Registered Nurse Case Manager; RN

Overview

Summary:

Responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patient’s resources and right to self-determination. 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 provide timely throughput, safe discharge and prevent avoidable readmissions.

Integrates the national standards for care 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 efficient throughput while assuring care is sequenced 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. Completes established competencies for the position within designated introductory period. Other related duties as assigned

• Facilitate care along a continuum through effective resource coordination to help patients achieve optimal health and appropriate utilization of resources.
• Ensure care is provided at the appropriate level of care based on medical necessity and assess transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions.
• Integrate national standards for care management scope of services including Utilization Management, Transition Management, Care Coordination, compliance with regulatory requirements, and education.
• Promote efficient throughput and ensure care is sequenced at the appropriate level of care, while supporting patient satisfaction.
• Maintain compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy.
• Provide education to physicians, patients, families and caregivers.
• Complete established competencies for the position within the designated introductory period.
• Perform other related duties as assigned.

• MINIMUM EDUCATION: Graduate of an accredited School of Nursing
• PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing
• MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management experience.
• PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.
• REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse
• PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)

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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.