RN Case Manager - Clinical Res Mgmt

Job Summary

The RN Case Manager is responsible for facilitating 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 has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and for assessing the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions.

• Accurate LOS screening and submission for Physician Advisor review.
• Care coordination.
• Transition planning assessment and reassessment.
• Implementation or oversight 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 the Tenet Case Management documentation system.
• Maintenance of accurate patient demographic and insurance information.
• Identification and documentation of potentially avoidable days.
• Identification and reporting of over and under‑utilization.
• Other duties as assigned.

• Graduate of an accredited school of nursing.
• Required:
  
  2 years of recent adult acute hospital patient care experience, 1 year case management or discharge planning experience.
• Required:
  
  RN, currently licensed, with an active RN license for the state(s) covered.
• Required skills include organizational ability, excellent verbal and written communication, leadership and coordination of a diverse group, critical thinking, problem‑solving, and computer literacy.
• Preferred:
  Academic degree in nursing (bachelor’s or master’s).
• Preferred:
  Acute hospital case management experience.
• Preferred:
  Accredited Case Manager (ACM).

• Medical, dental, vision, and life insurance.
• 401(k) retirement savings plan with employer match.
• Generous paid time off (PTO).
• Career development and continuing education opportunities.
• Health savings accounts and healthcare dependent flexible spending accounts.
• Employee Assistance program and employee discount program.
• Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder childcare, auto and home insurance.

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.

Job Number:

Primary

Location:

MI – Commerce Township

Hospital/Facility: DMC Huron Valley – Sinai Hospital

Job Type: PT2Y

Shift Type:
Days (1 weekend per month, holiday rotation)