What are the responsibilities and job description for the Registered Nurse Case Manager (RN) position at Carondelet St. Marys Hospital?
Overview
Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!
At Carondelet St. Marys Hospital, 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 Summary
Sign on Bonus: Up to $10,000 SOB Based on Eligibility
Job 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: a) 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
- 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
- maintenance of accurate patient demographic and insurance information
- identification and documentation of potentially avoidable days
- identification and reporting over and underutilization
- Other duties as assigned
Qualifications
- Minimum Requirements
- Education: Graduate of accredited school of nursing
- Experience: 2 years of acute hospital patient care experience
- Licensure/Certifications: Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.
- Preferred Requirements
- Education: Bachelor's or Master's degree in nursing
- Experience: Acute hospital case management experience
- Licensure/Certifications: Accredited Case Manager (ACM)
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Organization Description
St. Marys Hospital, established in 1880, is Southern Arizonas longest continually operating hospital and one of the top medical centers in Tucson and the region. Home to the Carondelet Heart & Vascular Institute, St. Marys is recognized as a destination hospital for minimally invasive heart and vascular surgery, as well as advanced stroke care, emergency care, wound care and bariatric surgery. St. Marys strives to offer personalized, compassionate care to every patient. Join our team!
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