RN Case Manager: Care Coordination & Transitions

Tenet Healthcare; Detroit (MI); On-site; USD 70,000 - 98,000; Full time

Job summary

Tenet Healthcare is seeking a Registered Nurse (RN) – Case Manager in Detroit to coordinate patient care along the continuum, assess needs, and implement transition plans. You will lead multidisciplinary conferences, review medical necessity, and refer complex cases to social work as needed.

The role requires Michigan RN licensure, 2+ years in acute hospital care, and familiarity with InterQual and Tenet Case Management documentation. On-site hospital environment with patient-focused care.

Qualifications

• Graduate from an accredited school of nursing with BSN or equivalent.
• Two years of acute hospital patient care experience; case management experience preferred.
• Licensed as a Registered Nurse in Michigan.
• ACM certification preferred.
• Complete InterQual education course within 30 days of hire with a score of 85 or better.
• Demonstrate competency in Tenet Case Management documentation system within 30 days of hire.
• Attend hospital and department orientation covering case management policies, InterQual, transition management, utilization management, and related topics.

Responsibilities

• Facilitate care along a continuum through effective resource coordination; ensure care is provided at the appropriate level based on medical necessity.
• Screen for medical necessity and submit for physician advisor review.
• Coordinate care, including transition planning and assessment.
• Implement or oversee transition plans and ensure timely completion.
• Lead multi‑disciplinary patient care conferences and complex case reviews.
• Manage concurrent disputes and make appropriate referrals to other departments.
• Identify and refer complex patients to social work services.
• Communicate with patients and families about the plan of care.
• Collaborate with physicians, office staff, and ancillary departments.
• Ensure patient education is completed to support post‑acute needs.
• Maintain accurate patient demographic and insurance information.
• Document in the case management system and identify avoidable days.
• Report over‑ and under‑utilization.
• Perform other duties as assigned.

Skills

Case management

Care coordination

InterQual knowledge

Education

Bachelor's degree in nursing or related field

Registered Nurse license (Michigan)

Job description

Tenet Healthcare is seeking a Registered Nurse (RN) – Case Manager in Detroit to coordinate patient care along the continuum, assess needs, and implement transition plans. You will lead multidisciplinary conferences, review medical necessity, and refer complex cases to social work as needed.

The role requires Michigan RN licensure, 2+ years in acute hospital care, and familiarity with InterQual and Tenet Case Management documentation. On-site hospital environment with patient-focused care.