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CategoryHealthcare
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No of Jobs1
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Apply Before08/30/2025
Description
Pediatric RN Care Manager - Banner University Health Plans
Banner Health - Mesa, AZ
Job Title: Pediatric RN Care Manager - Banner University Health Plans
Position: Clinical Care Coordinator in Maternal Child Health
Job Type: Full Time
Pay:
Shift: Day
Work Type:
Location
Address:
City: Mesa
State: AZ
ZIP Code:
Job Responsibilities
- Provide comprehensive care coordination for assigned patients.
- Assess patient plans of care and develop, implement, monitor, and document resource utilization and patient progress.
- Manage individual patients across the health care continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes.
- Lead process improvement activities for populations of patients.
- Collaboratively develop and manage interdisciplinary patient discharge plans.
- Communicate the discharge plan effectively across the continuum of care.
- Evaluate medical necessity and appropriateness of care to optimize patient outcomes.
- Assess patient admissions and continued stay using standard criteria.
- Identify and resolve issues that may delay patient discharge.
- Establish collaborative relationships with physicians, payers, and healthcare team members.
- Collect and communicate pertinent information to fulfill utilization and regulatory requirements.
- Educate internal healthcare team members about case management and managed care concepts.
- May supervise other staff.
Required Skills
Core Skills
- Knowledge of case management or utilization review
- Critical thinking skills
- Problem-solving abilities
- Effective communication skills
- Time management skills
- Ability to work in an interdisciplinary team
Preferred Skills
- Certification for CCM (Certified Case Manager)
Requirements
Experience: 3-5 years clinical experience
Education: Bachelor's degree in case management or health care
License & Certification:
- Current Registered Nurse (R.N.) license
- Basic Life Support (BLS) certification for acute care settings
Schedule:
- Flexible hours and rotating call after hours for acute care settings
COVID-19 Requirements: Not Specified
Benefits
- Variety of benefit plans for health and financial security
- Opportunities for professional growth
Supplemental Pay
- Not specified
Special Notes
- EEO/Female/Minority/Disability/Veterans
- Supports a drug-free work environment
Facility Details
Name: Banner Health
Description: An accountable care organization providing comprehensive healthcare solutions for Maricopa County and parts of Pinal County.
Specialties:
- Maternal Child Health
- Healthcare
Mission: Investment in the holistic health and happiness of nurses and providing better health care.
Job Info
Discipline: 
Department: 
Status: 
Sourcing
Duration: 
Experience: 
Career Level: 
No of Jobs: 
1
Apply Before: 
08/30/2025
Posted: 
05/30/2025