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RN Case Manager I PRN Days

Company: Carondelet St. Joseph's Hospital
Location: Green Valley
Posted on: November 22, 2021

Job Description:

Helping people feel better isn't just about the treatment we give - the relationships we create and the compassion we share are just as important. Carondelet hospitals make a difference in the lives of our communities and the lives of those we work alongside every day. We know it takes a special person to work in healthcare, and we are committed to providing our people with an enriching and rewarding environment.From your first day, you'll be part of a group of some of the most talented nursing professionals united in a common goal to care for those in our community. Ready to work with awe-inspiring teammates who are dedicated to making a difference? Join us in going above and beyond.RN Case Manager I PRN Days Position SummaryThe 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 preventionTransition Management promoting appropriate length of stay, readmission prevention and patient satisfactionCare Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of careCompliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policyEducation provided to physicians, patients, families and caregiversResponsibilitiesThe individual's responsibilities include the following activities:

  • Accurate medical necessity screening and submission for Physician Advisor review,
  • Care coordination,
  • Transition planning assessment and reassessment,
  • Implementation or oversight of implementation of the transition plan,
  • Leading and facilitating multi-disciplinary patient care conferences,
  • Managing concurrent disputes,
  • Making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services,
  • Communicating with patients and families about the plan of care,
  • Collaborating with physicians, office staff and ancillary departments,
  • Leading and facilitating Complex Case Review,
  • Assuring patient education is completed to support post-acute needs ,
  • Timely complete and concise documentation in Case Management system, n ) maintenance of accurate patient demographic and insurance information,
  • Identification and documentation of potentially avoidable days,
  • Identification and reporting over and underutilization,
  • And other duties as assignedQualifications:THE RN CASE MANAGER I PRN DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.EDUCATIONRequired: 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).EXPERIENCERequired: 2 years of acute hospital patient care experience.Preferred: Acute hospital case management experience.LICENSE/CERTIFICATIONSRequired: 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)JOB:Case Management/Home HealthPRIMARY LOCATION:Tucson, ArizonaFACILITY:Carondelet St. Joseph's HospitalJOB TYPE:PT2YSHIFT TYPE:DaysEmployment 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.

Keywords: Carondelet St. Joseph's Hospital, Tucson , RN Case Manager I PRN Days, Executive , Green Valley, Arizona

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