Primary City/State:

　　Arizona, Arizona

　　Department Name:

　　BH Centralized Referral Center

　　Work Shift:

　　Night

　　Job Category:

　　Clinical Care

　　You have a place in the health care industry. At Banner Health, caring for people is at the core of all we do. We are committed to diversity, equity and inclusion. If that sounds like something you want to be a part of - apply today!

　　Becker’s Healthcare recently honored Banner as one of 150 top places to work in health care for 2023, we are proud to offer our team members many career and lifestyle choices throughout our network of facilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you.

　　This role is remote with three 12 hours shift, working every other weekend, prescheduled weekends. This is for 6:00 PM -6 :30 AM. Training is in person at the corporate center, once training is complete, the team is fully remote. In this role your main job is safely and quickly getting patients from one place to the next, it could be a hospital that may not have the ability to care for that patient to a hospital that can care for that patient. If a patient needs a service line that is not provided and their current facility , you as the RN Navigator would locate the next closest hospital within our system that offers that service line, utilize our internal tools to see what availability they have for capacity, and coordinate with the facility team to accept the patient.

　　Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.

　　Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

　　POSITION SUMMARY

　　This position provides comprehensive care coordination for patients as assigned, including initiation and coordination of incoming and outgoing transfers for higher/lower level of care and/or specialized treatment modalities from outreach or network entities. This position secures required specialists and/or following physicians, assessment and triage for appropriate level of care, financial assessment and referral. This position also carries out market strategies to obtain referral of clients from third part payers and physicians in liaison role.

　　CORE FUNCTIONS

　　Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Assesses patient admissions and continued stay, utilizing standard criteria.

　　Coordinates patient placement among multiple outreach and network facilities for admissions and transfers. Coordinates safe patient transfers according to established operational processes and guidelines in place for all service lines at each facility. Alerts staff at appropriate entity/agency of incoming/outgoing patients, scheduling bed/services, performs clinical and financial screening of referred patients and coordinates transportation. Serves as a liaison with other departments, leaders and presiding physicians regarding process improvement opportunities for patient flow, patient transfers and efficacy of communication process.

　　Manages individual patients across the healthcare continuum to achieve the optimal clinical, financial, operational and satisfaction outcomes. Serves as a liaison for the continuum of care including preadmission, hospitalization and community follow-up, depending on work assignment.

　　Maintains process for assessing current referral patterns for selected target areas by identifying physician referral patterns, health related community events, established physician practices and major gatekeepers in outreach and network communities. Establishes and promotes collaborative relationships with physicians, payers and other members of the healthcare team, including non-Banner entities (vendor management). Seeks opportunities to increase the growth of business within the assigned communities, identifying and cultivating potential referral sources relevant to the population served.

　　Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. Provides outcome data with targeted audiences including physicians, medical case managers, rehabilitation professionals, insurance adjustors and industrial representatives.

　　Serves as a resource to other staff members and promotes a collegiality between staff physicians and leaders. Participates in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice standards. Acts as a consultant within the organization and in the community.

　　Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies.

　　May supervise staff depending on work assignment.

　　This position has regional responsibility for placement and coordination of care for patients. Internal customers include all levels of nursing leadership and staff, medical staff and all other members of the interdisciplinary healthcare team. External customers may include patients and families, physicians, agency vendors and contracted services, staff from other health care agencies/providers and community/professional organizations and community and regulatory agencies.

　　MINIMUM QUALIFICATIONS

　　Requires an active RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice.

　　Requires knowledge typically achieved with three years of experience in the care of the population served, as well as experience in clinical care operations, case management and/or patient throughput. Must have a working knowledge of hospital operations, medical/nursing staff procedures, hospital and community resources. Must demonstrate critical thinking, conflict resolution, time management, and problem-solving skills. Requires excellent communication skills and an ability to interact well across departments, facilities and organizations. Excellent organizational and human relations are required to maintain good rapport and effective working relationships with internal and external customers.

　　PREFERRED QUALIFICATIONS

　　Bachelor’s degree in nursing or healthcare related field preferred.

　　Additional related education and/or experience preferred.

　　EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

　　Our organization supports a drug-free work environment.

　　Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

　　EOE/Female/Minority/Disability/Veterans

　　Banner Health supports a drug-free work environment.

　　Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability