Case Manager (RN/LIC) / Case Management / Full Time / Day

UHS • Amarillo, TX

3d • Onsite

About The Position

Northwest Texas Healthcare System is a 495-bed system serving Amarillo and the surrounding region. The Case Manager (RN) is responsible for acute care case management activities, insurance reviews, and transfers, with a strong knowledge base of DRGs and appropriate admission status. The position uses leadership, problem-solving, and collaborative skills to work with healthcare teams, support utilization management activities, and promote high-quality, cost-effective care.

The Case Manager evaluates admissions and hospital resource utilization for appropriateness and timeliness; collaborates with healthcare team members to assess or coordinate patient and education needs; completes insurance reviews; coordinates multidisciplinary team meetings; and participates in core measure compliance.

Requirements

• Minimum of an associate’s degree in nursing, or equivalent experience and clinical expertise; a bachelor’s degree in nursing or another healthcare-related field is preferred.
• Minimum of five years of clinical experience.
• Current American Heart Association BLS certification upon hire or within 30 days of the start date, maintained throughout employment.
• Ability to read and write in English and to speak and hear for discussions with employees and peers.
• Ability to cope with and remain calm under stress, respond to pages, evaluate and interpret information, and make independent decisions.
• Ability to understand and interpret financial data.
• Critical thinking, prioritization, multitasking, and communication skills across all levels of the organization.
• Physical ability for bending, lifting 5–10 lbs, grasping, fine hand coordination, pushing, and pulling.

Nice To Haves

• Bachelor’s degree in nursing or another healthcare-related field.

Responsibilities

• Evaluate admissions and hospital resource utilization for appropriateness and timeliness.
• Collaborate with healthcare team members to assess or coordinate patient and education needs.
• Complete insurance reviews.
• Coordinate multidisciplinary team meetings.
• Participate in core measure compliance.
• Coordinate transfers and support utilization management activities.
• Promote high-quality, cost-effective care collaboratively.

Benefits

• Competitive compensation and generous paid time off.
• Medical, dental, vision, and prescription drug plans.
• 401(k) with company match.
• Discounted stock plan.
• SoFi student loan refinancing program.
• Tuition savings to continue nursing education with Chamberlain University.
• Career development opportunities within UHS and its subsidiaries.
• Pet insurance.

What This Job Offers

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