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Registered Nurse Case Coordinator

2 months ago

Conroe, Texas, United States Nexus Health Systems Ltd Full time
Overview of the Role and Organization

The Clinical Case Manager is instrumental in assessing and coordinating patient care throughout their healthcare experience. This role emphasizes the delivery of high-quality, cost-efficient care while minimizing unnecessary services. Collaborating closely with the healthcare team, the Case Manager advocates for patient needs and adheres to ethical and legal standards. Proficiency in Spanish is a crucial requirement for this position.

Key Responsibilities
  • Ensuring patient confidentiality and adherence to regulations
  • Fostering a safe environment for both patients and staff
  • Championing patient rights and maintaining ethical practices
  • Upholding the privacy and confidentiality of each patient
Specific Case Management Duties
  • Conducting psychosocial evaluations and medical necessity assessments promptly
  • Facilitating ongoing reviews and team discussions for patient care strategies
  • Engaging with external payers for continued care approvals
  • Guaranteeing precise documentation and timely communication with all involved parties
Qualifications for the Position
  • Education: Valid RN license in Texas, RN-BSN preferred, fluency in Spanish
  • Experience: 3-5 years in acute care settings, 2-3 years in case management
  • Skills: Knowledge of InterQual and similar criteria, strong analytical abilities, understanding of regulatory standards
  • Licensure/Certification: AHA BLS/CPR certification, current tuberculosis screening

The Clinical Case Manager must exhibit a profound understanding of patient care management and strive to achieve optimal outcomes for patients. If you are dedicated to healthcare and passionate about enhancing patient care, this position could be an excellent match for you.