RN Care Management Coordinator

Valleywise Health System

• $76K — $113K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in nursing preferred
  • Minimum 3 years of recent acute clinical hospital experience
  • Experience in Case Management and/or Utilization Management preferred
  • Proficiency in Epic, InterQual, and Midas software is a plus
  • Current Arizona RN license or valid compact RN license required
  • Basic Life Support (BLS) certification within 30 days of hire
  • Preferred specialty certification in Utilization Review or Case Management within 30 months of hire

Responsibilities

  • Assess patient needs and develop care plans to ensure timely progression through care continuum.
  • Coordinate multidisciplinary care services for optimal patient outcomes.
  • Collaborate with patients, families, and healthcare teams to achieve desired health outcomes.
  • Facilitate discharge planning and resource allocation for cost-effective care.
  • Ensure compliance with clinical guidelines and hospital procedures in care management.

Benefits

  • Access to interdisciplinary team collaboration
  • Opportunities for professional development and specialty certification
  • Involvement in shaping patient care strategies
  • Engagement with community resources for better patient outcomes
  • Supportive leadership in achieving care management goals
Full Job Description
Under the direction of the department manager or designee, the RN Care Management Coordinator is part of the interdisciplinary team and serves as the expert in discharge planning. This position is responsible for the assessment, identification of needs and coordination of care and services to facilitate the patient's progression through the continuum of care in a timely and cost-effective manner. The RN Care Management Coordinator assumes a leadership role, and works collaboratively with the patient, family, interdisciplinary team internally and externally to identify desired outcomes and develop a safe plan of care.

Hourly Pay Rate: $36.94 - $54.49

Qualifications

Education:
  • Prefer a bachelor's degree or higher in nursing.

Experience:
  • Must have at least three (3) years of recent acute clinical hospital experience, preferably in Case Management and/or Utilization Management.

Specialized Training:
  • Trained in Epic, InterQual, Midas and internally used software programs is strongly preferred.

Certification/Licensure:
  • Must possess a current, valid Arizona (AZ) RN license, temporary AZ RN license, or valid compact RN license for the current state of practice.
  • Must be in good standing with the issuing Board of Nursing.
  • Basic Life Support (BLS) certification is required within 30 days of hire.
  • Specialty certification in Utilization Review or Case Management (e.g., ACM, CCM) is preferred within 30 months of hire.

Knowledge, Skills, and Abilities:
  • Must have a working knowledge of case management, hospital, community resources and resource/utilization management.
  • The position requires excellent communication and clinical skills and ability to maintain professional rapport with physicians.
  • Requires extensive knowledge of evidence based clinical guidelines, best practice, workup, treatment, prognosis and hospital procedures.
  • Critical thinking ability is essential.
  • Strong critical care skills, understanding of medical documentation and pathophysiology.
  • Knowledge of acute care criteria sets and state and federal reimbursement programs.
  • Requires the ability to read, write and speak effectively in English.

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