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Lead RN Case Manager Full Time Days Position 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
• Leads a population of patients by service line and/or leads the team by being a resource to Tenet performance standards.
Responsibilities:
Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post-acute care) compared to evidenced-based practice, internal and external requirements. Educates and mentors new RN staff.
THE LEAD RN CASE MANAGER FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.
EDUCATION
Required: Graduate of an accredited school of nursing.
Preferred: Academic degree in nursing (bachelor's or master's)
LICENSURE/CERTIFICATION/REGISTRATION
Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.
Preferred: Accredited Case Manager (ACM)
WORK EXPERIENCE
Required: 3 years of department experience or 4 years of acute hospital case management experience.
#LI-AL1
2403005109Other
$115k-149k (estimate)
02/17/2024
06/02/2024
The job skills required for Lead RN Case Manager FT Days include Case Management, Coordination, Acute Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Lead RN Case Manager FT Days. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Lead RN Case Manager FT Days. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Lead RN Case Manager FT Days positions, which can be used as a reference in future career path planning. As a Lead RN Case Manager FT Days, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Lead RN Case Manager FT Days. You can explore the career advancement for a Lead RN Case Manager FT Days below and select your interested title to get hiring information.