RN CASE MANAGER - FULL TIME

Description

We are currently seeking a Full Time RN Case Manager.



The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning.

The individuals responsibilities will include, but not be limited to the following activities:

• Medical necessity screening


• Care coordination


• Discharge planning


• Facilitating multi-disciplinary patient care conferences


• Managing concurrent disputes


• Making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST)


• Referring complex social issues to Social Service


• Communicating with patients and their families about the plan of care


• Collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy)


• Participating in weekly Complex Case Review


• Arranging for post discharge patient education


• Clear, complete and concise documentation in eCCM


• Maintaining accuracy of patient demographic and insurance information


• Identifying and documenting potentially avoidable days


• Identifying and reporting over and under utilization


• Other duties as assigned.

Qualifications

• B.S.N. preferred. At least 5 year's bedside experience required


• 2 years of hospital based case management experience preferred


• Current Professional Nurse License issued and/or recognized by Board of Nurse Examiners for the State of Texas


• Excellent organizational skills, and verbal and written communication skills


• Ability to lead and coordinate activities of a diverse group of people


• Demonstrated critical thinking and problem solving skills


• Computer literate

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