RN Case Manager - Care Coordination & Transitions

Tenet Healthcare; Joshua Tree (CA); Vor Ort; USD 90.000 - 110.000; Vollzeit

Zusammenfassung

Tenet Healthcare Corporation’s Hi-Desert Medical Center in Joshua Tree, CA seeks an experienced RN Case Manager to drive care coordination across the continuum. The role focuses on ensuring appropriate levels of care, timely discharge, and avoidance of readmissions while engaging physicians, patients, and care teams.

You will facilitate utilization management, transition planning, and documentation within the Case Management system, contributing to improved patient outcomes and efficient

Qualifikationen

• CA Registered Nurse license.
• At least two years acute hospital patient care experience.
• BSN preferred.
• Accredited Case Manager (ACM) certification preferred.
• Acute hospital case management experience preferred.
• Strong organizational skills.
• Excellent verbal and written communication skills.

Aufgaben

• 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.
• Accurate medical necessity screening and submission for Physician Advisor review.
• Timely complete and concise documentation in Case Management system.
• Maintenance of accurate patient demographic and insurance information.
• Identification and documentation of potentially avoidable days.
• Identification and reporting over and underutilization.
• Other duties as assigned.

Kenntnisse

CA RN license

Acute hospital experience

Organizational skills

Excellent written and verbal comms

Ausbildung

BSN preferred

ACM certification preferred

Jobbeschreibung

Tenet Healthcare Corporation’s Hi-Desert Medical Center in Joshua Tree, CA seeks an experienced RN Case Manager to drive care coordination across the continuum. The role focuses on ensuring appropriate levels of care, timely discharge, and avoidance of readmissions while engaging physicians, patients, and care teams.

You will facilitate utilization management, transition planning, and documentation within the Case Management system, contributing to improved patient outcomes and efficient