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
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
This position integrates national standards for case management
scope of services including:
Utilization Management supporting medical necessity and denial
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
Compliance with state and federal regulatory requirements, TJC
accreditation standards and Tenet policy
Education provided to physicians, patients, families and
Leads a population of patients by service line.
- Precepts new staff members and acts as resource to all
- Facilitates TEMPO as needed.
Required: Bachelor of Science in Nursing (BSN) if Magnet
Preferred: Bachelor of Science in Nursing (BSN).
Required: Two years department experience.
Required: Registered Nurse License.
Preferred: Accredited Case Manager (ACM)