Details
Posted: 11-Jan-22
Location: Phoenix, Arizona
Salary: Open
Categories:
General Nursing
Primary City/State:
Phoenix, Arizona
Department Name:
Case Mgmt-Hosp
Work Shift:
Day
Job Category:
Clinical Care
Help change health care; help change the world. Make real change in health care with the freedom to innovate and highly trained staff to execute your vision. Apply today to join the Banner Health leadership team.
As the RN Director of Care Coordination, you will have the opportunity to provide leadership to the Care Coordination teams at Banner Desert Medical Center and Banner Ocotillo Medical Center. You will support the processes of discharge planning, readmission prevention, regulatory and compliance requirements.
This is a full time, day shift opportunity working Monday through Friday. On Call and weekends as needed.
Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.
Located on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and is recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 600 licensed beds, including over 100 dedicated to children. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 21 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the daVincir Surgical System. About Banner Children's Hospital at Desert If you desire to provide the best care possible to the most vulnerable patients, come to Banner Children's Hospital at Desert in Mesa, Ariz. Within our 248-bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a recently expanded 104-bed NICU, a 24-bed PICU, six pediatric ORs and a 26-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.
POSITION 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 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 also have responsibilities for multiple facility/entity-specific patient outcomes related to patient goals, contractual deliverables, effective transitions of care, internal alignment initiatives, and maintaining relationships with internal and external stakeholders.
CORE FUNCTIONS
1. 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 Care Coordination services across the continuum leads to outcomes supportive of the organization's strategic plan.
2. Ensures that development of Care Coordination services across the continuum leads to outcomes supportive of the organization's strategic plan. Designs and implements processes to ensure appropriate care coordination in accordance with regulatory and standards of safety. Participates as a subject-matter expert and may lead or facilitate task forces, teams, and/or councils to plan, implement and coordinate post-acute programs, services, and/or activities for the organization.
3. Provides strategic 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.
4. Oversees 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 Care Coordination goals and objectives in accordance with company standards.
5. Establishes and oversees the financial and capital resources for Care Coordination 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.
6. Develops and oversees the department budget(s) in conjunction with corporate goals and objectives. This position is accountable for meeting annual budgetary goals.
7. Assesses patient satisfaction in areas of responsibility; sets a high standard for staff and leadership to improve patient satisfaction as measured by survey scores.
8. This position has facility/entity-wide responsibility for Care Coordination services. Internal customers: All levels of nursing leadership and staff and other members of the integrated health care team, for the purpose of integrating services, improving patient care, ensuring effective communication systems and facilitating decision making in clinical practice and business-related issues. External customers: Patients and families regarding patient care issues; physicians regarding patient care and program development; agency vendors and contracted services; staff from other health care agencies/providers and community/professional organizations for the purpose of exchanging patient and program information and insurance payers; and the Joint Commission, state, federal and community agencies regarding compliance with laws and regulations.
MINIMUM QUALIFICATIONS
Requires a current Registered Nurse (R.N.) license in state worked. Requires a Bachelors of Science in Nursing or in a related field.
Requires a current Registered Nurse (R.N.) license in state worked.
Must have three years acute experience with age specific patient population in the area of responsibility and minimally three years of progressive leadership experience. 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 of Science in Nursing. Managed care experience preferred; CCM (Certified Case Manager) preferred.
Additional related education and/or experience preferred.
