RN Case Manager

**Department Name:** BMA-D **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for Nurses. When we make things better than ever for nurses at Banner Health, we make things better than ever for all of us. This means investing in the holistic health and happiness of our nurses—through better pay, better benefits, better opportunities and a better community. Join Banner University Family Care's Care Management Team as a **DSNP Adult RN Care Manager.** Make a meaningful difference in the lives of adults with complex healthcare needs by joining Banner Medicare Advantage as a **DSNP Adult RN Care Manager**. In this role, you'll provide telephonic complex case management, partnering with members, caregivers, providers, and community resources to coordinate care, overcome barriers, and support the management of chronic and complex medical conditions. Through comprehensive assessment, advocacy, and individualized care planning, you'll help members navigate the healthcare system and access the services and resources they need to achieve their health goals. As a trusted clinical resource and advocate, you'll facilitate seamless transitions across the continuum of care, ensuring members receive high-quality, evidence-based, and person-centered support. You'll collaborate with interdisciplinary teams to promote better health outcomes, enhance quality of life, and empower members to actively participate in their care. If you're passionate about improving adult health outcomes, building strong relationships, and delivering whole-person care, you'll find a rewarding opportunity to create lasting impact while supporting members on their journey to better health and well-being. **The RN, Case Manager a remote position with a work schedule of Monday - Friday 8am - 4:30pm. CANDIDATES MUST LIVE IN THE STATE OF ARIZONA TO BE CONSIDERED.** 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. Banner Plans & Networks (BPN) 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 BPN, 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. POSITION SUMMARY 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. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care. CORE FUNCTIONS 1. Manages individual patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes. 2. Acts in a leadership function with process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes. 3. Acts in a leadership function to collaboratively develop and manage the interdisciplinary patient discharge plan. Effectively communicates the plan across the continuum of care. 4. Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay utilizing stand…