Director Case Management

POSITION SUMMARY

Responsible 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. 
This position integrates national standards for case management scope of services including: Utilization Management supporting 
medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and 
patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at 
appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; 
Education provided to physicians, patient, families and caregivers. Completes established competencies for the position within 
designated introductory period. Other related duties as assigned.

MINIMUM EDUCATION: Bachelor’s Degree from an accredited school, college or university as a Registered Nurse 

PREFERRED EDUCATION: Master’s Degree from an accredited college or university in Nursing or related field 

MINIMUM EXPERIENCE: 2 years in acute hospital case management, healthcare or leadership experiences 

PREFERRED EXPERIENCE: 5 years in acute hospital case management. McKesson InterQual® experience and
Business Planning experience 

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State registration as a Registered 
Nurse 

PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)

REQUIRED COURSES/ COMPLETIONS (e.g., CPR): NA

 

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. 

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.