Case Manager - Rehab

Tenet Healthcare; Delray Beach (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Tenet Healthcare in Florida seeks an experienced RN Case Manager to coordinate patient care across the continuum, promoting timely discharge and preventing readmissions. The role requires an active RN license and at least 2 years of acute hospital case management experience, with a preference for ACM certification.

The position focuses on transition planning, utilization management, and care coordination within Tenet’s system.

Qualifications

• RN license in good standing.
• 2 years acute hospital case management experience.
• Graduate of an accredited nursing program.
• Preferred: ACM certification.

Responsibilities

• Screen medical necessity and submit for Physician Advisor review.
• Coordinate care and transition planning.
• Lead multidisciplinary patient care conferences.
• Assist in complex case reviews and referrals to Social Work.
• Ensure timely and accurate documentation in the Case Management system.
• Communicate plan of care with patients and families.
• Collaborate with physicians, staff, and ancillary departments.

Skills

Organizational skills

Verbal communication

Written communication

Leadership

Coordination

Critical thinking

Problem solving

Computer literacy

Education

RN license

Bachelor's or Master's in Nursing

Job description

Full Time, Days

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
• Leads a population of patients by service line.

The individual's responsibilities include the following activities:

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

Required: Graduate of an accredited school of nursing.

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

Required: 2 years of acute hospital case management experience.

Required: RN. 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: Accredited Case Manager (ACM)

Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast paced environment, critical thinking and problem solving skills and computer literacy.