ALTCS Case Manager Job at Banner Health
Primary City/State:
Tucson, ArizonaDepartment Name:
IPA MgmtWork Shift:
DayJob Category:
Clinical CareYou have a place in the health care industry. If you’re looking to leverage your abilities to make a real difference – and real change in the health care industry – you belong at Banner Health. Apply today.
Arizona Long Term Care Case Managers are required to go out into the community and see member's in their current setting. Member's lives in assisted living facilities, nursing homes, and their own home. Completing assessments on a 90 day or 180 schedule for each assigned member. Responsible for assessing member needs and setting up services to meet their needs. Assisting with hospital discharge planning and placements.
This is a full time opportunity working Monday through Friday. Case managers need to be available from 8am to 5pm. You will primarily work remotely, but will need to complete assessments in the field. No holidays required.
Banner Health Network (BHN) 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 BHN, 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 is responsible for assessing, documenting and monitoring the overall functional, physical and behavioral health status of members assigned to them. Based on the assessments, the case manager, collaborating with the member and his/her support system, develops a service plan that meets member needs in the most cost-effective and most integrated setting.
CORE FUNCTIONS
1. Is the primary contact for the ALTCS member, explaining the program to members, including their rights and responsibilities, the grievance and appeal system and other information according to regulations.
2. Comprehensively assesses and documents the member’s bio psychosocial functioning in accordance with AHCCCS time frames, identifying the individual’s strengths and needs.
3. Develop and implements a service plan based on the member’s strengths, needs and placement preferences, authorizes and coordinates with provider agencies.
4. Assists the member to define personal goals, identifying barriers to achieving these goals and encouraging the member to resolve the difficulties identified.
5. Acts as a facilitator and/or advocate for the member in dealing with issues with providers, community programs or other organizations.
6. Acts as a gatekeeper to ensure that the member is receiving the most appropriate, cost-effective services in the most appropriate setting.
7. Facility based while remaining within budgetary allowances. Internal customers: all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary healthcare team. External customers: physicians, payers, community agencies, provider networks and regulatory agencies.
MINIMUM QUALIFICATIONS
Knowledge, skills and abilities as normally obtained through the completion of a bachelor’s degree in social work, and two years of experience serving persons who are elderly and/or persons with physical disabilities or who are determined to have a Serious Mental Illness (SMI).
PREFERRED QUALIFICATIONS
Bilingual, preferred in some assignments.
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
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