Registered Nurse Case Manager II (RN) - Case Management

Tenet Healthcare Corporation • San Antonio, TX

3h • Onsite

About The Position

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patient’s resources and right to self-determination. 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 provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards for care 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 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. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

Requirements

• Registered Nurse

Responsibilities

• Facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patient’s resources and right to self-determination.
• Ensure that care is provided at the appropriate level of care based on medical necessity.
• Assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions.
• Integrate the national standards for care management scope of services including: Utilization Management supporting medical necessity and denial prevention.
• Integrate the national standards for care management scope of services including: Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
• Integrate the national standards for care management scope of services including: Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at appropriate level of care.
• Integrate the national standards for care management scope of services including: Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy.
• Integrate the national standards for care management scope of services including: Education provided to physicians, patients, families and caregivers.
• Complete established competencies for the position within designated introductory period.
• Other related 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: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees