RN Case Manager

Prime Healthcare • Mission, TX

1d • Onsite

About The Position

Overview We are seeking a n RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems. Shift’s Available : Days Employment Type : Full Time Hours: 8 hour Location : Mission Regional Medical Center - Mission, TX Responsibilities Essential Duties and Responsibilities (includes, but not limited to): Patient Assessment: e valuate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay Care Coordination: d evelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions Discharge Planning: c oordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays Patient and Family Education: h elp patients and families understand care plans, post-discharge instructions, and available resources Advocacy: a dvocate for patient needs and preferences, ensuring care is aligned with their goals and values Qualifications Before we go any further, we do have some deal-breakers. You must have: Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate upon hire and maintain current;. Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills. Behavioral Violence Prevention Training within 3 months of hires and maintain current. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/ #LI-OZ1 Options Apply for this job online Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed

Requirements

• Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
• Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
• Current BCLS (AHA) certificate upon hire and maintain current;.
• Experience and knowledge in basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hires and maintain current.

Nice To Haves

• Five years acute care nursing experience preferred.
• At least one year experience in case management, discharge planning or nursing management, preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

• Evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
• Develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
• Coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
• Monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
• Help patients and families understand care plans, post-discharge instructions, and available resources
• Advocate for patient needs and preferences, ensuring care is aligned with their goals and values

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees