Registered Nurse - Clinical Referral Specialist

Banner Health Mesa, AZ
Banner Health invests in our nurses by training them to confidently and safely deliver excellent patient care. Banner Health is committed to developing the careers of our team members. We care about you, your nursing career today and your future. Great options and great opportunities.

Bring your excellent Registered Nurse experience to a full time Clinical Referral Specialist position. This position will work mid-shift with variable start times of 9a, 10a or noon, with variable shift lengths of 9 or 10 hour shifts. The position will share in coverage of holidays and weekends. The department is located on the Banner Desert campus.

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.

About Banner Health Corporate

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.

About Banner Health

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.

Job Summary

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.

Essential 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.

Minimum Qualifications

May require a current valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice. May require a current Physical, Occupational or Speech Therapy license within the 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

Bachelors degree in nursing or healthcare related field preferred.

Additional related education and/or experience preferred.

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