Registered Nurse (RN) - Case Manager

Benefit Statement At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work‑life balance. 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 C‑dependent flexible spending accounts Employee Assistance program, employee discount program Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder C‑childcare, auto and home insurance Note: Eligibility for benefits may vary by location and is determined by employment status. Job Description The RN Case Manager is responsible for coordinating care across the continuum to help patients achieve optimal health, access to care, and appropriate utilization of resources. The role ensures that care is provided at the appropriate level of care based on medical necessity and that transitions are timely, safe, and aligned with patient preferences. The position integrates national standards for case management scope and balances clinical, financial, and regulatory requirements. Responsibilities Accurate medical necessity screening and submission for Physician Advisor review Care coordination across teams and departments Transition planning assessment and reassessment Implementation or oversight of transition plans Leading and facilitating multidisciplinary 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 meetings Assuring patient education is completed to support post‑acute needs Timely completion of concise documentation in the Case Management system Maintenance of 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 Qualifications Graduate from an accredited school of nursing. Bachelor’s degree in Nursing or other health‑related field, or equivalent education and 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 Tenets InterQual education course within 30 days of hire (and at least annually thereafter) and achieve a score of 85 or better. Must complete and demonstrate competency in using the Tenet Case Management documentation system within 30 days of hire. Attendance at hospital and department orientation is required. Department orientation includes review of Tenet Case Management and Compliance policies, InterQual, Transition Management, Utilization Management, and other case‑management topics. Facility Description DMC Detroit Receiving Hospital is Michigan’s first Level I Trauma Center and one of the busiest emergency departments in the region. It also hosts the state‑wide leading 24/7 hyperbaric oxygen program, Metro Detroit’s first certified primary stroke center, and the nationally recognized DMC Rosa Parks Geriatric Center of Excellence. The facility was the first and largest verified burn center in the state and is one of only 43 in the nation. Job Information Job: Case Management Primary Location: Detroit, Michigan Facility: DMC Receiving Hospital Job Type: PRN Shift Type: Day 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. #J-18808-Ljbffr