Registered Nurse (RN) - Case Management

Tenet Healthcare; Delray Beach (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Tenet Healthcare is seeking an RN Case Manager to facilitate patient care across the continuum, coordinating resources to promote optimal health and appropriate utilization. The role ensures care at the right level based on medical necessity and assesses transition needs to support timely discharge and prevent readmissions.

Responsibilities include utilization management, transition management, care coordination, compliance with regulatory standards, and delivering education to physicians,

Qualifications

• Active RN license required.
• 2 years acute hospital patient care experience required.
• ACM certification preferred (ACM)

Responsibilities

• Coordinate patient care across the continuum to ensure appropriate level of care based on medical necessity.
• Assess transition needs to promote timely throughput and safe discharge.
• Promote prevention of avoidable readmissions through effective utilization and transition management.
• Provide education to physicians, patients, families and caregivers as part of care planning.
• Ensure compliance with regulatory requirements and Tenet policies while maintaining care quality.

Skills

RN licensure

Care coordination

Transition management

Education

Graduate nursing program

Bachelor's or Master's in Nursing (preferred)

Job description

SUMMARY

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

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.

LICENSE/CERTIFICATION

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)