Registered Nurse Case Manager (RN)

RN Case ManagerThe RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions. 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, patients, families and caregivers.ResponsibilitiesResponsibilities include:accurate medical necessity screening and submission for Physician Advisor reviewcare coordinationtransition planning assessment and reassessmentimplementation or oversight of the transition planleading and facilitating multi-disciplinary patient care conferencesmanaging 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 carecollaborating with physicians, office staff and ancillary departmentsleading and facilitating Complex Case Reviewassuring patient education is completed to support post-acute needs timely complete and concise documentation in Case Management systemmaintenance of accurate patient demographic and insurance informationidentification and documentation of potentially avoidable daysidentification and reporting over and underutilization, and other duties as assignedQualificationsQualifications include:Minimum RequirementsExperience: 2 years of acute hospital patient care experience.Education: Graduate of an accredited school of nursing.Certifications: RN. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered.Preferred RequirementsExperience: Acute hospital case management experience.Education: Academic degree in nursing (bachelor's or master's)Certifications: Accredited Case Manager (ACM)About UsJoin our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!At Abrazo Scottsdale Campus, 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. The available plans and programs include:Medical, dental, vision, and life insurance401(k) retirement savings plan with employer matchGenerous paid time offCareer development and continuing education opportunitiesHealth savings accounts, healthcare & dependent flexible spending accountsEmployee Assistance program, Employee discount programVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insuranceNote: Eligibility for benefits may vary by location and is determined by employment statusAbout the TeamAbrazo Scottsdale Campus is a full-service acute care hospital providing specialized services and home to the Abrazo Surgical Institute. The hospital offers comprehensive orthopedic care featuring navigational technology and sports medicine, outpatient rehabilitation services and enhanced diagnostic imaging as well as emergency care. Join our team!Job InfoJob Info includes:Job Identification 2603017748Job Category Support/ClinicalPosting Date 08/24/2026, 11:43 PMDegree Level Associate's Degree/College Diploma (13 years)Job Schedule Full timeJob Shift DayLocations Abrazo Scottsdale Campus (On-site)Assignment Category Full Time