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Tenet Health
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The Hospitals of Providence Memorial Campus
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The Hospitals of Providence Sierra Campus
El Paso, TX | Full Time
$70k-85k (estimate)
11 Months Ago
Registered Nurse Case Manager Full Time Days
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$75k-90k (estimate)
Full Time 3 Months Ago
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The Hospitals of Providence Sierra Campus is Hiring a Registered Nurse Case Manager Full Time Days Near El Paso, TX

Up to $5,000 Sign-On bonus based on experience

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:
Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
Education provided to physicians, patients, families and caregivers

Responsibilities

The individual’s responsibilities include the following activities:

  • Accurate medical necessity screening and submission for Physician Advisor review,
  • Care coordination,
  • Transition planning assessment and reassessment,
  • Implementation or oversight of implementation of the transition plan,
  • Leading and facilitating multi-disciplinary patient care conferences,
  • Managing concurrent disputes,
  • Making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services,
  • Communicating with patients and families about the plan of care,
  • Collaborating with physicians, office staff and ancillary departments,
  • Leading and facilitating Complex Case Review,
  • Assuring patient education is completed to support post-acute needs ,
  • Timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information,
  • Identification and documentation of potentially avoidable days,
  • Identification and reporting over and underutilization,
  • And other duties as assigned
Qualifications
Education

Preferred: Bachelor of Science in Nursing (BSN)

Experience

Required: Two (2) years acute hospital patient care experience
Preferred: Acute hospital case management experience

Certifications

Required: Active Registered Nurse license
Preferred: Accredited Case Manager (ACM)

#LI-JC6

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.

2305050477

Job Summary

JOB TYPE

Full Time

SALARY

$75k-90k (estimate)

POST DATE

12/17/2022

EXPIRATION DATE

05/07/2024

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The job skills required for Registered Nurse Case Manager Full Time Days include Case Management, Patient Care, Coordination, Planning, Social Work, etc. Having related job skills and expertise will give you an advantage when applying to be a Registered Nurse Case Manager Full Time Days. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Registered Nurse Case Manager Full Time Days. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Registered Nurse Case Manager Full Time Days positions, which can be used as a reference in future career path planning. As a Registered Nurse Case Manager Full Time Days, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Registered Nurse Case Manager Full Time Days. You can explore the career advancement for a Registered Nurse Case Manager Full Time Days below and select your interested title to get hiring information.