Registered Nurse Case Manager (RN)

Tenet Healthcare Corporation•San Antonio, TX

About The Position

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.

Requirements

  • Graduate of an accredited School of Nursing.
  • At least 2 years of acute hospital patient care experience.
  • Utilization or case management experience.
  • Current Texas State Registered Nurse license.

Nice To Haves

  • Bachelor’s or Master’s degree in Nursing.
  • Previous Case Management Supervisory experience.
  • Accredited Case Management (ACM) certification.

Responsibilities

  • Coordinate care across the continuum and facilitate appropriate use of resources while respecting patient self-determination.
  • Ensure care is provided at the appropriate level based on medical necessity.
  • Assess patient transition needs to support timely throughput and safe discharge and prevent avoidable readmissions.
  • Support utilization management, medical necessity, and denial prevention.
  • Promote appropriate length of stay, readmission prevention, and patient satisfaction through transition management.
  • Coordinate care to support efficient throughput and appropriately sequenced care.
  • Comply with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy.
  • Educate physicians, patients, families, and caregivers.
  • Complete established competencies 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 and healthcare and dependent flexible spending accounts.
  • Employee Assistance Program and employee discount program.
  • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare, and auto and home insurance.
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