Registered Nurse (RN) Case Manager

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

Job summary

Tenet Healthcare in Memphis, TN seeks an RN Case Manager to coordinate care across a patient’s continuum, ensuring appropriate level of care, safety, and timely discharge while optimizing resources and patient self-determination. Role involves assessment, care coordination, and multidisciplinary collaboration to prevent readmissions.

Requirements include an RN license and 2 years of acute hospital experience; ACM certification is preferred.

Qualifications

• RN license active per state requirements.
• 2 years acute hospital patient care experience.
• ACM certification is preferred but not required.

Responsibilities

• Accurate medical necessity screening and submission for Physician Advisor review.
• Care coordination & Transition planning assessment and reassessment
• Implementation or oversight of 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

Skills

RN license

Care coordination

Discharge planning

Education

Graduate of an accredited school of nursing

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

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

Required

• 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)