RN Case Manager

Prime Healthcare•Harlingen, TX

2d•Onsite

About The Position

The RN Case Manager is responsible for evaluating patients' medical, psychosocial, and discharge needs upon admission and throughout their stay. They develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions. This role also involves coordinating safe and appropriate discharge plans, monitoring the use of hospital resources, educating patients and families, and advocating for patient needs and preferences.

Requirements

BSW or other bachelor's degree in a related field.
At least one year experience in case management, discharge planning or nursing management.
Experience and knowledge in basic to intermediate computer skills.
RN License

Nice To Haves

Minimum 5 years of acute care experience preferred.
CCM or obtained within 1 year.
Current BCLS certificate 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.