Banner Health is looking for a Case Management Services Director to join their team in the west valley and will be responsible for teams located at both Banner Thunderbird Medical Center and Banner Estrella Medical Center.
In this position you will be responsible for the development and implementation of case and utilization management programs and services. Yould would also provide leadership, direction and support for Care Coordination Services in the pursuit of best practice to achieve quality outcomes, reduce costs, and shape and interpret the standards required to ensure a high degree of patient, physician and employee satisfaction. This position will require you to also have responsibilities for multiple facility/entity-specific patient outcomes related to patient goals, contractual deliverables, and/or connections with post-acute services. You will also be working out on the floor helping with managing and discharging patients, managing patient movement and working with our cerner system.
This position will work Monday- Friday, 8am-5pm and will require after hours on-call duties, that is rotated with other team members on a monthly basis.
The ideal candidate will have the below qualifications:
Bachelors or Master required
2 plus years of Case Management experience
2 plus years of leadership experience
Must have experience and an understanding of operations
CPR Required
RN or Social Worker licensures required
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About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
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 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.
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Job Summary This position is responsible for the development and implementation of case and utilization management programs and services. This position provides leadership, direction and support for Case Management Services in the pursuit for best practice to achieve quality outcomes, reduce costs, and shape and interpret the standards required to ensure a high degree of patient, physician and employee satisfaction. This position may also have responsibilities for other facility/entity-specific patient outcomes.
Essential Functions Plans, directs and monitors the case and utilization management program(s). Provides advice, counsel, feedback and coordination to promote a collegiality between staff, physicians and the leadership team.
Ensures that development of case management services across the continuum leads to outcomes supportive of the organizations strategic plan. Designs and implements processes to ensure appropriate care coordination in accordance with regulatory and standards of safety.
Provides direction for multidisciplinary process improvement activities, including the establishment of performance measures to attain optimal clinical, operational, financial and satisfaction outcomes. Directs the collection, analysis and presentation of data on utilization patterns and other program outcomes.
Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. This position also participates in the development of Case Management goals and objectives in accordance with company standards.
Manages the financial and capital resources for case management services by monitoring operating revenue and expenses, establishing and maintaining cost control programs and developing and implementing new or revised programs and/or services. Develops and implements strategies to work with all external customers to ensure appropriate reimbursement.
Develops and oversees the department budget in conjunction with corporate goals and objectives. This position is accountable for meeting annual budgetary goals.
Assesses patient satisfaction in areas of responsibility; sets a high standard for staff and leadership to improve patient satisfaction as measured by survey scores.
Minimum Qualifications BSN or MSN required for all new hires to the position after October 1, 2016. Incumbents in the position prior to October 1, 2016 must possess a bachelors degree in a related field.
Requires a current Registered Nurse (R.N.) license in state worked. In an ambulatory setting, a CCM (Certified Case Mgr) must be obtained within 3 years of accepting position.
Must have considerable experience with appropriate age specific patient population in the area of responsibility as typically demonstrated through at least 2 years of management experience and two years of providing direct, clinical care in a patient setting.
Must possess demonstrated flexibility in responding to the needs of multiple constituencies with a service-oriented philosophy. Must also possess demonstrated skill in problem analysis, project management, contract negotiation, conflict resolution and oral/written presentation. Requires strong working knowledge of utilization management, care management, regulatory standards and reimbursement across the continuum of care.
Preferred Qualifications Masters degree in nursing or business is preferred; Managed care experience is a plus; CCM (Certified Case Mgr).
Additional related education and/or experience preferred.
