RN Case Manager I Case Management FT Days Weekender

7 days ago

Birmingham, United States Princeton Medical Center Full time

Princeton Baptist Medical Center: Located in Birmingham, this hospital is equipped with 505 beds and serves 53,000 people for primary and emergency care. Princeton is accredited by the American College of Surgeons Commission on Cancer, and is committed to contributing to the future of health care through its clinical research and medical residency program. Princeton offers fast, life-saving response times for patients with chest pain or stroke symptoms; cardiology, including structural heart and valve care; orthopedics, including rehabilitation; psychiatric care; a comprehensive sleep center; and a Comprehensive Bariatrics Center, providing surgical and non-surgical weight-loss procedures.
Job 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
Job Responsibilities
The individual's responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, I) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned
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.
Certifications
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)
Physical Demands
- Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force.
- Frequent sitting. Moderate standing, walking, reaching, stooping, and bending.
- Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.
#LI-OB1 2403027299

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

  • RN Case Manager I

    2 days ago

    Birmingham, Alabama, United States Princeton Medical Center Full time

    Job Summary:The RN Case Manager I is responsible for facilitating 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.Key Responsibilities:Accurate medical necessity screening and...

  • RN Case Manager I Case Management FT Days Weekender

    3 weeks ago

    Birmingham, United States Princeton Medical Center Full time

    Princeton Baptist Medical Center: Located in Birmingham, this hospital is equipped with 505 beds and serves 53,000 people for primary and emergency care. Princeton is accredited by the American College of Surgeons Commission on Cancer, and is committed to contributing to the future of health care through its clinical research and medical residency program....

  • RN Case Manager

    5 days ago

    Birmingham, AL, USA, United States Princeton Medical Center Full time

    Job SummaryThe RN Case Manager is a key member of the healthcare team at Princeton Medical Center, responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources. This role requires a strong understanding of medical necessity and the...

  • RN Case Manager

    4 days ago

    Birmingham, AL, USA, United States Princeton Medical Center Full time

    Job SummaryThe RN Case Manager is responsible for facilitating 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.Key ResponsibilitiesAccurate medical necessity screening and...

  • RN Case Manager I

    4 days ago

    Birmingham, Alabama, United States Princeton Medical Center Full time

    Job SummaryThe RN Case Manager is a key member of the healthcare team at Princeton Medical Center, responsible for coordinating patient care and ensuring optimal health outcomes. This role requires strong clinical expertise, effective communication skills, and a commitment to delivering high-quality patient care.Key Responsibilities:Conduct thorough...

  • Local RN Case Manager Position

    2 weeks ago

    Birmingham, Alabama, United States Trusted Resource Associates (TRA) Full time

    Position OverviewTrusted Resource Associates (TRA) is currently seeking a local contract Registered Nurse (RN) specializing in Case Management for a nursing role in Birmingham, Alabama.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: Local ContractWeekly Hours: 40 hoursShift: 8 hours, daysContract Duration: 13 weeksThe RN Case Manager will...

  • Travel Nurse RN Case Manager

    5 days ago

    Birmingham, Alabama, United States Trusted Resource Associates (TRA) Full time

    Job Title: Travel Nurse RN Case ManagerJob Summary:Trusted Resource Associates (TRA) is seeking a skilled Travel Nurse RN Case Manager to join our team. As a Travel Nurse RN Case Manager, you will play a critical role in facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and...

  • RN Case Manager

    4 weeks ago

    Birmingham, United States Grandview Medical Center Full time

    At Grandview Medical Center, we believe in the power of great people and team culture to create exceptional care! We’d love for you to become our next Case Management (RN) at our 434-bed regional referral center and tertiary-care facility. We offer a work environment that fosters growth, perfect for a hospital care coordinator, case manager, or an...

  • Case Management RN Position

    1 week ago

    Birmingham, AL, USA, United States Trusted Resource Associates (TRA) Full time

    **Job Summary**Trusted Resource Associates (TRA) is seeking a skilled local contract nurse RN Case Manager to join our team.**Job Description & Requirements****Specialty:** Case Management**Discipline:** RN**Work Schedule:** 8 hours, days**Employment Type:** Local Contract**Responsibilities:**Facilitate care along a continuum through effective resource...

  • Hospice RN Case Manager

    2 weeks ago

    Birmingham, AL, United States Compassus Full time

    Company:CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits.Your position perks as a Hospice...

  • Case Management Travel Nurse

    1 week ago

    Birmingham, Alabama, United States Trusted Resource Associates (TRA) Full time

    Job SummaryTrusted Resource Associates (TRA) is seeking a skilled travel nurse RN Case Manager to join our team. As a Case Manager, you will play a critical role in facilitating care along a continuum, ensuring patients receive optimal health, access to care, and appropriate utilization of resources.Key ResponsibilitiesCoordinate care across various settings...

  • RN Case Manager

    4 weeks ago

    Birmingham, United States AMN Healthcare Full time

    Job Details TYPE OF JOB ORDER RN Case Manager START DATE 9/9/24 REQUIRED SKILLS DCP in an acute care setting #OF WEEKS 13 SHIFT/HOURS Fri/Sat/Sun/Mon- 4 10 hour shifts - 8:00 AM-6:30PM. PREFERRED QUALIFICATIONS previous Tenet experience EXPECTED HOURS 40 LICENSE/CREDENTIALS REQ yes Benefits Becoming an AMN Healthcare professional gives you the...

  • Local Contract Nurse RN Case Manager

    4 days ago

    Birmingham, Alabama, United States Trusted Resource Associates (TRA) Full time

    Job Title: Local Contract Nurse RN Case ManagerJob Summary:Trusted Resource Associates (TRA) is seeking a skilled Local Contract Nurse RN Case Manager to join our team. As a Case Manager, you will play a vital role in facilitating care along a continuum, ensuring patients receive optimal health, access to care, and appropriate utilization of...

  • Travel Nurse RN

    1 month ago

    Birmingham, United States TravelNurseSource Full time

    TravelNurseSource is working with Amare Medical Network to find a qualified Case Manager RN in Tuscaloosa, Alabama, 35401!Pay Information$1,920 per weekAbout The PositionCase managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal...

  • Cultural Adjustment Case Manager

    7 days ago

    Birmingham, Alabama, United States Thielsch Engineering Full time

    Job DescriptionJob Title: Social Adjustment Case ManagerReports to: Client Services ManagerJob Summary:The Social Adjustment Case Manager provides medical/extended case management and public benefits education/assistance to qualified refugee & immigrants who have resided in the US less than five years. This includes extended case management for newly arrived...

  • Local Contract Nurse RN Case Manager

    7 days ago

    Birmingham, AL, USA, United States Trusted Resource Associates (TRA) Full time

    Trusted Resource Associates (TRA) is seeking a skilled professional to fill a local contract nursing job in a dynamic environment.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNWork Schedule: 40 hours per weekShift: 8 hours, daysEmployment Type: Local ContractJob Summary: As a Case Manager RN, you will be responsible for facilitating...

  • Travel Nurse RN

    1 month ago

    Birmingham, AL, United States Trusted Resource Associates (TRA) Full time

    Trusted Resource Associates (TRA) is seeking a travel nurse RN Case Management for a travel nursing job in Birmingham, Alabama. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel TRA Case Manager TRA is Tenet's in-house...

  • Mental Health Case Manager

    7 days ago

    Birmingham, Alabama, United States Jbs Mental Health Authority Full time

    Job SummaryWe are seeking a highly skilled and compassionate Mental Health Case Manager to join our team at Jbs Mental Health Authority. As a key member of our community support team, you will play a vital role in providing essential services to individuals living with serious mental illness.Key ResponsibilitiesService Coordination: Develop and implement...

  • Healthcare Case Manager Coordinator

    4 days ago

    Birmingham, Alabama, United States ZephyrTech Full time

    About ZephyrTechZephyrTech is a leading organization in the healthcare sector, dedicated to providing innovative solutions for patient care. Our team is passionate about delivering high-quality services that make a real difference in people's lives.Job SummaryWe are seeking a skilled Healthcare Case Manager to join our team. As a Case Manager, you will play...

  • Case Processor

    4 months ago

    Birmingham, Alabama, United States Department Of The Treasury Full time

    Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE APPEALS (AP) DIVISION?A description of the business units can be found at: Vacancies will be filled in the following specialty...