RN Case Manager I Per Diem Days MTBH
1 week ago
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
- 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
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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