Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance.

Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status andappropriateness of medical care, including admission, length of stay, transfer and discharge.

Case Management is a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s health needs through communication and available resources to promote quality cost-effective outcomes.The case manager conducts a comprehensive assessment of the client’s health needs to develop a plan of care.The case manager plans with the patient, attending physician, the primary care physician’s office, other health care providers, the payer, and the community to maximize health care response and quality, cost-effective outcomes.Case Managers are responsible for providing education to patient and or family members regarding their disease process and their comorbid diagnosis.Case Managers will complete the Utilization Review through InterQual or a similar module to assure patients are in the appropriate level of care.

Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.

Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. This position description does not restrict the right of management to assign or reassign duties and responsibilities with and without noticeTo perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

Minimum Education

High school diploma or equivalent Preferred X Required

X Associate’s degree Preferred X Required

X Bachelor's degree X Preferred Required

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Certifications:

Basic Life Support (BLS) - American Heart Association X Required at time of hireAny other certifications are acceptable and welcomed.If employee has ACLS (American Heart) BLS is not required.X Must be willing to sit for and obtain a certification within case management that is appropriate based on their professional licensure

Minimum Work Experience

Minimum of 3-5 years in Case Management/Utilization Review X Preferred

Required Licenses

[Arizona, United States] Social Worker
Active MSW Licensure in good standing