Responsible to facilitatecare along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patientâ��s resources and right to self-determination. Has overall responsibilityfor ensuring that care is provided at the appropriate level of care based on medical necessityand to assess the patient for transition needsto provide timely throughput, safe dischargeand prevent avoidable readmissions.Integrates the national standards forcare 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 efficient throughput while assuring care is sequenced 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.Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Required: Graduate of an accredited School of Nursing Preferred: Bachelors or Masters Degree in Nursing
Required: Two (2) years acute hospital patient care experience. Utilization/case management experience.
Required: Possession of current Texas State license for Registered Nurse Preferred: AccreditedCase Management (ACM)
BLS-Obtained through approved American heart Association Training Center or the Military Training Network
Job: Case Management/Home Health
Primary Location: San Antonio, Texas
Facility: Baptist Medical Center
Job Type: PT2Y
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2105006010
About Baptist Medical Center
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.