Primary City/State:

Arizona, Arizona

Department Name:

Banner Staffing Services-AZ

Work Shift:

Day

Job Category:

Clinical Care

You 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 Plans & Networks.

Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.

As an ALTCS Case Manager your assignment will be in the Tucson, Arizona market. Your shifts will be Monday-Friday working in Arizona Business hours.

Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities.

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.

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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