RN Case Manager I Per Diem Days BMC

Summary
Responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to
care and appropriate utilization of resources balanced with the patients resources and right to self-determination. 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 provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards for
care 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