RN Case Manager Full Time Days

Up to $10,000 Sign-On bonus for experienced Registered Nurse / RN

GENERAL SUMMARY:

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:

(1) Utilization Management supporting medical necessity and denial prevention;

(2) Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction;

(3) Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care;

(4) Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy;

(5) Education provided to physicians, patients, families, and caregivers.

The individual’s responsibilities include the following activities: (a) accurate medical necessity screening and submission for Physician Advisor review, (b) care coordination, (c) transition-planning assessment and reassessment, (d) implementation or oversight of implementation of the transition plan, (e) leading and facilitating multi-disciplinary patient care conferences, (f) managing concurrent disputes, (g) making appropriate referrals to other departments, (h) identifying and referring complex patients to Social Work Services, (i) communicating with patients and families about the plan of care, (j) collaborating with physicians, office staff and ancillary departments, (k) leading and facilitating Complex Case Review, (l) assuring patient education is completed to support post-acute needs, (m) timely complete and concise documentation in Case Management system, (n) maintenance of accurate patient demographic and insurance information, (o) identification and documentation of potentially avoidable days, (p) identification and reporting over and underutilization, (q) and other duties as assigned.

QUALIFICATIONS:

• Required qualifications include an active Registered Nurse license with at least two years acute hospital patient care experience. BSN preferred.
• Accredited Case Manager (ACM) preferred.
• Acute hospital case management experience preferred.
• Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy.
• Current BLS certification.

#LI-TR1

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.