Registered Nurse Case Manager

Tenet Healthcare Corporation • San Antonio, TX

8d • Onsite

About The Position

Responsible to facilitate 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. Has overall responsibility to ensure that care is provided at the appropriate level of care based on medical necessity and assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Provides assistance to the Director of Case Management in the management of the department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments; 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 the appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Provides education to physicians, patients, families and caregivers; Facilitates education programs for Case Management Department on community resources use in discharge planning that encourages professional growth; Provides reports to DCM and hospital leadership. Completes established competencies for the position within designated introductory period. Other related duties as assigned.

Requirements

• Registered Nurse
• Case Management experience
• Results-driven leader
• Innovative and experienced healthcare leader
• Ability to drive excellence and inspire a team towards exceptional patient outcomes and operational success.

Responsibilities

• Facilitate care along a continuum through effective resource coordination.
• Ensure care is provided at the appropriate level of care based on medical necessity.
• Assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
• Provide assistance to the Director of Case Management in department management, including hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating with other departments.
• Support Utilization Management for medical necessity and denial prevention.
• Promote appropriate length of stay, readmission prevention and patient satisfaction through Transition Management.
• Demonstrate efficient throughput while assuring care is sequenced and at the appropriate level of care through Care Coordination.
• Ensure compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy.
• Provide education to physicians, patients, families, and caregivers.
• Facilitate education programs for the Case Management Department on community resources use in discharge planning.
• Provide reports to the Director of Case Management and hospital leadership.
• 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