RN Case Manager PRN Tier I Days

Tenet Healthcare

  • Tucson, AZ
  • Permanent
  • Part-time
  • 30 days ago
Job Category: Support/ClinicalDegree Level: Associate's Degree/College Diploma (±13 years)Job Description:The RN Case Manager is 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. The individual in this position 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 promote timely throughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case 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; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; Education provided to physicians, patients, families and caregivers.Responsibilities:Welcome to Carondelet Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine connections and heartfelt compassion. It's what sets us apart and makes us truly special.When you join our team, you're not just stepping into a job - you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey.Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Carondelet, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact.If you're ready to go above and beyond, to embrace the energy and camaraderie that Carondelet Health System offers, then join us on this incredible adventure. Together, we'll create a healthier, happier world - one patient at a time. Let your career find its purpose here at Carondelet.RN Case Manager PRN Tier I Days Position SummaryThe RN Case Manager is 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.The individual in this position 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 promote timely throughput, safe discharge and prevent avoidable readmissions.This position integrates national standards for case management scope of services including:Utilization Management supporting medical necessity and denial preventionTransition Management promoting appropriate length of stay, readmission prevention and patient satisfactionCare Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of careCompliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policyEducation provided to physicians, patients, families and caregiversResponsibilitiesThe individual's responsibilities include the following activities:
  • Accurate medical necessity screening and submission for Physician Advisor review,
  • Care coordination,
  • Transition planning assessment and reassessment,
  • Implementation or oversight of implementation of the transition plan,
  • Leading and facilitating multi-disciplinary patient care conferences,
  • Managing concurrent disputes,
  • Making appropriate referrals to other departments, h) identifying and referring complex patients to Social Work Services,
  • Communicating with patients and families about the plan of care,
  • Collaborating with physicians, office staff and ancillary departments,
  • Leading and facilitating Complex Case Review,
  • Assuring patient education is completed to support post-acute needs,
  • Timely complete and concise documentation in Case Management system, n) maintenance of accurate patient demographic and insurance information,
  • Identification and documentation of potentially avoidable days,
  • Identification and reporting over and underutilization,
  • And other duties as assigned.
THE RN CASE MANAGER PRN TIER I DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.EDUCATIONRequired: Graduate of an accredited school of nursing. Academic degree in nursing (bachelor's or master's).Preferred: Academic degree in nursing (bachelor's or master's).EXPERIENCERequired: 2 years of acute hospital patient care experience.Preferred: Acute hospital case management experience.LICENSE/CERTIFICATIONSRequired: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state or practice or policy. Active RN license for state(s) covered.Preferred: Accredited Case Manager (ACM)#LI-CB4About Us: Who We AreWe are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.Our StoryWe started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.Our Impact TodayToday, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.About the Team: Careers at TenetAt Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.

Tenet Healthcare