Registered Nurse (RN) - Case Management
Company: Detroit Medical Center
Location: Detroit
Posted on: December 31, 2025
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Job Description:
Job Description Detroit Medical Center is seeking a Registered
Nurse (RN) Case Management for a nursing job in Detroit, Michigan.
Job Description & Requirements - Specialty: Case Management -
Discipline: RN - Duration: Ongoing - 36 hours per week - Shift: 12
hours - Employment Type: Staff /n Join 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! 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. The
available plans and programs include: • 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
include pet insurance, legal insurance, accident and critical
illness insurance, long term care, elder C childcare, auto C home
insurance. Note: Eligibility for benefits may vary by location and
is determined by employment status Job Description: The 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 patients 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. The individuals
responsibilities include the following activities: a) accurate
medical necessity screening and submission for Physician Advisor
review, b) care coordination, c) transition planning assessment and
reassessment, d) implementation or oversight of implementation of
the transition plan, e) leading and facilitating multi-disciplinary
patient care conferences, f) managing concurrent disputes, g)
making appropriate referrals to other departments, h ) identifying
and referring complex patients to Social Work Services, i)
communicating with patients and families about the plan of care, j)
collaborating with physicians, office staff and ancillary
departments, k) leading and facilitating Complex Case Review, l)
assuring patient education is completed to support post-acute needs
, m) timely complete and concise documentation in Case Management
system, n ) maintenance of accurate patient demographic and
insurance information, o) identification and documentation of
potentially avoidable days, p) identification and reporting over
and underutilization, q) and other duties as assigned. POSITION
SPECIFIC RESPONSIBILITIES: Utilization Management: Balances
clinical and financial requirements and resources in advocating for
patient needs with judicious resource management. Assures the
patient is in the appropriate status and level of care based on
Medical Necessity process and submits case for Secondary Physician
review per Tenet policy. Ensures timely communication of clinical
data to payers to support admission, level of care, length of stay
and authorization for post-acute services . Advocates for the
patient and hospital with payers to secure appropriate payment for
services rendered. Promotes prudent utilization of all resources
(fiscal, human, environmental, equipment and services) by
evaluating resources available to the patient and balancing cost
and quality to assure optimal clinical and financial outcomes.
Identifies and documents Avoidable Days using the data to address
opportunities for improvement. Prevents denials and disputes by
communicating with payers and documenting relevant information.
Coordinates 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. (30% daily,
essential). Transition Management: Completes comprehensive
assessment within 24 hours of patient admission to identify and
document the anticipated transition plan for patients. Integrates
key elements of patient assessment, patient choice and available
resources to develop and implement a successful transition plan.
Identifies patients at risk for readmission and applies appropriate
intervention including risk assessment and referral to Social Work
services and/or Complex Case Review. May delegate the
implementation of the transition plan to LVN/LPN or Assistant
staff. And follows up to ensure the transition plan is completed
timely and accurately. Ensures all elements of the transition plan
are implemented and communicated to the healthcare team,
patient/family and post-acute providers. Provides information to
patients to make informed choices when community services per Tenet
policy. Completes Final Discharge Disposition Form Assessment for
Medicare patients per Tenet policy. Identifies and reports
variances in appropriateness of medical care provided, over/under
utilization of resources compared to evidence-based practice and
external requirements. This priority includes documentation in the
Tenet Case Management system to communicating information through
clear, complete and concise documentation (30% daily, essential).
Care Coordination: Screens patients for factors that may affect the
progression of care and intervenes as needed to promote timely and
appropriate throughput. Conducts assessments and stratifies
patients at risk for readmission or in need of Case Management
services. Ensures the plan of care is clinically appropriate,
consistent with patient choice and available resources. Ensures
consults, testing and procedures are sequenced to support the
patients clinical needs with timely and efficient care delivery.
Ensures patient needs are communicated and that the healthcare team
is mutually accountable to achieve the patient plan of care.
Effectively collaborates with physicians, nurses, ancillary staff,
payors, patients and families to achieve optimum clinical outcomes
(15% daily, essential). Education: Ensures and provides education
to patients, physicians and the healthcare team relevant to the-
Effective progression of care, Appropriate level of care, and Safe
and timely patient transition. Provides patient and healthcare team
education regarding resources and benefits available to the patient
along with the economic impact of care options. Ensures that
education has been provided to the patient/family/caregiver by the
healthcare team prior to discharge (15% daily, essential).
Compliance: Ensures compliance with federal, state, and local
regulations and accreditation requirements impacting case
management scope of services. Adheres to department structure and
staffing, policies and procedures to comply with the CMS Conditions
of Participation and Tenet policies. Operates within the LVN/LPN
scope of practice as defined by state licensing regulations.
Remains current with Tenet Case Management practices (10% daily,
essential). Qualifications: 1. Graduate from an accredited school
of nursing. Bachelors degree in Nursing or other health-related
field, or equivalent combination of education and/or related
experience. 2. Two years of acute hospital patient care experience.
Acute hospital case management experience preferred. 3. License to
practice as a Registered Nurse in the State of Michigan. 4.
Accredited Case Manager (ACM) preferred. 5. Must complete Tenets
InterQual education course within 30 days of hire (and at least
annually thereafter) and pass with 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 and instruction regarding Tenet Case
Management and Compliance policies, InterQual, Transition
Management, Utilization Management, and other topics specific to
case management. Facility Description: Children’s Hospital of
Michigan is an international leader in pediatric and adolescent
medicine. Surgical services include general, thoracic,
reconstructive and cardiovascular. Imaging technology designed
specifically for children provides advanced diagnostic services
including Positron Emission Tomography (PET) and MRI. The
Children’s Hospital of Michigan Emergency Department is a verified
Level 1 Pediatric Trauma Center and dedicated pediatric burn
center. Experts in pediatric critical care, rehabilitation, and
neonatal and perinatal medicine provide care for thousands of
children every year at Children’s Hospital of Michigan, Children’s
Hospital of Michigan - Troy and six ambulatory sites. 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. Follow the link below
for additional information. E-Verify: employment practices of Tenet
Healthcare and its companies comply with all applicable laws and
regulations Job: Case Management Primary Location: Detroit,
Michigan Facility: DMC Children's Hospital of Michigan Job Type:
Part Time Shift Type: Day 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. Follow the link below for additional information.
E-Verify: /> The employment practices of Tenet Healthcare and
its companies comply with all applicable laws and regulations.
Detroit Medical Center Job ID 4369-2506003285-3. Posted job title:
Registered Nurse (RN) - Case Manager About Detroit Medical Center
The Detroit Medical Center (DMC) is the leading
academically–integrated hospital system in Metro Detroit, and one
of the largest health care providers in Southeast Michigan. During
our 150 years of caring for the community, we have been recognized
nationally with top awards in many aspects of hospital operations
and patient care. The DMC is able to achieve these awards because
of our exceptional employees. The Detroit Medical Center is one the
largest academic medical centers in the United States, with a long
and rich history of medical education, for more than 100 years. We
train more physicians than any other hospital in Detroit. Our
evidence-based approach inspires confidence and spurs innovation.
It ensures that we are making treatment decisions based on our
experience, on the best available research and our understanding of
each patient as an individual. Our commitment to our patients Our
commitment to patient care and improving patient outcomes is part
of everything we do. It’s our mission. It’s our promise to every
patient and every family who entrusts their care to us. To meet the
needs of our community, we operate 8 hospitals and more than 140
clinics and outpatient facilities across southeast Michigan,
including a nationally recognized dedicated pediatric hospital
(Children’s Hospital of Michigan) as well as a nationally
recognized rehabilitation hospital (Rehabilitation Institute of
Michigan). We offer an inclusive, diverse and supportive
environment. Knowing that we are better together, our teams are
highly collaborative and integrated to deliver the high quality and
compassionate care our patients expect and deserve. Staff members
have a voice in forming our culture; one that is often referred to
as “my forever family” and “colleagues who have my back”. The DMC
has a proud legacy of caring for the people and the families that
call Metro Detroit home; they’re our neighbors, our friends, and
our community. That’s why the DMC serves everyone in the community
who needs us; no one gets turned away who comes to us for care.
From local food drives to our long-standing commitment to educate
and empower our community towards better health, you can count on
the DMC. There’s a spirit of caring and togetherness that you will
experience when you join the DMC family. We are a community build
on care. At the DMC, we are committed to maintaining an environment
of Equal Opportunity and Affirmative Action. If you need a
reasonable accommodation to access the information provided on this
web site, please contact the DMC facility where the position is
available, for further assistance. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientati
Keywords: Detroit Medical Center, Detroit , Registered Nurse (RN) - Case Management, Healthcare , Detroit, Michigan
