Case Manager RN, FT Days (58258)
About The Position
The Case Manager RN comprehensively plans case management services for a targeted patient population. The role carries out utilization management, discharge planning, care coordination, and referrals to other levels of care. Working with physicians, Social Services, and the interdisciplinary team, the Case Manager facilitates clinical pathways to achieve desired treatment outcomes, promotes interdisciplinary collaboration, and champions service excellence. The role collaborates to ensure patient needs are met and care is coordinated across the continuum at the appropriate level of care. It coordinates and oversees patient care and services to achieve desired clinical and resource outcomes, assesses the need for continued care, and applies utilization review concepts in accordance with federal and state requirements and The Joint Commission guidelines.
Requirements
- One year of full-time, recent RN acute care hospital experience.
- Current Texas RN License.
- Current Basic Life Support (BLS).
- Associate Degree in Nursing required.
- Clinical expertise.
- Excellent interpersonal communication and negotiation skills.
- Strong analytical, data management, and computer skills.
- Current working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
- Ability to work with people of all social, economic, and cultural backgrounds.
- Flexible, open-minded, and adaptable to change.
- Understanding of pre-acute and post-acute care venues and community resources.
- Strong organizational and time management skills, including the ability to prioritize multiple tasks and role components.
- Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients or families.
- Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.
Nice To Haves
- Pediatric experience.
- Previous case management experience.
- Certified Case Manager certification.
- Bachelor of Science in Nursing.
- Bilingual English/Spanish skills and cultural sensitivity.
Responsibilities
- Plan case management services for a targeted patient population.
- Carry out utilization management, discharge planning, care coordination, and referrals to other levels of care.
- Work with physicians, Social Services, and the interdisciplinary team to facilitate clinical pathways and desired treatment outcomes.
- Promote interdisciplinary collaboration and service excellence.
- Coordinate care delivery across the continuum at the appropriate level of care.
- Coordinate and oversee patient care and services to achieve desired clinical and resource outcomes.
- Assess the need for continued care and apply utilization review concepts according to federal, state, and The Joint Commission guidelines.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
