Community Health Systems RN - Case Manager-Transitional Care in Arizona
The Case Manager of Transitional Care (CMTC)is responsible for improving patient s level of wellness, reducing unnecessary readmissions and ensuring appropriate utilization of in-network healthcare resources. This is achieved by monitoring the ACO Care Continuum for patients discharged from Hospitals; which includes discussing utilization patterns of Participating and Non-participating resources, including physicians, hospitals and post-acute care providers. The CMTC will collaborate with Hospital Leadership and Case Managers to review trends in resource utilization. The CMTC will seek to provide assistance to patients who express concerns or additional care needs. The CMTC will also seek to understand readmission drivers and opportunities to reduce 30-day readmission penalties.
Bachelors degree preferred. Nursing or Social Work.
Required - Two (2) years of strong clinical/healthcare experience. Current working knowledge of discharge planning, utilization management, case management and disease management. Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post acute care.
Preferred: Supervisor or project leadership. Knowledge of Medicare and ACO practice management. Prior experience as a Care Navigator for high-risk patient populations.
Current Arizona RN license or compact state license; or Social Work license.
Job: Physicians Office
Organization: Northwest Allied Physicians
Requisition ID: 1768514