Under limited direction and according to established policies and procedures, provides clinical group leadership and expert technical guidance to the case management/care coordination staff in assigned department.. Promotes consistent application, effective processes and clinical service accountability for the case management/care coordination program process. Assists in the development and implementation of policies and procedures related to the Case Management process. Assists with monitoring performance standards, productivity and ensuring staff coverage to meet the needs of the department. Provides support for catastrophic cases within the clinical service group. Assists with controlling staffing levels to meet budgetary guidelines; trains, evaluates, disciplines and discharges subordinate staff, in collaboration with department manager/director. Performs the duties of subordinate RN staff by assessing, developing, implementing and monitoring a complete plan of care through the interdisciplinary team process in conjunction with patient and family in an internal setting. On a concurrent basis, assesses level of care, diagnostic testing and procedures performed, quality and clinical risk issues, and documentation for medical record completeness. Communicates with patient, family, medical team, caregivers and third party payors as necessary. Formulates, implements and evaluates educational strategies for staff, patient and family. Analyzes case management/care coordination outcomes to identify issues and make recommendations. Engages physician advisor to facilitate care decisions, as needed. Maintains current knowledge of health care techniques/practices, and care management strategies through educational programs/resources. Maintains a working knowledge of the requirements of payers, regulatory and compliance entities. Establishes and maintains effective relationships with physicians and all other staff members, internally and externally. Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to a high degree of service excellence. Uses positive interpersonal skills to effectively resolve conflict. Promotes a positive customer relations environment. Performs other duties and functions as assigned.
1. Graduate from an accredited school of Nursing. Bachelors degree in Nursing or other health-related field, or equivalent combination of education and/or related experience. Masters degree preferred.
2. Three to five years clinical nursing experience.
3. Two years of experience in Discharge Planning, Utilization Review or Case Management.
4. One to two years of supervisory/management experience preferred.
5. License to practice as a Registered Nurse in the State of Michigan.
6. Case management certification strongly preferred.
Job: Case Management/Home Health
Primary Location: Detroit, Michigan
Facility: DMC Sinai-Grace Hospital
Job Type: Full-time
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: 1905032858
About DMC Sinai-Grace Hospital
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.