RN Case Manager, ER -Weekend

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

4d • Onsite

About The Position

The ED RN Case Manager works with a defined patient population to facilitate the correct designation of observation (OBS) or inpatient status. The role promotes optimal clinical outcomes and resource utilization by ensuring patients are placed in the correct bed status using approved 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, working two 10-hour shifts from 7:30 a.m. to 5:30 p.m. The position is based at the Medical Center in Fort Worth in the Case Management department.

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 and work with all members of the healthcare team to achieve positive outcomes.
• Experience using or navigating electronic medical records.
• 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 certification; this requirement does not apply to Health Plan.

Nice To Haves

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

Responsibilities

• Facilitate the correct designation of patients for observation or inpatient status.
• Promote optimal clinical outcomes and resource utilization by ensuring patients are placed in the correct bed status using approved clinical criteria.
• Collaborate with ED physicians and Patient Access staff to enter patient status accurately for billing and required payer authorization or notification.

What This Job Offers

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