Registered Nurse Case Manager II (RN)-

Tenet Healthcare Corporation • San Antonio, TX

7d

About The Position

This position is 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, balanced with the patient’s resources and right to self-determination. The role 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. The position integrates 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; and Education provided to physicians, patients, families, and caregivers. The role requires completion of established competencies for the position within the designated introductory period. Other related duties as assigned.

Requirements

• Registered Nurse Case Manager II (RN)

Responsibilities

• Facilitate care along a continuum through effective resource coordination.
• Ensure patients achieve optimal health, access to care, and appropriate utilization of resources.
• Balance patient resources and right to self-determination.
• Ensure care is provided at the appropriate level of care based on medical necessity.
• Assess patients for transition needs to provide timely throughput, safe discharge, and prevent avoidable readmissions.
• Integrate national standards for care management scope of services including: Utilization Management, Transition Management, and Care Coordination.
• Ensure compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy.
• Provide education to physicians, patients, families, and caregivers.
• Complete established competencies for the position within the designated introductory period.
• Perform 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