RN Case Manager, Inpatient

Cook Children's Health Care System•Fort Worth, TX
•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 benefits system. Its goals are to promote optimal patient outcomes, prevent unnecessary hospital readmissions, use resources effectively, and advocate for patients’ health goals. This position is based at the Medical Center in Fort Worth, in the Case Management department, and works weekends from 7:30 a.m. to 6:00 p.m., with 20 standard weekly hours. Cook Children’s is a Texas-only employer; employees must maintain their primary residence in Texas and keep all licenses and credentials required for their position throughout employment.

Requirements

  • Associate’s degree in nursing.
  • Three years of experience in one or a combination of the following: specialty nursing (including areas such as 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.
  • Must maintain a primary residence in Texas and maintain all licenses and credentials required for the position throughout employment.

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 benefits system.
  • Promote optimal patient outcomes and help prevent unnecessary hospital readmissions.
  • Ensure effective use of resources.
  • Advocate for patients’ specific health goals.
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