Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work‑life balance.
Benefit Statement
Medical, dental, vision, and life insurance
401(k) retirement savings plan with employer match
Generous paid time off (PTO)
Career development and continuing education opportunities
Health savings accounts, healthcare dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder childcare, auto and home insurance
Note: Eligibility for benefits may vary by location and is determined by employment status.
Job Description
As the RN Case Manager, you will facilitate care across a continuum through effective resource coordination, ensuring patients achieve optimal health and appropriate utilization of resources. You will be responsible for medical necessity assessment, care coordination, transition planning, and compliance with regulatory requirements.
Responsibilities
Accurate medical necessity screening and submission for Physician Advisor review
Care coordination across interdisciplinary teams
Transition planning assessment and reassessment
Implementation or oversight of the transition plan
Leading and facilitating multi‑disciplinary patient care conferences
Managing concurrent disputes
Making appropriate referrals to other departments
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 completion and concise documentation in the Case Management system
Maintaining accurate patient demographic and insurance information
Identification and documentation of potentially avoidable days
Identification and reporting of over‑and under‑utilization
Other duties as assigned
Utilization Management
Balance clinical and financial resources, advocate for patient needs, and manage utilization using evidence‑based practice. Advocate for appropriate payment and reduce denials through effective communication.
Transition Management
Identify patients at risk for readmission, develop and implement transition plans, and ensure completion and communication to the healthcare team and patients.
Care Coordination
Screen patients for factors affecting care progression, collaborate with the healthcare team, and ensure care sequencing aligns with patient needs.
Education
Provide education to patients, families, and the healthcare team regarding resources, benefits, and economic impact of care options.
Compliance
Ensure compliance with federal, state, and local regulations, accreditation requirements, and Tenet policies.
Qualifications
Graduate from an accredited school of nursing; Bachelor's degree in Nursing or related field, or equivalent experience.
Two years of acute hospital patient care experience; acute hospital case management experience preferred.
License to practice as a Registered Nurse in the State of Michigan.
Accredited Case Manager (ACM) preferred.
Must complete Tenet InterQual education course within 30 days of hire and demonstrate competency in the Tenet Case Management documentation system within 30 days.
Attendance at hospital and department orientation is required.
Vaccination Statement
Tenet Healthcare complies with federal, state, and local laws regarding mandatory vaccination of its workforce. If required, proof of full vaccination or an approved exemption must be provided before start date. If an exemption is granted, regular testing will be required in accordance with the law.
Facility Description
Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine. It offers surgical services, imaging technology, a Level 1 Pediatric Trauma Center, and specialized care across multiple sites.
EEO Statement
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 participates in the E-Verify program.