RN Case Manager PRN Days

4 days ago


Memphis, Tennessee, United States Tenet Healthcare Corporation Full time
RN Case Manager PRN Days Job Summary

As a RN Case Manager PRN Days, you will be 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 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
  • Managing concurrent disputes
  • Making appropriate referrals to other departments
  • Identifying and referring complex patients to Social Work Services
  • Communicating with patients and families about the plan of care
  • Collaborating with physicians, office staff, and ancillary departments
  • Leading and facilitating Complex Case Review
  • Assuring patient education is completed to support post-acute needs
  • 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
Requirements:
  • Graduate of an accredited school of nursing
  • 2 years of acute hospital patient care experience
  • Active RN license for state(s) covered
Preferred Qualifications:
  • Academic degree in nursing (bachelor's or master's)
  • Acute hospital case management experience
  • Accredited Case Manager (ACM)


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