Director Registered Nurse (RN) - Case Management
Company: Tenet Desert
Location: Palm Springs
Posted on: January 28, 2026
|
|
|
Job Description:
Job Description Tenet Desert is seeking a Registered Nurse (RN)
Case Management Director for a nursing job in Palm Springs,
California. Job Description & Requirements - Specialty: Case
Management - Discipline: RN - Duration: Ongoing - 36 hours per week
- Shift: 12 hours - Employment Type: Staff /n This position
qualifies for a $20,000 Sign-On Bonus! /n Desert Regional Medical
Center is a 385-bed acute-care hospital classified as a stroke
receiving center and level 2 trauma facility with an innovative,
patient centered and evidence-based Rehabilitation Services
Department. Our compassionate team provides a wide range of
inpatient and outpatient services, including acute care
rehabilitation, joint replacement & spinal surgery, neurosurgery,
ICU, Telemetry, step-down care, skilled nursing, as well as
outpatient therapy, hand and lymphedema clinics. /n General Duties:
/n The individual in this position has overall responsibility for
operational management of the Case Management Department, Social
Services and Bed Control; including staffing, budgets and plans. /n
The individual’s responsibilities will include, but not be limited
to the following activities: /n a) Complying with relevant Tenet
policies including Case Management and Clinical Determination
Policies b) implementing and revising the UM Plan and promoting
cooperation with utilization review standards by the medical staff
c) Maintaining / facilitating communication between the case
management department and the physician advisor on a regular basis
regarding utilization review and/or quality issues d) Maintaining /
facilitating communication between the case management department
and the physicians as well as other members of the healthcare team
e) analysis of reports: LOS, avoidable days, disputes, InterQual
and associated metrics f) Responsible for implementation and
compliance with all policies and regulations relating to the
functioning of the case management department g) and all other
duties as assigned /n Attends a workshop webinar led by PMI Case
Management leadership or designee that includes the Tenet Case
Management Model and other topics specific to role and
responsibilities. /n Information used to perform job: patient data,
healthcare staff documentation related to patient care, regulatory
and payor requirements, budgetary and operations data /n Software
used to perform job: eCCM: Clinical data interface, InterQual, Case
Management documentation, secure faxing, Avoidable Day tracking,
Patient Medical Record and HPF, hospital specific Clinical
Software, Enterprise Reporting: Decision Support reports, PMI
reports, Care Discovery, Position Control /n DEPARTMENT SPECIFIC
DUTIES: Priority 1. Oversee coordination of clinical care (medical
necessity, appropriateness of care and resource utilization for
admission, continued stay, discharge and post- acute care) compared
to evidence-based practice, internal and external requirements.
(40% daily, essential), Priority 2. Oversee department operations
(staffing, scheduling, education, budget etc). (20% daily,
essential). Priority 3. Perform data gathering, analysis and
reporting. (20% daily essential). Priority 4. Remain current with
relevant clinical/ case management practices. Attend and
participate in meetings related to Quality, Operational and
Financial improvement (20% daily, essential). All staff assigned to
department (case managers, social workers, case manager assistants,
administrative assistants). Other responsibilities as assigned e.g.
disaster preparedness The metrics below provide an indication of
the effectiveness of the individual in this role and may be used
for evaluative purposes. The list below is not meant to be
exhaustive; other relevant metrics may exist. - Compliance with
Tenet Case Management policies - Obtaining valid physician order
prior to bed placement - InterQual reviews - Observation hours -
Excess Days/ALOS - Clinical disputes - incidence and dollars -
Number and type of avoidable days - Resource Utilization - At least
5 hours of CEUs per year on topics related to Case Management.
Tenet Desert Job ID 2503003495. Posted job title: Group Director of
Case Management Benefits - Sign-On bonus
Keywords: Tenet Desert, Palm Springs , Director Registered Nurse (RN) - Case Management, Healthcare , Palm Springs, California