RN Case Manager, ER -Weekend

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

3d • Onsite

About The Position

The ED RN Case Manager works with a defined patient population to facilitate appropriate designation of patient status as observation or inpatient admission. The position promotes optimal clinical outcomes and resource utilization by ensuring patients are assigned the correct bed status using approved clinical criteria, including Indicia (MCG) and InterQual Clinical Criteria. The Case Manager collaborates with ED physicians and Patient Access staff to enter patient status accurately for billing and required payer authorization or notification.

The schedule is weekends, consisting of two 10-hour shifts from 7:30 a.m. to 5:30 p.m., for 20 standard weekly hours. The role is based at the Medical Center in Fort Worth. 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 throughout employment.

Requirements

• Associate degree in nursing.
• At least three years of combined experience in one or more of the following areas: case management, care coordination, utilization review, patient intake, discharge planning, troubleshooting funding resources, quality assurance, clinical pathways, continuous quality improvement, or state, federal, or commercial health plans in a clinical or managed care environment.
• Computer literacy and effective organizational, interpersonal, written, and oral communication skills.
• Familiarity with community resources and charitable organizations.
• Ability to adapt to changing healthcare environments.
• Experience using or navigating electronic medical records, such as EPIC, Meditech, or Healthy Planet.
• Current RN license from the Texas Board of Nursing.
• Must obtain Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and maintain the certification.
• Must maintain primary residence in Texas and all licenses and credentials required for the position throughout employment.

Nice To Haves

• Bachelor of Science in Nursing (BSN) from an accredited college or university.
• Bilingualism; it may be required depending on the specific department assignment.
• Health Plan Case Manager Certification (CCM).

Responsibilities

• Facilitate appropriate observation or inpatient status designation for a defined patient population.
• Promote optimal clinical outcomes and resource utilization by ensuring patients are placed in the correct bed status using approved clinical criteria, including Indicia (MCG) and InterQual Clinical Criteria.
• Collaborate with ED physicians and Patient Access staff to accurately enter patient status for billing and required payer authorization or notification.
• Work with all members of the healthcare team to achieve positive outcomes.

What This Job Offers

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