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 preventionTransition Management promoting appropriate length of stay, readmission prevention and patient satisfactionCare Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of careCompliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policyEducation provided to physicians, patients, families and caregiversLeads a population of patients by service line.

Responsibilities

• Precepts new staff members and acts as resource to all staff.
• Facilitates TEMPO as needed.
• Participates in department Quality improvement initiatives.
• At least one committee participation or major Projects as assigned

Qualifications

Education

Required: Graduate of an accredited school of nursing. Academic degree in nursing (bachelor's or master's).

Preferred: Academic degree in nursing (bachelor's or master's).

Experience

Required: 2 years of acute hospital patient care experience.Preferred: Acute hospital case management experience.

Certifications

Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state or practice or policy. Active RN license for state(s) covered.Preferred: Accredited Case Manager (ACM)

#LI-NS1

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.