Case Manager (Nex)

Cook Children's Health Care System • Fort Worth, TX

9d • Onsite

About The Position

The RN Case Manager (Nex) is responsible for coordinating the longitudinal care of patients with complex medical, social, and psychological needs. They serve as the primary liaison between the patient, the medical providers, and the insurance/benefit system. The goal is to promote optimal patient outcomes, prevent unnecessary hospital readmissions, and ensure that resources are utilized effectively while advocating for the patient's specific health goals.

Requirements

• 3 years of experience in one or a combination of the following: specialty nursing (which may include NICU, PICU, CICU, Cardiology, Endocrinology et.), case management, care coordination, utilization review, patient intake, discharge planning and troubleshooting fund resources, quality assurance, clinical pathways, continuous quality improvement, or state and federal health plans or commercial insurance plans in a clinical or managed care environment.
• Associate's in nursing.
• Active, unrestricted Texas Registered Nurse (RN) license.
• BLS for Healthcare Providers.

Responsibilities

• Coordinating the longitudinal care of patients with complex medical, social, and psychological needs.
• Serving as the primary liaison between the patient, the medical providers, and the insurance/benefit system.
• Promoting optimal patient outcomes.
• Preventing unnecessary hospital readmissions.
• Ensuring that resources are utilized effectively.
• Advocating for the patient's specific health goals.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree