RN Case Manager FT Days

Company: Abrazo Central Hospital
Location: Glendale
Posted on: February 17, 2025

Job Description:

Welcome to Abrazo Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine relationships and heartfelt compassion. It's what sets us apart and makes us truly special. When you join our team, you're not just stepping into a job you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey. Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Abrazo Health, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact. If you're ready to go above and beyond, to embrace the energy and camaraderie that Abrazo Health offers, then join us on this incredible adventure. Together, we'll embrace a healthier world one patient at a time. Let your career find its purpose here at Abrazo. RN Case Manager FT Days Position Summary TheRNCaseManageris 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 patients 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 forcasemanagement 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. Responsibilities The individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c) transition planning assessment and reassessment, d) implementation or oversight of implementation of the transition plan, e) leading and facilitating multi-disciplinary patient care conferences, f) managing concurrent disputes, g) making appropriate referrals to other departments, h ) identifying and referring complex patients to Social Work Services, I) communicating with patients and families about the plan of care, j) collaborating with physicians, office staff and ancillary departments, k) leading and facilitating ComplexCaseReview, l) assuring patient education is completed to support post-acute needs , m) timely complete and concise documentation inCaseManagement system, n ) maintenance of accurate patient demographic and insurance information, o) identification and documentation of potentially avoidable days, p) identification and reporting over and underutilization, q) and other duties as assigned Schedule: Tuesday- Saturday Onsite THE RN CASE MANAGER FT DAYSCANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE. Required: Graduate of an accredited school of nursing. Preferred :Academic degree in nursing (bachelor's or master's) Required experience: 2 years of acute hospital patient care experience. Preferred: Acute hospitalcasemanagement experience. Certifications Required: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. ActiveRNlicense for state(s) covered. Preferred: AccreditedCaseManager(ACM) . #LI-CB42503004314
Employment practices will not be influenced or affected by an applicants or employees 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.Required

Keywords: Abrazo Central Hospital, Glendale , RN Case Manager FT Days, Executive , Glendale, Arizona