Nurse Case Manager

5 hours ago


Tucson, Arizona, United States Tenet-AZ Region Full time
Job Title: RN Case Manager I

Tenet-AZ Region is seeking a skilled RN Case Manager to facilitate care along a continuum, ensuring patients receive optimal health, access to care, and appropriate utilization of resources. The ideal candidate will possess strong communication and coordination skills, with the ability to work effectively with patients, families, and healthcare teams.

Job Summary:
  • Facilitate care coordination and transition planning to promote timely throughput, safe discharge, and prevent avoidable readmissions.
  • Utilize national standards for case management scope of services, including utilization management, transition management, and care coordination.
  • Collaborate with physicians, office staff, and ancillary departments to ensure seamless care delivery.
  • Provide education to patients, families, and caregivers to support post-acute needs.
  • Document patient information accurately and maintain up-to-date records.
Responsibilities:
  • Accurate medical necessity screening and submission for Physician Advisor review.
  • Care coordination and 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 and 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.
  • Active RN license for state(s) covered.
  • 3 years of department experience or 4 years of acute hospital case management experience.

Tenet-AZ Region is committed to providing a supportive and inclusive work environment that fosters growth and development. If you are a motivated and compassionate RN Case Manager, we encourage you to apply for this exciting opportunity.



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