Registered Nurse (RN) - Case Manager
Detroit Medical Center · Detroit, MI · 1 wk ago
HealthcareInternship
About the role
Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance.
Responsibilities
- 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
- 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
- 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 assigned.
Qualifications
- Graduate from an accredited school of nursing. Bachelors degree in Nursing or other health-related field, or equivalent combination of education and/or related experience.
- Two years of acute hospital patient care experience. Acute hospital case management experience preferred.
- Licence to practice as a Registered Nurse in the State of Michigan.
- Accredited Case Manager (ACM) preferred.
- Must complete Tenets InterQual education course within 30 days of hire (and at least annually thereafter) and pass with a score of 85 or better. Must complete and demonstrate competency in using the Tenet Case Management documentation system within 30 days of hire.
Benefits
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off (PTO)
- Career development and continuing education opportunities
- Health savings accounts, healthcare dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder care, childcare, auto and home insurance.
Pay
Compensation is commensurate with experience.
Schedule
Hours are flexible to accommodate your needs.