RN Case Manager Pinecrest Rehab Full Time Days New

Summary

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.

The Registered Nurse / RN Case Manager is a nurse with strong clinical knowledge and leadership skills. The Registered Nurse / RN Case Manager collaborates with the patient, family, physician, interdisciplinary team, and payer representative to assess, plan, implement, coordinate, monitor and evaluate options and services to promote optimal patient outcomes. The Registered Nurse / RN Case Manager monitors the provision of cost-effective care to ensure care is given in the most clinically appropriate setting. The Registered Nurse / RN Case Manager facilitates compliance with regulatory requirements and organizational performance standards.

899-899-0811

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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Education

Minimum: Graduate of an accredited school Nursing, Associate's Degree in Science, or other qualification recognized by the State of Florida for RN licensure

Preferred: Bachelor's Degree

Experience

Three (3) years bedside nursing experience in the relevant clinical specialty (e.g., case managers for pediatrics patients should have pediatric nursing experience)

Certification/Licensure

Florida RN license; BLS

Other Qualifications

Conversant knowledge and experience with case management care coordination, and/or utilization review

Track record and comfort in collaborating with physicians

Ability to lead and coordinate activities of a diverse group of people

Demonstrated ability in critical thinking, problem solving and communications

Basic skills with computers including word and excel

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.