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 patientâ��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 Leads a population of patients by service line.
Precepts new staff members and acts as resource to all staff.
Facilitates TEMPO as needed.
Participates in department Quality improvement initiatives.
At least one committee participation or major Projects as assigned
Required: 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).
Required: 2 years of acute hospital patient care experience. Preferred: Acute hospital case management experience.
Required: 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)
Lift/position up to 25 lbs. Push/pull up to 25 lbs. of force.
Frequent sitting. Moderate standing, walking, reaching, stooping, or bending.
Manual dexterity, mobility, touch, auditory to perform all the related duties of the position.
Job: Case Management/Home Health
Primary Location: Hilton Head, South Carolina
Facility: Hilton Head Hospital
Job Type: PT2Y
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.