Registered Nurse Case Manager (RN)

Tenet Healthcare Corporation • San Antonio, TX

11d

About The Position

The RN 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 delivered at the appropriate level based on medical necessity and assesses patients’ 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 denial prevention; 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 RN Case Manager 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 license as a Registered Nurse.

Nice To Haves

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

Responsibilities

• Facilitate care across the continuum through effective resource coordination.
• Help patients achieve optimal health and access to care, and support appropriate resource utilization while respecting patient resources and self-determination.
• Ensure care is provided at the appropriate level based on medical necessity.
• Assess patients’ transition needs to support timely throughput, safe discharge, and prevention of 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 at the appropriate level.
• Comply with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy.
• Provide education to 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.
• 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.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree