Registered Nurse Case Manager (RN)
About The Position
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
Requirements
- MINIMUM EDUCATION: Graduate of an accredited School of Nursing
- MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management experience.
- REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse
Nice To Haves
- PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing
- PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.
- PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Hospitals
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
