Case Manager PRN Days

United Surgical Partners International • Irving, TX

81d

About The Position

Welcome to Baylor Scott & White Surgical Hospital Las Colinas, Irving, TX, where innovation, collaboration, and patient-centered care converge to create an exceptional workplace! Baylor Scott & White Surgical Hospital Las Colinas is seeking a qualified Case Manager to join our team!!! Case Manager at Baylor Scott & White Surgical Hospital Las Colinas: Facilitates progress through the continuum of care, from Pre-Admission through Discharge for Baylor Scott & White Surgical Hospital Las Colinas. Provides feedback to payers on patient's clinical status and secures approvals for additional days of stay. Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators. Evaluates patients for discharge planning needs and appropriately directs the patient's care. Monitors resource consumption for most effective use; Identifies teaching and psychosocial concerns for the best patient outcomes. Assists in aggregating data for quality trending. Assists in Infection Control surveillance. Functions as a Patient Advocate to assist patients in resolving concerns.

Requirements

• Graduate of an accredited school of nursing; BSN preferred.
• Current, active Texas RN or LVN licensure required.
• Case Management certification preferred, but not required.
• BLS required.
• Minimum two (2) years acute care experience required.
• Previous case management experience preferred.

Nice To Haves

• Working knowledge of Microsoft Word and Excel preferred.
• Ability to adapt to changing situations and various personalities with a positive attitude.
• Ability to utilize Electronic Health Care Record for patient documentation.
• Knowledge of professional nursing principles and CMS Conditions of Participation for Utilization Review.
• Knowledge of current third-party regulations, Medicare, Medicaid benefits and services.
• Knowledge of medical billing procedures.

Responsibilities

• Facilitates progress through the continuum of care, from Pre-Admission through Discharge.
• Provides feedback to payers on patient's clinical status and secures approvals for additional days of stay.
• Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators.
• Evaluates patients for discharge planning needs and appropriately directs the patient's care.
• Monitors resource consumption for most effective use.
• Identifies teaching and psychosocial concerns for the best patient outcomes.
• Assists in aggregating data for quality trending.
• Assists in Infection Control surveillance.
• Functions as a Patient Advocate to assist patients in resolving concerns.

Benefits

• Work/Life Balance with daytime schedules, no weekends and nights, and no call.
• Access to thousands of free online courses for further education.
• Leadership and Executive Development programs available.
• Coaching and Mentorship for team members.
• Support for military and veterans transitioning to civilian careers.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree