Registered Nurse (RN) Case Manager

Tenet Healthcare; Bartlett (TN); On-site; USD 65,000 - 90,000; Full time

Job summary

Tenet Healthcare seeks an RN Case Manager to coordinate care across the hospital continuum, ensuring appropriate resource use and timely throughput. The role emphasizes medical necessity screening, discharge planning, and coordination with physicians and social work to prevent readmissions.

The ideal candidate holds an RN license, has at least 2 years of acute hospital experience, and may have a BSN or higher.

Qualifications

• RN licensure required.
• 2 years of acute hospital patient care experience.

Responsibilities

• Accurate medical necessity screening and submission for Physician Advisor review.
• Care coordination and transition planning assessment and reassessment.
• Implementation or oversight of the transition plan.
• Leading and facilitating multi-disciplinary patient care conferences and managing disputes.
• Identifying and referring complex patients to Social Work Services.
• Other duties as assigned.

Skills

Care coordination

Transition planning

Discharge planning

Multidisciplinary collaboration

Education

RN licensure

Bachelor's or Master's in Nursing

Job description

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.

• Accurate medical necessity screening and submission for Physician Advisor review,
• Care coordination & Transition planning assessment and reassessment
• Implementation or oversight of implementation of the transition plan
• Leading and facilitating multi-disciplinary patient care conferences and managing concurrent disputes
• Identifying and referring complex patients to Social Work Services
• Other duties as assigned

equired:

• Education: Graduate of an accredited school of nursing
• Experience: 2 years of acute hospital patient care experience
• Licensure/Certification: 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:

• Education: Academic degree in nursing (bachelor's or master's)
• Experience: Acute hospital case management experience
• Licensure/Certification: Accredited Case Manager (ACM)