Staff - Registered Nurse (RN) - Case Management - $31+ per hour

Company: Palm Beach Health Network - Tenet
Location: Palm Beach
Posted on: May 23, 2023

Job Description:

Palm Beach Health Network - Tenet is seeking a Registered Nurse (RN) Case Management for a nursing job in Palm Beach Gardens, Florida. Job Description & Requirements

• Specialty: Case Management
• Discipline: RN
• Start Date: ASAP
• Duration: Ongoing
• 36 hours per week
• Shift: 12 hours
• Employment Type: Permanent Up to $10,000 Sign On Bonus available based on experience 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. Responsibilities The 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 assigned Qualifications Education Required: 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). Experience Required: 2 years of acute hospital patient care experience.Preferred: Acute hospital case management experience. Certifications Required: Active Registered Nurse license.Preferred: Accredited Case Manager (ACM) Training Requirement: Must complete Tenet's 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. Attendance at hospital and department orientation is required. Department orientation includes review and instruction regarding Tenet Case Management and Compliance policies, InterQual, Transition Management, Utilization Management, and other topics specific to case management 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. Employment 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.Tenet Job ID . Posted job title: RN Case Manager Full Time Days About Palm Beach Health Network - Tenet Tenet's Palm Beach Health Network is one of the largest healthcare networks in Palm Beach County, consisting of Delray Medical Center, Good Samaritan Medical Center, Palm Beach Children's Hospital, Palm Beach Gardens Medical Center, St. Mary's Medical Center and West Boca Medical Center, along with various ambulatory surgery centers, outpatient facilities and urgent care centers. All of our hospitals have received prestigious awards and accolades, national rankings and multiple accreditations. We are dedicated to the standards of excellent patient care that are the hallmark of the Tenet brand. Benefits
    • 401k retirement plan
    • Employee assistance programs
    • Medical benefits
    • Dental benefits
    • Vision benefits
    • Life insurance
    • Discount program

Keywords: Palm Beach Health Network - Tenet, Palm Beach , Staff - Registered Nurse (RN) - Case Management - $31+ per hour, Healthcare , Palm Beach, Florida