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Case Management Registered Nurse
2 months ago
The Tenet-AZ Region is actively seeking a Registered Nurse (RN) specializing in Case Management for a vital role in patient care.
Job ResponsibilitiesThe RN Case Manager will be responsible for:
- Facilitating patient care through effective resource coordination to ensure optimal health outcomes.
- Assessing patient needs for transitions to promote timely discharges and prevent unnecessary readmissions.
- Implementing national standards for case management, including:
- Utilization Management: Ensuring medical necessity and preventing denials.
- Transition Management: Supporting appropriate lengths of stay and enhancing patient satisfaction.
- Care Coordination: Ensuring efficient throughput and appropriate levels of care.
- Compliance: Adhering to state and federal regulations, accreditation standards, and organizational policies.
- Conducting accurate medical necessity screenings.
- Coordinating care and planning transitions.
- Leading multidisciplinary patient care discussions.
- Managing disputes and referrals to other departments.
- Communicating effectively with patients and families regarding care plans.
- Maintaining thorough documentation in the Case Management system.
The ideal candidate will possess:
- Education: Graduate of an accredited nursing program; a bachelor's or master's degree in nursing is preferred.
- Licensure: Active RN license as required by state regulations; accreditation as a Case Manager is preferred.
- Experience: A minimum of 3 years in department experience or 4 years in acute hospital case management.
This position offers a unique opportunity to contribute to a community-focused healthcare environment where patient care is paramount.