Tenet Healthcare Corporation

Case Management Director

Tenet Healthcare Corporation$90K — $120K *
Indio, CA 92201In-Person
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Active Registered Nurse License
  • At least two years of acute hospital case management leadership experience
  • Demonstrated organizational skills
  • Excellent verbal and written communication skills
  • Ability to lead and coordinate diverse groups in a fast-paced environment
  • Critical thinking and problem-solving skills, along with computer literacy.

Responsibilities

  • Maintains staffing levels and skill mix to meet patient population needs
  • Implements business case staffing requests following guidelines
  • Holds regular departmental meetings for updates and education
  • Completes competency and evaluation reviews for case management staff
  • Follows InterQual IRR Policy for staff competency assessments
  • Develops improvement action plans for staff not meeting performance standards
  • Ensures new staff complete orientation and training on compliance policies and systems
  • Monitors processes for timely medical necessity reviews and transitions.

Benefits

  • Comprehensive healthcare plans
  • 401(k) with company match
  • Paid time off and holidays
  • Professional development opportunities
  • Supportive team environment focused on healthcare equality.
Full Job Description
Job Description

Shift: Days

Hours:

Job Type: Full Time

The individual in this position has overall responsibility for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.

Responsibilities

  • Maintains an adequate number and skill mix over seven days a week to serve the patient population and meet the goals of the department
  • Implements and supports with business case staffing requests utilizing the Tenet Case Management staffing recommendations and hospital budgetary guidelines
  • Holds regular departmental meetings with staff to provide updates and provides for ongoing education
  • Completes initial and annual competency and evaluation review on all case management staff
  • Follows the InterQual Inter-rater Reliability (IRR) Policy to determine initial and yearly competency for all employees performing InterQual reviews
  • Develops action plan for case managers that fail to meet the IRR acceptable "match" rate to ensure improvement in the accurate application of InterQual criteria
  • Ensures new case management staff complete department orientation including review of Tenet Case Management and Compliance policies and Allscripts training.
  • Monitors case management processes and staff productivity to ensure medical necessity reviews are completed timely and accurately, payer communications are sent and authorizations or denials documented and followed up, and that transition planning assessments are completed timely.


Qualifications

Required:
  1. Active Registered Nurse License
  2. At least two (2) years acute hospital case management leadership experience
  3. Demonstrated organizational skills
  4. Excellent Verbal and written communication skills
  5. Ability to lead and coordinate activities of a diverse group of people in a fast paced environment
  6. Critical thinking and problem solving skills and computer literacy.

Preferred:
  1. MSN
  2. Accredited Case Manger (ACM)
  3. McKesson InterQual® experience
  4. Five (5) years acute hospital case management experience


About the Team

Desert Care Network serves the healthcare needs of the Coachella Valley and Morongo Basin regions in Southern California with three hospitals Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio and Hi-Desert Medical Center in Joshua Tree. The hospital network provides advanced care with services such as comprehensive stroke care, a cancer center, a Level 1 Trauma Center and the only Level 3 Neonatal Intensive Care Unit (NICU) in the Coachella Valley. Desert Care Network is committed to healthcare equality. Join our team!

About Tenet Healthcare Corporation

Tenet Fintech Group is an innovative Fintech service provider to the Chinese commercial lending sector.

Tenet Healthcare Corporation Careers

Join the dedicated team at Tenet Healthcare Corporation, a national leader in healthcare services. At Tenet, we are committed to providing the highest quality care and outstanding patient experiences. This commitment extends to our team members in every role across our network.

Work You’ll Do

At Tenet Healthcare Corporation, you will be part of a dynamic team that is passionate about transforming healthcare. Our professionals enjoy a collaborative environment where innovative ideas and a proactive approach to healthcare are at the forefront of what we do.

Explore Job Opportunities and Growth

We offer a variety of job opportunities across clinical, administrative, and corporate disciplines. Whether you are a seasoned professional or just starting your career, Tenet provides a path for growth and development. Our leadership is committed to nurturing talents through advanced training programs, leadership workshops, and continuous professional development.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Tenet, every team member is empowered to make a difference. With access to cutting-edge technology and a network of professionals, you will have the tools to drive real change in healthcare delivery.

Diversity and Inclusion

At Tenet Healthcare Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. Our diversity training ensures that our team is respectful, inclusive, and equipped to support the diverse communities we serve.

Internship Programs

Kickstart your career with Tenet’s internship programs. These opportunities allow you to gain hands-on experience while working alongside seasoned professionals. Internships are a great way to develop skills, enhance your resume, and build a network within the healthcare industry.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. Join a company that values work-life balance, provides competitive healthcare benefits, and supports your personal and professional growth.

Join Our Team

Are you ready to advance your career in a vibrant healthcare environment? Explore the positions available at Tenet Healthcare Corporation and find where your skills and passion can make a difference. We are actively hiring and looking for individuals who are curious, creative, and eager to drive innovation in healthcare.

Stay Connected

Keep up to date with the latest at Tenet by following our careers blog. Gain insights from our team, learn about our culture, and get tips for your job search and career development.

Networking and Professional Development

At Tenet, networking and professional development are part of our ethos. We encourage our employees to connect, share, and grow together. Enhance your career through comprehensive training, mentorship, and collaboration across our extensive healthcare network.

Apply Now

Discover the rewarding career opportunities at Tenet Healthcare Corporation. Personalize your job search and apply for positions that match your qualifications and interests. Join us in our mission to provide quality care and make a positive impact in the lives of our patients and communities.

SEARCH TENET HEALTHCARE JOBS

Embark on a fulfilling career journey at Tenet Healthcare Corporation, where your growth is our priority, and your potential is limitless.
Learn more about Tenet Healthcare Corporation
Size
76,836 employees
Market Cap
$5.1 billion
Industry
Net Income
$399 million
Founded
1967
5 Year Trend
-0.1%
Revenue
$17.6 billion
NASDAQ

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