Registered Nurse Case Manager (RN) - Case Management

Tenet Healthcare; San Antonio (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Tenet Healthcare's Mission Trail Baptist Hospital is seeking a results-driven nurse leader to drive care coordination and improve patient outcomes across the care continuum.

The role focuses on utilization management, transition management, and care coordination to ensure appropriate level of care, timely throughput, safe discharge, and reduced readmissions. Requires Texas RN license; 2 years of acute hospital experience; ACM preferred.

Qualifications

• Education: Graduate of an accredited School of Nursing
• Preferred: Bachelor's or Master's Degree in Nursing
• Experience: 2 years acute hospital patient care; Utilization/case management experience
• Certifications: Texas State RN license; ACM preferred

Responsibilities

• Facilitate care along a continuum with effective resource coordination
• Coordinate utilization management to support medical necessity and prevent denials
• Lead transition management for appropriate length of stay and readmissions reduction

Education

Graduate of an accredited School of Nursing

Bachelor's or Master's Degree in Nursing

Job description

Overview

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

At Mission Trail Baptist Hospital, 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

Responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access tocare and appropriate utilization of resources balanced with the patient’s resources and right to self-determination. Has overallresponsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient fortransition 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; TransitionManagement promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstratingefficient throughput while assuring care is sequenced and at appropriate level of care; Compliance with state and federal regulatoryrequirements, 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

Qualifications

Education: MINIMUM EDUCATION: Graduate of an accredited School of Nursing PREFERRED EDUCATION: Bachelors or Master's Degree in Nursing

Experience: MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management experience.

Certifications: REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
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Organization Description

Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. 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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