Registered Nurse Case Manager (RN)

Tenet Healthcare; Joshua Tree (CA); On-site; USD 90,000 - 110,000; Full time

Job summary

Tenet Healthcare Corporation’s Hi-Desert Medical Center in Joshua Tree, CA seeks an experienced RN Case Manager to drive care coordination across the continuum. The role focuses on ensuring appropriate levels of care, timely discharge, and avoidance of readmissions while engaging physicians, patients, and care teams.

You will facilitate utilization management, transition planning, and documentation within the Case Management system, contributing to improved patient outcomes and efficient

Qualifications

• CA Registered Nurse license.
• At least two years acute hospital patient care experience.
• BSN preferred.
• Accredited Case Manager (ACM) certification preferred.
• Acute hospital case management experience preferred.
• Strong organizational skills.
• Excellent verbal and written communication skills.

Responsibilities

• 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.
• Accurate medical necessity screening and submission for Physician Advisor review.
• 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.

Skills

CA RN license

Acute hospital experience

Organizational skills

Excellent written and verbal comms

Education

BSN preferred

ACM certification preferred

Job description

Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Hi-Desert Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Hi-Desert Medical Center, 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

Shift: Days

Job Type: Full Time

Hours: 0800-1630

Schedule: 10 shifts per two pay period. Rotating weekends required.

Up to $25,000 Sign-On bonus based on experience

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.

Responsibilities

1. Utilization Management supporting medical necessity and denial prevention.
2. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
3. Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care.
4. Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy.
5. Education provided to physicians, patients, families and caregivers.
6. Accurate medical necessity screening and submission for Physician Advisor review.
7. Timely complete and concise documentation in Case Management system.
8. Maintenance of accurate patient demographic and insurance information.
9. Identification and documentation of potentially avoidable days.
10. Identification and reporting over and underutilization.
11. Other duties as assigned.

Qualifications

• CA Registered Nurse license
• At least two years acute hospital patient care experience
• BSN preferred
• Accredited Case Manager (ACM) preferred
• Acute hospital case management experience preferred
• Required skills include demonstrated organizational skills
• Excellent verbal and written communication skills

Organization Description

Desert Care Network serves the healthcare needs of the Coachella Valley and Morongo Basin regions in Southern California with three hospitals Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and Hi-Desert Medical Center in Joshua Tree. The hospital network provides advanced care with services such as comprehensive stroke care, a cancer center, a Level 1 Trauma Center and the only Level 3 Neonatal Intensive Care Unit (NICU) in the Coachella Valley. Desert Care Network is committed to healthcare equality. Join our team!

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.
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