RN Case Manager, Inpatient

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

1d • Onsite

About The Position

The RN Case Manager (Nex) coordinates longitudinal care for patients with complex medical, social, and psychological needs. The role serves as the primary liaison among patients, medical providers, and the insurance and benefit system. Its goals are to promote optimal patient outcomes, prevent unnecessary hospital readmissions, ensure effective use of resources, and advocate for patients’ health goals.

The schedule is weekends from 7:30 a.m. to 6:00 p.m., with 20 standard weekly hours. The role is based at the Medical Center in Fort Worth in the Case Management department. Cook Children’s is a Texas-only employer; employees must maintain their primary residence in Texas and maintain all licenses and credentials required for the position.

Requirements

• Associate’s degree in nursing.
• Three years of experience in one or a combination of specialty nursing (which may include NICU, PICU, CICU, Cardiology, or Endocrinology), 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.
• Active, unrestricted Texas Registered Nurse (RN) license.
• BLS for Healthcare Providers.

Nice To Haves

• Utilization review experience.

Responsibilities

• Coordinate longitudinal care for patients with complex medical, social, and psychological needs.
• Serve as the primary liaison between patients, medical providers, and the insurance and benefit system.
• Promote optimal patient outcomes and prevent unnecessary hospital readmissions.
• Ensure resources are utilized effectively.
• Advocate for patients’ health goals.

What This Job Offers

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