Occ Health RN Case Manager

Banner Occ Health (150 S 12th St)mid

OtherRn Case Manager

0 views0 saves0 applied

Apply Now

Quick Summary

Requirements Summary

Monday – Friday, 7:30 AM – 4:00 PM Key Responsibilities Assess patient healthcare needs and evaluate plans of care to identify opportunities for intervention and support. Develop, implement, monitor,

Technical Tools

OtherRn Case Manager

Phoenix, Arizona

BOHC-Onsite Clinics

Day

Clinical Care

Great careers start with great training. The people of Banner Health are focused on delivering excellent care to our patients. In return, we are committed to excellence in personal development for all our team members. Apply today.

Banner Occupational Health is seeking a dedicated and experienced Registered Nurse (RN) Case Manager to provide comprehensive care coordination and clinical case management services for assigned patients. This role is responsible for assessing patient needs, developing and implementing individualized plans of care, coordinating resources and services, monitoring patient progress, and facilitating continuity of care throughout the healthcare continuum.

The RN Case Manager works with providers, patients, employers, insurance carriers, and interdisciplinary healthcare teams to promote safe, effective, and cost-efficient care. The intensity and scope of care coordination activities are based on individual patient needs, clinical complexity, and payer requirements. This position is accountable for ensuring the quality of nursing care delivered, identifying barriers to care, and implementing solutions that support optimal patient outcomes.

Responsibilities

~1 min read

As a Banner Health employee assigned to Phoenix Fire Occupational Health, this position partners with patients, providers, employers, workers' compensation representatives, insurance carriers, and interdisciplinary healthcare teams to coordinate care, improve health outcomes, and ensure a seamless patient experience throughout the continuum of care.

Banner Occupational Health Clinics are medical clinics specializing in worker's compensation injury care, drug testing, alcohol testing, physical examinations, Department of Transportation exams and Occupational Safety and Health Administration (OSHA) mandated exams. Employers and employees alike benefit from reduced absenteeism and turnover, increased productivity, morale and job satisfaction and are less likely to become sick or injured.

POSITION 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.

CORE FUNCTIONS
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.

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: 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