The Registered Nurse Case Manager facilitates care across the continuum through effective resource coordination, helping patients achieve optimal health, access care, and use resources appropriately while respecting their resources and right to self-determination. The role ensures care is provided at the appropriate level based on medical necessity and assesses transition needs to support timely throughput, safe discharge, and prevention of avoidable readmissions. The position integrates national care management standards, including utilization management to support medical necessity and prevent denials; transition management to promote appropriate length of stay, prevent readmissions, and support patient satisfaction; care coordination to ensure efficient throughput and appropriately sequenced care; compliance with state and federal regulations, TJC accreditation standards, and Tenet policy; and education for physicians, patients, families, and caregivers. The employee completes position competencies within the designated introductory period and performs other related duties as assigned.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree