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Registered Nurse Case Manager (RN)
Days - FTPalm Springs, California
Overview
At Tenet, your nursing skills can make a pivotal difference for the patients we treat and the communities we serve. You'll work in an enriching, rewarding environment where you'll have the resources to surpass your patients' needs. For our part? We'll give you ample tools and support – like competitive benefits, personalized mentorship, enhanced flexibility, and more – so you can take your health career where you always knew you could.
Success Profile
What makes a successful Registered Nurse Case Manager (RN)? Check out the traits we’re looking for and see if you have the right skill level.
- Innovative
- Advocate
- Collaborative
- Person-Centered
- Resourceful
- Critical Thinker
Responsibilities
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Desert Regional Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
At Desert Regional Medical Center, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Career development and continuing education opportunities
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status
Job SummaryShift: Days
Job type: Full time
Hours: 0800-1630
**Up to $25,000.00 Sign on Bonus for Qualified Candidates**
GENERAL DUTIES:
The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning.
The individual’s responsibilities will include, but not be limited to the following activities: a) medical necessity screening b) care coordination c) discharge planning d) facilitating multi-disciplinary patient care conferences e) managing concurrent disputes f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST) g ) referring complex social issues to Social Service h ) communicating with patients and their families about the plan of care i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy) j) participating in weekly Complex Case Review k) arranging for post –discharge patient education l) clear, complete and concise documentation in eCCM m ) maintaining accuracy of patient demographic and insurance information n) identifying and documenting potentially avoidable days o) identifying and reporting over and under utilization o) and other duties as assigned.
Attends hospital workshop led by the Director of Case Management or designee that includes the Tenet Case Management Model, InterQual, Discharge Planning, Utilization Management, and other topics specific to case management. Extended orientation with selected Case Managers may occur.
Information used to perform job: patient data, healthcare staff documentation related to patient care, regulatory and payor requirements
Software used to perform job: eCCM: Clinical data interface, InterQual, Case Management documentation, secure faxing, Avoidable Day tracking, Patient Medical Record and HPF, Hospital specific Clinical Software
DEPARTMENT SPECIFIC DUTIES:
Priority 1: Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential).
Priority 2: Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in eCCM (40% daily, essential).
Priority 3: Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (10% daily, essential).
Priority 4. Remain current with relevant clinical/case management practices. (10% daily, essential).
QualificationsRequired:
- Must have 5 years CM experience in an acute care setting; planning and executing post acute care discharges.
- Proficient in care coordination in an acute care setting
- Knowledgeable of available resources for post acute discharge.
- Demonstrated ability to effectively utilize Allscripts case management software.
- Strong understanding of medical terminology, procedures, and documentation practices specific to neonatal care.
- Excellent communication skills, both written and verbal, with the ability to interact effectively with multidisciplinary teams, patients, and families.
- Proven track record of conducting thorough assessments, developing care plans, safe discharge plans, and ensuring appropriate utilization of resources for neonatal patients.
- Ability to provide and manage multiple tasks efficiently in a fast-paced environment.
- Detail-oriented with a commitment to accuracy and compliance with regulatory standards and organizational policies.
- Experience collaborating with insurance providers and external healthcare agencies to facilitate optimal patient outcomes and resource utilization.
- Current California RN licensure.
Preferred:
B.S.N. preferred
PHYSICAL REQUIREMENTS:
While performing the duties of this job, the employee is regularly required to sit, talk, and hear. The employee is frequently required to use fine motor skill (typing/data entry), and reach with hands and arms. The employee is frequently required to stand; walk; and occasionally stoop, kneel, or crawl. The employee must regularly lift and /or move up to 20 pounds and occasionally lift and/or move up to 50 pounds. Individual works in a clinical and office environment.
#LI-DH1
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.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
Salary: $57.54 - $88.43 hourly **Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience
Our Tenet Testimonials
My co-workers are awesome here. I feel like I'm in a really supportive environment and can rely on the people I work with.
Leila C.,
Registered Nurse
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