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RN Manager for Case Management Full Time

  • Job ID 2005012034
  • Date posted 03/24/2020
  • Facility John F. Kennedy Memorial Hospital
Description:

POSITION DESCRIPTION:

The individual in this position has overall responsibility for coordinating the daily activities of the case management team, while overseeing the clinical plan of care to conform with evidence-based practice and/or regulatory/payor requirements. This position integrates functions typically considered to be case management, care coordination and/or utilization management, and discharge planning assessment and coordination.

As such, the individual s responsibilities will include, but not be limited to the following activities: 1. Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post-acute care) compared to evidenced-based practice, internal and external requirements. 2. Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidenced-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in CM software. 3. Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes. 4. Remain current with relevant clinical / case management practices. 5. Daily operational oversight and supervision of Departmental staff.



Qualifications:

QUALIFICATIONS

Required: Active Registered Nurse license
Preferred: Bachelor of Science in Nursing (BSN) preferred.

Required: Two (2) years acute hospital case management, healthcare or leadership experience. McKesson InterQual experience preferred. Five years (5) acute hospital case management experience preferred.

Preferred: Accredited Case Manager (ACM)


Job: Case Management/Home Health
Primary Location: Indio, California
Facility: John F. Kennedy Memorial Hospital
Job Type: Full-time
Shift Type: Days

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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