Case Manager RN

Dallas Regional Medical Center•Mesquite, TX

13d•Onsite

About The Position

We are seeking an RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager. An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems. Shift’s Available: Days Employment Type: Full Time Hours: 8 hour – 8a-4pm Location: Dallas Regional Medical Center – Mesquite, TX Here are some of the benefits of working at Prime Healthcare: Health, dental, and vision insurance options Paid vacation, sick time and holidays Bereavement leave, FMLA and other leave options Employer 401K options Tuition reimbursement options Life, disability, and other insurance options Many other amazing benefits Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Requirements

Current and valid state RN License
BLS certification within 30 days and maintain current
Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.

Nice To Haves

Knowledge of Milliman Criteria and InterQual Criteria preferred.
Experience and knowledge in basic to intermediate computer skills.
Behavioral Violence Prevention Training within 3 months of hires and maintain current.

Responsibilities

Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources
Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values