Case Manager

Tenet Healthcare Corporation • Joshua Tree, CA

9d • $103,355 - $160,202 • Onsite

About The Position

The individual in this position 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 to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and interventions 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 efficient throughput while assuring care is sequenced and provided at the 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, Provides educational programs for Case Management Department on community resource use in discharge planning, Provides reports to Director of Case Management and hospital leadership as requested, Provides management of the department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments. This individual’s responsibility will include the following activities: a) complex psycho-social transition planning assessment and reassessment and intervention, b) assistance with adoptions, abuse and neglect cases, including assessment, intervention and referral as appropriate to local, state and /or federal agencies, c) care coordination, d) implementation or oversight of implementation of the transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other departments, g) communicating with patients and families about the plan of care, h) collaborating with physicians, office staff and ancillary departments, i) assuring patient education is completed to support post-acute needs, j) timely, complete and concise documentation in Tenet Case Management documentation system, k) maintenance of accurate patient demographic and insurance information, l) and other duties as assigned. Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Hi-Desert Medical Center hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

Requirements

• Results-driven leader.
• Innovative and experienced healthcare leader.
• Ability to drive excellence and inspire a team towards exceptional patient outcomes and operational success.

Responsibilities

• Facilitate care along a continuum through effective resource coordination.
• Assess patients for transition needs, including identifying and assessing patients at risk for readmission.
• Conduct complex psycho-social assessments and interventions to promote timely throughput, safe discharge, and prevent avoidable readmissions.
• Integrate national standards for case management scope of services.
• Provide educational programs for the Case Management Department on community resource use in discharge planning.
• Provide reports to the Director of Case Management and hospital leadership as requested.
• Manage the department, including hiring, training, and managing staff, schedule coordination, analysis and reporting, interfacing, collaborating, and working closely with other departments.
• Perform complex psycho-social transition planning assessment, reassessment, and intervention.
• Assist with adoptions, abuse, and neglect cases, including assessment, intervention, and referral.
• Provide care coordination.
• Implement or oversee the implementation of the transition plan.
• Lead and/or facilitate multi-disciplinary patient care conferences, including Complex Case Review.
• Make appropriate referrals to other departments.
• Communicate with patients and families about the plan of care.
• Collaborate with physicians, office staff, and ancillary departments.
• Ensure patient education is completed to support post-acute needs.
• Provide timely, complete, and concise documentation in the Tenet Case Management documentation system.
• Maintain accurate patient demographic and insurance information.
• Perform other duties as assigned.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program
• Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed