Registered Nurse Case Manager (RN) PRN

Tenet Healthcare; San Antonio (TX); On-site; USD 75,000 - 95,000; Full time

Job summary

Tenet Healthcare is seeking an experienced RN Case Manager to coordinate care across the continuum for patients in San Antonio, TX. The role focuses on appropriate utilization, safe discharge, and preventing readmissions in a hospital setting.

Responsibilities include transition planning, education for patients and families, and ensuring compliance with regulatory standards and Tenet policies. A Texas RN license and nursing degree are required, with preferred ACM certification.

Qualifications

• RN licensed in Texas; graduate of an accredited nursing program.
• 2 years acute hospital patient care experience; utilization/case management experience.
• Preferred: Bachelor's or Master's in Nursing; ACM certification.

Responsibilities

• Coordinate care across the continuum to ensure appropriate utilization and timely discharge.
• Assess transition needs and prevent avoidable readmissions.
• Educate physicians, patients and families on care plans and resources.
• Ensure compliance with regulatory standards and Tenet policies.

Skills

Utilization Management

Care Coordination

Discharge Planning

Education/Patient Counseling

Education

Graduate of an accredited School of Nursing

Bachelor's or Master's Degree in Nursing

Accredited Case Management (ACM)

Job description

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 forcare 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

• 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)
• REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A