Ascension Health RN Manager - Case Management in Nashville, Tennessee

Job ID: 254005

RN Manager - Case Management

Nashville, Tennessee

Regular/Day

Additional Job Information

Title: RN Mgr-Case Mgmt

City, State: Nashville,TN

Location: St Thomas West Hospital

Department: Care Management

Additional Job Details: Full-Time,Day, 40 hours,Weekly

Job Description

Job Summary:

Manages assigned Registered Nurse (RN) case managers, related activities and workflow to ensure effective and efficient patient care.

Responsibilities:

  • Manages professional and clerical associates who work with a range of functions, including but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination, Collaborative treatment planning and core measures, Discharge Planning, tracking of the post-acute period and provision of disease management, and contracting internally and externally.

  • Communicates with administration and medical staff in matters related to appropriateness of hospital admissions, discharge planning, and length of stay.

  • Serves as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation.

  • Develops staff schedule and revises assignments daily to assure optimal unit coverage and distribution of workload within staffing standards. Covers on units as needed and serves as a resource for complex case management issues.

Qualifications

Licenses/Certifications/Registration:

  • Required Credential(s):

  • BLS Provider credentialed from the American Heart Association (AHA) obtained within 6 Months (180 days) of hire date or job transfer date.

  • One or more of the following:

  • Licensed Registered Nurse credentialed from the Tennessee Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date.

Education:

  • Diploma

  • Bachelor's degree in nursing, or combination of diploma from an accredited school/college of nursing and related experience required Master's degree in a related field, or combination of Bachelor's degree and related experience preferred

Work Experience:

  • 3 Years Required Technical Experience. 5 Years Preferred Technical Experience. 1 Year Required Leadership/Mgmt Experience. 5 Years Preferred Leadership/Mgmt Experience.

How To Apply

How to Apply

We urge you to apply to any/all positions that you have interest in. If you fit the qualifications for the role, we will reach out to you. Please ensure you complete all required fields within the application (indicated with an asterik), as well as additional information that is requested of you. Information that you offer us will better assist us in understanding your qualifications and fit for the position(s) you've applied for.

Equal Employment Opportunity

Saint Thomas Health Services complies with all applicable federal and state laws prohibiting discrimination in hiring or employment practices on the basis of citizenship, race, color, religion, gender, age, national and ethnic origin, disability, or veteran status.

No question or item on this application for employment is intended to secure information to be used for such discrimination. Information obtained through this application will be used solely to determine qualifications and suitability for employment. This application will be valid for a period of 90 days from date of completion.

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Saint Thomas Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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