Registered Nurse Case Manager (RN)

The RN Case Manager is 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; Care Coordination by demonstrating  efficient throughput while assuring care is sequenced 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. Completes established competencies for the position within designated introductory period. Other related duties as assigned

Qualifications
MINIMUM EDUCATION: Graduate of an accredited School of Nursing
PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing
MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management
experience.
PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.
REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse
PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A

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