RN Case Manager (Nex)
About The Position
The RN Case Manager (Nex) coordinates longitudinal care for patients with complex medical, social, and psychological needs. The position serves as the primary liaison between 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’ specific health goals. The schedule is 8:00 a.m.–4:30 p.m., with Monday–Sunday shifts. PRN staff fill in throughout the week, including weekends. Orientation lasts 12 weeks; the first 5–6 weeks are Monday–Friday, 8:00 a.m.–4:30 p.m.
Requirements
- At least 3 years of experience in one or a combination of specialty nursing, 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.
- Associate’s degree in Nursing.
- Active, unrestricted Texas Registered Nurse (RN) license.
- BLS for Healthcare Providers.
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’ specific health goals.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
Associate degree
