Case Manager RN

Prime Healthcare•Mesquite, TX
•Onsite

About The Position

The RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager, oversees and coordinates patient care from admission through discharge to support quality, cost-effective outcomes. The role assesses patients’ needs, develops care plans, and collaborates with physicians, nurses, social workers, and other providers to manage care transitions. The RN Case Manager also conducts discharge planning and utilization review, and helps patients navigate insurance and healthcare systems. This is a full-time day-shift position at Dallas Regional Medical Center in Mesquite, Texas, with an 8-hour schedule listed as 8 a.m.–5 p.m.

Requirements

  • Current and valid state RN license.
  • BLS certification within 30 days of hire and maintenance of current certification.
  • Five years of acute care nursing experience preferred.
  • At least one year of experience in case management, discharge planning, or nursing management preferred.
  • Behavioral Violence Prevention Training within three months of hire and maintenance of current training.
  • Basic to intermediate computer skills and experience.

Nice To Haves

  • Knowledge of Milliman Criteria and InterQual Criteria.
  • Five years of acute care nursing experience.
  • At least one year of experience in case management, discharge planning, or nursing management.

Responsibilities

  • Evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay.
  • Develop and implement individualized care plans with the healthcare team to support effective treatment and timely interventions.
  • Coordinate safe and appropriate discharge plans, including referrals to rehabilitation, home health, or long-term care facilities.
  • Monitor hospital resource and service use to support appropriate care and avoid unnecessary treatments or extended stays.
  • Help patients and families understand care plans, post-discharge instructions, and available resources.
  • Advocate for patient needs and preferences and ensure care is aligned with their goals and values.

Benefits

  • Health, dental, and vision insurance options.
  • Paid vacation, sick time, and holidays.
  • Bereavement leave, FMLA, and other leave options.
  • Employer 401(k) options.
  • Tuition reimbursement options.
  • Life, disability, and other insurance options.
  • Many other benefits.
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