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Welcome to Carondelet Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine connections and heartfelt compassion. It's what sets us apart and makes us truly special.
When you join our team, you're not just stepping into a job – you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey.
Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Carondelet, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact.
If you're ready to go above and beyond, to embrace the energy and camaraderie that Carondelet Health System offers, then join us on this incredible adventure. Together, we'll create a healthier, happier world – one patient at a time. Let your career find its purpose here at Carondelet.
Lead RN Case Manager Full Time Days Position Summary
The RN Case Manager is responsible to facilitate 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. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:
• Utilization Management supporting medical necessity and denial prevention
• Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
• Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care
• Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy
• Education provided to physicians, patients, families and caregivers
• Leads a population of patients by service line and/or leads the team by being a resource to Tenet performance standards.
Responsibilities:
Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post-acute care) compared to evidenced-based practice, internal and external requirements. Educates and mentors new RN staff.
THE LEAD RN CASE MANAGER FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.
EDUCATION
Required: Graduate of an accredited school of nursing.
Preferred: Academic degree in nursing (bachelor's or master's)
LICENSURE/CERTIFICATION/REGISTRATION
Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
WORK EXPERIENCE
Required: 3 years of department experience or 4 years of acute hospital case management experience.
#LI-AL1
Coordination of clinical care (medical necessity, appropriateness of care, and resource utilization for admission, continued stay, discharge, and post-acute care) compared to evidenced-based practice, internal, and external requirements. Educates and mentors new RN staff.
Education: Required: Graduate of an accredited school of nursing
Preferred: Academic degree in nursing (bachelor's or master's)
Required: 3 years of department experience or 4 years of acute hospital case management experience
Certifications: Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
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.
