Registered Nurse Case Manager (RN)

The individual’s responsibilities include the following activities:

a) accurate medical necessity screening and submission for Physician Advisor review, 
b) care coordination, 
c) transition planning assessment and reassessment, 
d) implementation or oversight of implementation of the transition plan, 
e) leading and facilitating multi-disciplinary patient care conferences, 
f) managing concurrent disputes, 
g) making appropriate referrals to other departments, 
h ) identifying and referring complex patients to Social Work Services, 
i) communicating with patients and families about the plan of care, 
j) collaborating with physicians, office staff and ancillary departments, 
k) leading and facilitating Complex Case Review, 
l) assuring patient education is completed to support post-acute needs , 
m) timely complete and concise documentation in Case Management system, 
n) maintenance of accurate patient demographic and insurance information, 
o) identification and documentation of potentially avoidable days, 
p) identification and reporting over and underutilization, 
q) and other duties as assigned.

Education:

Required: Graduate of an accredited school of nursing

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:

BLS

#LI-SC1

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.