Detroit Medical Center Shared Services

Develop, implement, and evaluate educational programs for nursing staff and support professional development within the healthcare facility. | Bachelor's degree in Nursing or related field, 3 years acute care nursing experience preferred, current state licenses and certifications, and strong communication and leadership skills. | Detroit Medical Center (DMC) is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients. Benefits 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 & 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 & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status Job Summary Tenet Healthcare is a leading healthcare services company with a vast network of providers that we leverage to improve service delivery and patient outcomes. Our mission is to provide quality, compassionate care in the communities we serve. To this end, we seek and develop talent that will reflect this commitment to our mission and values. Under the guidance of the Market Education Director, the Nursing Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to orientation, continuing education and in-services. Other services may include, but are not limited to process, performance and service-delivery consultation and contributions to the organization through councils, committees and workgroups. Responsibilities Clinical Education • Supports the educational needs for assigned units/clinics including classroom, clinical experiences and learning technologies. • Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. • Ensures all program/ course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational and learning theory consistent with Tenet endorsed philosophy and direction. • Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities. • Delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. • Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. • Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. • Participates in continuing education provider unit learning. Evaluates nursing education activities which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. • Assists in development of clinical policies and procedures as requested. • Provides guidance, resources and knowledge for professional growth of others. • Mentors colleagues, other nurses, students and others as appropriate. • Participates in quality performance improvement activities. • Performs other duties as assigned/required. Critical Care Services • Covers Services but not limited to: • Tele/IMC/PCU • Transitional Care Unit • IV Team • Monitor Techs • Cath Lab/EKG/CVRU/Cardiology • Accountable for the Projects, such as but not limited to: • ACLS • EKG • Stroke and Heart ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH TENET HEALTHCARE PERFORMANCE STANDARDS Qualifications: Minimum Qualifications 1. Bachelor’s Degree in Nursing or Nursing Education or related specialty 2. 3 year nursing experience in an acute care setting preferred 3. Current State Licenses & Certifications Skills Required • Participates in projects and educational activities as assigned for the department • Communicates effectively with colleagues across Tenet to advance goal achievement and strategic vision alignment • Demonstrates skill in navigating and communicating in a complex environment. Fosters achievement of Nursing Education/Development goals and objectives • Demonstrates responsibility for reporting to licensing, certification, accreditation, and other regulatory bodies for educational program compliance • Interacts with staff in an ethical, consistent, fair, timely, appropriate and decisive manner in accordance with organization-wide and Nursing Department policies • Identifies factors that affect staff's ability to fulfill their job responsibilities, collaborates with management to effect appropriate change needed for employees success • Accepts Committee and market work group appointments and actively participates to affect change in patient care and the Tenet Healthcare System • Cultivates positive relationships with academic programs to foster positive image and relationships with Tenet Healthcare. • Demonstrates AIDET and respect for others at all times Facility Description The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. 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: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations Job: Education Primary Location: Detroit, Michigan Facility: Detroit Medical Center Shared Services Job Type: Full Time Shift Type: Day Shift Begin: 7:30 AM Shift End: 4:00 PM 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. 2506001977 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. Detroit Medical Center (DMC) is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients. Benefits 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 & 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 & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status Job Summary Tenet Healthcare is a leading healthcare services company with a vast network of providers that we leverage to improve service delivery and patient outcomes. Our mission is to provide quality, compassionate care in the communities we serve. To this end, we seek and develop talent that will reflect this commitment to our mission and values. Under the guidance of the Market Education Director, the Nursing Educator collaborates with facility/market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her assigned units while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to orientation, continuing education and in-services. Other services may include, but are not limited to process, performance and service-delivery consultation and contributions to the organization through councils, committees and workgroups. Responsibilities Clinical Education • Supports the educational needs for assigned units/clinics including classroom, clinical experiences and learning technologies. • Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. • Ensures all program/ course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational and learning theory consistent with Tenet endorsed philosophy and direction. • Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities. • Delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. • Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. • Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. • Participates in continuing education provider unit learning. Evaluates nursing education activities which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. • Assists in development of clinical policies and procedures as requested. • Provides guidance, resources and knowledge for professional growth of others. • Mentors colleagues, other nurses, students and others as appropriate. • Participates in quality performance improvement activities. • Performs other duties as assigned/required. Critical Care Services • Covers Services but not limited to: • Tele/IMC/PCU • Transitional Care Unit • IV Team • Monitor Techs • Cath Lab/EKG/CVRU/Cardiology • Accountable for the Projects, such as but not limited to: • ACLS • EKG • Stroke and Heart ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH TENET HEALTHCARE PERFORMANCE STANDARDS Qualifications: Minimum Qualifications 1. Bachelor’s Degree in Nursing or Nursing Education or related specialty 2. 3 year nursing experience in an acute care setting preferred 3. Current State Licenses & Certifications Skills Required • Participates in projects and educational activities as assigned for the department • Communicates effectively with colleagues across Tenet to advance goal achievement and strategic vision alignment • Demonstrates skill in navigating and communicating in a complex environment. Fosters achievement of Nursing Education/Development goals and objectives • Demonstrates responsibility for reporting to licensing, certification, accreditation, and other regulatory bodies for educational program compliance • Interacts with staff in an ethical, consistent, fair, timely, appropriate and decisive manner in accordance with organization-wide and Nursing Department policies • Identifies factors that affect staff's ability to fulfill their job responsibilities, collaborates with management to effect appropriate change needed for employees success • Accepts Committee and market work group appointments and actively participates to affect change in patient care and the Tenet Healthcare System • Cultivates positive relationships with academic programs to foster positive image and relationships with Tenet Healthcare. • Demonstrates AIDET and respect for others at all times Facility Description The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. 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: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations Job: Education Primary Location: Detroit, Michigan Facility: Detroit Medical Center Shared Services Job Type: Full Time Shift Type: Day Shift Begin: 7:30 AM Shift End: 4:00 PM 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. 2506001977 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.

Manage resource coordination and medical necessity processes to ensure appropriate care levels and payment authorization. | Active RN license, at least 2 years of hospital or behavioral health care experience, knowledge of care delivery and resource management. | 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! Benefits 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 & 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 & childcare, auto & home insurance. Note: Eligibility for benefits may vary by location and is determined by employment status Job Summary / Description The individual in this position is responsible to facilitate 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 provided is at the appropriate level of care based on medical necessity. This position manages the medical necessity process for accurate and timely payment for services that may require negotiation with a payor on a case-by-case basis. This position integrates national standards for case management scope of services including: • Utilization Management services supporting medical necessity and denial prevention • Coordinating with payors to authorize appropriate level of care and length of stay for medically necessary services required for the patient • Collaborating with Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at the appropriate level of care • Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy • Educating payors, physicians, hospital/office staff and ancillary departments related to covered services and administration of benefits and compliance The individual’s responsibilities include the following activities: • Securing and documenting authorization for services from payors • Performing accurate medical necessity screening and timely submission for Physician Advisor reviews • Collaborating with payors, physicians, office staff and ancillary departments • Managing concurrent disputes • Identification and reporting over and underutilization • Timely, complete, and concise documentation in Tenet Case Management documentation system • Maintenance of accurate patient demographic and insurance information • Identification and documentation of potentially avoidable days • 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 • 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 • Completes admission reviews for all payors and sending admission reviews for payors with an authorization process • Completes concurrent reviews for all payors and sending concurrent reviews to payors with an authorization process • Closes open cases on the incomplete UM Census • Completes the Medicare Certification Checklist on applicable admissions • Discusses with the attending status changes, order clarifications, observation to inpatient changes for all payors • Reviews the OR, IR and cath lab schedule with follow-up as indicated • Identifies and documents Avoidable Days • Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay and discharge) compared to evidence-based practice, internal and external requirements. • Provide denial information for UR Committee, Denial and Revenue Cycle • Collaborate with Patient Access, Case Management, Managed Care and Business Office to improve concurrent review process to avoid denial or process delays in billing accounts • Accountable to identify 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 documentation system to communicating information through clear, complete and concise documentation • (60% daily, essential) Payor Authorization • Advocates for the patient and hospital with payor to secure appropriate payment for services rendered • Ensures the patient is in the appropriate status and level of care based on Medical Necessity and submits case for Secondary Physician review per Tenet policy • Ensures timely communication and documentation of clinical data to payors to support admission, level of care, length of stay and authorization • Prevents denials and disputes by communicating with payors and documenting relevant incoming and outgoing payor communications including denials, disputes and no authorizations in the case management system • Follows the payor dispute processes utilizing secondary medical review, peer to peer and payor type changes • (25% daily, essential) Education • Ensures and provides education to physicians and the healthcare team relevant to the effective progression of care and appropriate level of care • Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. • (5% daily, essential) Compliance • Adheres to 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 RN scope of practice as defined by state licensing regulations • Remains current with Tenet Case Management practices • (10% daily, essential) Qualifications: Minimum Qualifications • BSN preferred. At least two (2) years acute hospital or Behavioral Health patient care experience required. One (1) year hospital acute or behavioral health case management experience preferred. • Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required • Analytical ability, critical thinking, problem solving skills and comprehensive knowledge base to identify opportunities for improvement and problem resolution, evaluate patient status and health care procedures/techniques, and monitor quality of patient care. • Knowledge of care delivery capabilities along the continuum of care. • Interpersonal skills to work productively with all levels of hospital personnel. • Resourcefulness to identify prompt and sustainable solutions to barriers in care delivery. • Verbal and written communication skills to communicate effectively with diverse populations including physicians, colleagues, patients, and families. • Teaching abilities to conduct educational programs for staff. • Flexibility with schedule, including off-shifts, weekends, and holidays in order to meet the needs of patients, families or staff. • Organizational skills and ability to lead and coordinate activities of a diverse group of people in a fast-paced environment, and direct others toward objectives that contribute to the success of the department. • Ability to cope with stressful situations, manage multiple and sometimes conflicting priorities simultaneously. • Computer literacy to utilize case management systems. Facility Description The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. 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: http://www.uscis.gov/e-verify The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations JOB: Case Management PRIMARY LOCATION: Detroit, Michigan FACILITY: Detroit Medical Center Shared Services JOB TYPE: PRN 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: http://www.uscis.gov/e-verify The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. 2506004107