Must have a working knowledge of care management, hospital, 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. Must be able to work flexible hours and take rotating call after hours.PREFERRED QUALIFICATIONSCCM (Certified Case Manager) preferred; Basic Life Support (BLS) certification preferred