Registered Nurse RN High Risk Care Manager

--- Banner Health believes leadership matters, and we look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health. As a High Risk RN Care Manager, you will be helping support Banner Health's Population Health Management team who are responsible to manage the complex, chronic risk members in the populations where care management is delegated throughout the West Valley. You will work with a multi-disciplinary team to achieve optimal results for the patient, family and care givers through developing and implementing health care options to meet the patients' Medicare needs; as well as, providing healthcare options to maintain a healthy lifestyle! Schedule: FTE: 0.2/Part time, 1 day per week In Touch (remote) position, but may occasionally travel to complete home clinics (based upon members' needs) Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. * -- About Banner Health Network & Banner Plan AdministrationBanner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. About Banner HealthBanner 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 make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. * -- Job SummaryThis position will be responsible to manage the complex chronic and rising risk members in the populations where care management is delegated to do so. He/she will be the main point of contact for members and providers across care settings. The aim is to better manage patients in the ambulatory setting by following patients deemed as or of becoming heavy users of care due to multiple chronic illnesses, high ED utilization, or a recent discharge from a skilled nursing facility, etc. The RN engages the appropriate resources within the multidisciplinary team to achieve optimal results for the patient, family, and care givers. 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. Essential Functions * Manages individual patients across the health care continuum (longitudinal support) to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Provides disease management or referral to disease management support in ancillary areas (i.e. pharmacy, social work, palliative, etc...) * Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient care plan. Effectively communicates the plan across the continuum of care. Ensures care plan consistency across providers. * Acts in a leadership function with process improvement activities for populations of patients. Provides patient monitoring, education, and supports patient care plan adherence. * Promotes a more active and informed role in patient self-care; navigates patients identified as high-risk across the continuum, longitudinally. * 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 care management and managed care concepts. Facilitates integration of concepts into daily practice. Minimum QualificationsMust 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. 3 years of experience directly related to Care Management in a Health Plan, Health Management, or Quality.Preferred QualificationsCertification with nationally recognized healthcare organization, such as CCM, preferred.Additional related education and/or experience preferred.
Banner Health
Full time
Phoenix, Arizona, US