Location: San Antonio, TX
/ RN 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 backss 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.
Responsibilities 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 Qualifications - External Education Required: Bachelor of Science in Nursing (BSN) if Magnet hospital.
Preferred: Bachelor of Science in Nursing (BSN). Experience Required: Two years department experience. Certifications Required: Registered Nurse License. Preferred: Accredited Case Manager (ACM) #LI-NS1 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. Baptist Health System - San Antonio TX Job ID #230502xyz X. Benefits Health Care FSA Dependent Care FSA Life insurance Sign-On bonus For more details: jobs-search. org/insurance_san-antonio-c448656/job_i1971740590
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