RN CASE MANAGER Mountain Vista

Overview

Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.

Responsibilities

Job Summary

Guides care coordination for high risk acute care patients, and facilitate the discharge plan for patients with medically complex post-acute care needs. Analyzes medical records to determine legitimacy of admission, treatment, and length of stay in acute setting in accordance with patient needs, regulatory standards and insurance company guidelines. Advocates for patients/families and liaisons with key team member to ensure that patient healthcare needs are being addressed. Collaborates with physicians and assists in the facilitation of healthcare resources to ensure services and care are delivered in a timely manner. The RN Case Manager works in collaboration with patients, providers, and key stakeholders in coordinating health services and referrals to assist with ensuring safe discharge.

Essential Functions

Collaborates with patient/significant others as well as other members of the health care team in determining the appropriate level of care, utilization of resources and length of stay (utilizing electronic admission and discharge criteria program and physician input).

Communicates with stakeholders, appropriate health care related information, both verbally and in written form, to ensure timely coordination care and services for patients receiving inpatient care. Identified point of contact for managing transitions of care.

Reevaluates transition of care needs daily and coordinates transition to next level of case management or care coordination services. Performs concurrent review of patient treatment plans in accordance with the hospital policies and third party reimbursement systems.

Assists in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal regulations.

Performs other duties as assigned.

Education

Bachelor's Degree in Nursing or healthcare related field. - Preferred

Associate's Degree in Nursing from an accredited NLN/CCNE institution, or diploma from an accredited NLN/ACEN institution. - Required

Experience

3 years clinical experience in a hospital setting - Required

5 years as an RN in Case Management - Preferred

7 years as a Registered Nurse (RN) - Preferred

Other Experience in an outpatient clinical setting working with PCP, Home Health or Rehab - Preferred

Licenses and Certifications

Case Mgmt/Social Services\CCM - Certified Case Manager Certification in Case Management - Preferred

Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Current RN (AZ or State Compact Licensure) - Required