This is a PRN Case Manager RN position that will be scheduled as needed during the week.
**Must have one year Case Manager RN experience in the acute care setting for PRN position.**
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
Responsible for coordinating clinically complex patient across a continuum; ensuring and facilitating the achievement of quality clinical and cost outcomes; negotiating, procuring and coordinating appropriate services and resources needed by the patients; and, at key points, intervening to address and resolve issues/concerns.
EDUCATION REQUIRED: Graduate of an accredited School of Nursing
Preferred: Academic degree in nursing (Bachelors or Masters degree)
EXPERIENCE REQUIRED: 2 years acute RN hospital patient care experience
EXPERIENCE PREFERRED: Three (3) years acute care experience relevant to the area of specialtyoccurring within the last five (5) years. Two (2) years of case management experience. Ability to prepare reports and formal presentations preferred. Utilization management experience preferred.
Licensure/ Certification(s): Current RN license to practice in the state of TN; American Heart Association issued BLS.
Job: Case Management/Home Health
Primary Location: Bartlett, Tennessee
Facility: Saint Francis Hospital - Bartlett
Job Type: PT2Y
Shift Type: Days
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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