Registered Nurse (RN) - Case Manager
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; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patients, families and caregivers; Provides education programs for Case Management Department on community resources used in discharge planning; Provides reports to DCM and hospital leadership as requested; Team Leader for discharge planning unit, providing guidance and monitoring. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Luke's Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Requirements
- Registered Nurse (RN)
- Case Manager experience
- Results-driven leader
- Innovative and experienced healthcare leader
Responsibilities
- 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.
- Ensure care is provided at the appropriate level of care based on medical necessity.
- Assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions.
- Integrate 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.
- Ensure compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy.
- Provide education to physicians, patients, families and caregivers.
- Provide education programs for Case Management Department on community resources used in discharge planning.
- Provide reports to DCM and hospital leadership as requested.
- Act as Team Leader for discharge planning unit, providing guidance and monitoring.
- Complete established competencies for the position within 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
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
Manager
