Registered Nurse Case Manager - Utilization Management

Mission Regional Medical center•Weslaco, TX

46d•Onsite

About The Position

KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: Competitive PRN Compensation Medical Insurance Benefits Positive work environment 401K Knapp Medical Center is an award-winning, not-for-profit hospital in Weslaco, Texas. With 227 beds, the community hospital specializes in emergency care, orthopedics, obstetrics and gynecology, wound care, surgery, cardiology, gastroenterology, critical care, and interventional radiology. Knapp serves as the only acute care hospital in the Mid-Valley area, as well as Weslaco's only Level III Trauma Center, Advanced Primary Stroke Center, and Level II Newborn Nursery. Knapp has been providing quality and compassionate healthcare to Mid-Valley residents for 60 years. More than 300 physicians serve on the hospital's medical staff. Knapp also serves as one of the largest employers in the Mid-Valley, employing more than 450 people. For more information, please call 956-968-8567 or visit www.KnappMed.org Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Requirements

RN License, BSW or other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management
CCM or obtained within 6 months of hire.
Experience and knowledge in basic to intermediate computer skills.
Behavioral Violence Prevention Training within 3 months of hire and maintain current.

Nice To Haves

Minimum 5 years of acute care experience preferred.
At least one-year experience in case management, discharge planning or management, preferred.
Current BCLS (AHA) certificate preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.
Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.
The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.