RN Manager, Case Management AZ
Company: Mayo Clinic
Posted on: February 12, 2024
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care
provider according to U.S. News & World Report. As we work together
to put the needs of the patient first, we are also dedicated to our
employees, investing in competitive compensation and comprehensive
benefit plans to take care of you and your family, now and in the
future. And with continuing education and advancement opportunities
at every turn, you can build a long, successful career with Mayo
Clinic. Youll thrive in an environment that supports innovation, is
committed to ending racism and supporting diversity, equity and
inclusion, and provides the resources you need to succeed.
The RN Manager, Care Management provides leadership, direction, and
resource management for case managers and social workers in the
inpatient and ambulatory settings. The RN Manager effectively
resolves utilization review and denial management issues, provides
leadership in resolving psychosocial issues, and removes barriers
and complexities for case managers and social workers to
effectively facilitate safe discharge planning. The RN Manager
collaborates internally and externally to maximize patient flow and
mitigate reimbursement issues. Collaborates internally with
pre-certification staff, admitting and billing office personnel,
contracting staff, house supervisors, risk management, physicians,
and specialty departments that impact needs during the inpatient
stay and through the provision of an effective, safe discharge.
External collaboration includes but is not limited to health plans,
providers, and vendors that impact needs during the inpatient stay
and through an effective, safe discharge. This individual has a
strong working knowledge of Medicare/Medicaid, regulatory
compliance mandates, auditing agencies, national coverage
determinations (NCDs) and local coverage determinations (LCDs).
Possesses knowledge of various payer sources, benefits, and
limitations and understands and applies utilization management
standards from the patient's point of entry through discharge. The
RN Manager assists in developing and creates ownership for the
department's vision and planning, fostering teamwork and an open
creative environment for staff. The RN Manager coordinates,
implements, and evaluates staff development and manages staff
performance proactively and decisively. The RN Manager supports
staff leadership activities, including community involvement and
participation in committees and research. This individual must
demonstrate knowledge of the principles of growth and development
of the life span and appropriately interpret information relative
to the patient's specific needs.
The RN Manager, Care Management supports leadership amongst the
staff through support of activities that include staff development,
community involvement, and participation in committees and
research. The American Nurses Association (ANA) Nursing Scope and
Standards of Practice, the ANA Code of Ethics for Nurses, and the
Commission for Case Manager Guideline provide the basis for
This role is eligible for TN sponsorship. Holders of F1 status
eligible for post-completion OPT are welcome to apply. This role is
NOT eligible to participate in the F-1 STEM OPT extension program.
Successful sponsorship will require state licensure and completion
of the VisaScreen or equivalent certification.
Graduate of a Bachelors degree in nursing program (BSN
Required: Five years of hospital-based case management, including
discharge planning and utilization review experience.
Knowledge of Medicare/Medicaid and other payer sources, benefits,
Strong inpatient utilization review knowledge related to status and
Demonstrated strong clinical nursing practice in adult
Must be highly motivated, flexible, innovative, and
Excellent communication and interpersonal skills and proficiency
Preferred Education: Masters degree.
Preferred Experience: Five years of supervisory/management
experience in an inpatient medical setting.
Preferred working knowledge of Interqual Criteria and MIDAS
License and Certifications:
Current RN licensure from Arizona.
$100,984 - $151,549 / year; Education, experience and tenure may be
considered along with internal equity when job offers are
Primarily Monday - Friday with after hours rotation in answering
off hours and weekend calls from staff who are working.
Just as our reputation has spread beyond our Minnesota roots, so
have our locations. Today, our employees are located at our three
major campuses in Phoenix/Scottsdale, Arizona, Jacksonville,
Florida, Rochester, Minnesota, and at Mayo Clinic Health System
campuses throughout Midwestern communities, and at our
international locations. Each Mayo Clinic location is a special
place where our employees thrive in both their work and personal
lives. Learn more about what each unique Mayo Clinic campus has to
offer, and where your best fit is.
Affirmative Action and Equal Opportunity Employer
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic
is committed to creating an inclusive environment that values the
diversity of its employees and does not discriminate against any
employee or candidate. Women, minorities, veterans, people from the
LGBTQ communities and people with disabilities are strongly
encouraged to apply to join our teams. Reasonable accommodations to
access job openings or to apply for a job are available.
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Keywords: Mayo Clinic, Tucson , RN Manager, Case Management AZ, Executive , Tucson, Arizona
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