Case Manager (RN/LIC) / Case Management II / PRN

UHS•Amarillo, TX

4d•Onsite

About The Position

Northwest Texas Healthcare System is seeking a registered nurse with strong leadership, communication, and problem-solving skills to serve as a Case Manager. With minimal supervision, the Case Manager collaborates with the treatment team to assess patients’ needs related to discharge planning and coordinate interventions that address those needs in a quality, cost-effective manner. The role includes conducting utilization management and insurance reviews as indicated by managed care companies, assisting physicians with Medicare certification and recertification requirements, and working with social work and discharge planning staff to ensure legal process requirements are met for patients on involuntary status. The Case Manager supports the organization’s Service Excellence culture and standards. The role coordinates patient assessments and care across the treatment team, supports seamless and efficient hospital processes, and allocates human and material resources to meet patient-care needs. The position also requires compliance with annual education requirements and safety and injury-prevention standards. This is a PRN position at Northwest Texas Healthcare System, a 495-bed system serving Amarillo and the surrounding region.

Requirements

Current Registered Nurse license in the state of Texas.
Bachelor’s degree in nursing or another healthcare-related field, or equivalent experience and clinical expertise.
A minimum of five years of clinical experience.
Strong leadership, communication, interpersonal, and problem-solving skills.
Current American Heart Association BLS certification upon hire or within 30 days of the start date; certification must be obtained before providing patient care and maintained throughout employment.
Ability to read and write English.
Ability to speak and hear to communicate with employees and peers.
Ability to cope with stress and remain calm.
Ability to respond to pages.
Ability to evaluate and interpret information and make independent decisions.
Ability to repeatedly twist, squat, and stoop; bend, lift at least 25 pounds, grasp, perform fine hand coordination, push, and pull.
Ability to understand and interpret financial data.

Responsibilities

Demonstrate leadership in providing departmental services through collaboration designed to integrate services and functions throughout NWTHS.
Assess or coordinate the assessment of patients’ healthcare and education needs and collaborate with the healthcare team to meet those needs.
Coordinate patient hospital processes to support seamless, efficient care.
Allocate human and material resources effectively to meet patient-care needs.
Conduct utilization management and insurance reviews as indicated.
Assist physicians with Medicare certification and recertification requirements.
Collaborate with the social worker/discharge planner to ensure legal process requirements are met for patients on involuntary status.
Support and practice Service Excellence standards with all customer groups.
Complete annual education requirements and follow safety and injury-prevention standards to minimize risk to self and coworkers.