RN or LMSW - Case Manager

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makers---hospitals, health systems, physicians, self-insured employers, and payers---to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Our mission is to "improve Healthcare by increasing Healthcare quality and cost control through the effective deployment of information management and transaction efficiency.'"

Our vision is to provide "Global Support for Local Health Care." By following the principles of mutual respect for patients and families, our Nurses work with participants, providers, employers, health systems and hospitals, payers, professional advisors and communities to identify and coordinate the most appropriate services to address their healthcare needs.

As a technology based company, we have developed a comprehensive, fully integrated, URAC certified web-based medical management software application that combines Conifer's web-based data warehouse and reporting platform with a robust medical management software and workflow system. The result is a seamless and comprehensive database, management and reporting tool that support all levels of medical management interventions; utilization management, case management, and disease management. Our nurses find this application to be a very efficient, easy to navigate and helpful tool as it is integrated with documentation and research materials.

Conifer Health Solutions is currently hiring for a RN Case Manager in Phoenix, AZ.

Overview: Under the direction of the Manager, Case/Disease Management, provides direction, identifies health and psychosocial issues, generates care plans and evaluates outcomes on members identified for high risk case and disease management.

Identifies issues relating to members' physical and mental well being that affects health status and works in collaboration with both the member and provider to determine appropriate care for case management services.

Maintains and documents initial assessment, and designs a care plan that is attainable, in the appropriate business application program.

Acts as a liaison between physician and member to alleviate potential issues that can interrupt care.

Communicates new information obtained through training, out-side courses, lectures, programs, etc. to peers for educational purposes.

Maintains case load by identifying cases that are no longer high in intensity or services and closes them timely and appropriately.

Motivates member to identify goals and works toward meeting them in a specified time based on all external factors.

Maintains and promotes confidentiality of patient information and adheres to all HIPAA regulations.

Participates in monthly case studies in Quality Management Department.

Special Skills:

Knowledgeable of community resources. Good computer skills, knowledge of medical terminology, good interpersonal communication and customer skills. Types 40-45 words per minute. Bilingual Preferred.

Minimum Requirements: Must hold an active RN Arizona License. Minimum of one to two years of case/disease management experience

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