RN Case Manager Per Diem Days

Welcome to Hi-Desert Medical Center, where you’ll benefit from: 

• A 59-bed acute primary care facility offering you and your family first-rate health care close to home 
• A wide range of quality inpatient and outpatient diagnostic, treatment and rehabilitation services, home health and hospice services, and a variety of community outreach programs 
• A dedicated team of quality, caring, health care professionals 

Position 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. 

Physical Demands:

• Prolonged standing and walking
• Prolonged use of fine motor skill (typing/data entry)
• Occasional reaching with hands and arms
• Occasional stoop, kneel, or crawl
• Occasional lifting and /or moving up to 20 pounds  

Working Conditions:

• Individual works in a fast paced clinical and office environment

Shift: Days

Hours: 08001630

Schedule: PerDiem

Primary Duties

1. Utilization Management supporting medical necessity and denial prevention. 
2. Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction.
3. Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care. 
4. Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy. 
5. Education provided to physicians, patients, families and caregivers.
6. Accurate medical necessity screening and submission for Physician Advisor review.
7. Timely complete and concise documentation in Case Management system.
8. Maintenance of accurate patient demographic and insurance information.
9. Identification and documentation of potentially avoidable days. 
10. Identification and reporting over and underutilization. 
11. Other duties as assigned.

Minimum Education/Certification/Experience:

• CA Registered Nurse license
• At least two years acute hospital patient care experience 
• BSN preferred
• Accredited Case Manager (ACM) preferred
• Acute hospital case management experience preferred
• Required skills include demonstrated organizational skills
• Excellent verbal and written communication skills

#Li-Dh1

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.

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.