RN Case Manager I Per Diem Days MTBH

1 week ago


San Antonio, Texas, United States Tenet Healthcare Full time
Job Summary

We are seeking a highly skilled RN Case Manager I to join our team at Tenet Healthcare. As a key member of our healthcare team, 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.

Key Responsibilities
  • Accurately screen medical necessity and submit for Physician Advisor review
  • Coordinate care and develop transition plans
  • Assess and reassess patient transition needs
  • Implement or oversee implementation of transition plans
  • Lead and facilitate multi-disciplinary patient care conferences
  • Manage concurrent disputes
  • Make appropriate referrals to other departments
  • Identify and refer complex patients to Social Work Services
  • Communicate with patients and families about the plan of care
  • Collaborate with physicians, office staff, and ancillary departments
  • Lead and facilitate Complex Case Review
  • Ensure patient education is completed to support post-acute needs
  • Document patient information accurately and timely
  • Identify and document potentially avoidable days
  • Identify and report over and underutilization
Requirements
  • Graduate of an accredited school of nursing
  • 2 years of acute hospital patient care experience
  • Utilization/case management experience
  • 1 year supervisory experience
  • Active RN license for state(s) covered
  • Preferred: Accredited Case Manager (ACM) certification
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.



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