RN Case Manager

4 days ago


San Antonio, Texas, United States United Surgical Partners Full time
Case Manager Job Summary

United Surgical Partners is seeking a skilled Case Manager to facilitate progress through the continuum of care for patients at our Foundation Surgical Hospital in San Antonio. As a Case Manager, you will play a critical role in ensuring the best possible outcomes for our patients by coordinating their care, communicating with healthcare teams, and advocating on their behalf.

Key Responsibilities:
  • Conduct discharge planning assessments within 24 hours of admission to identify patient needs and develop effective care plans.
  • Coordinate post-acute care services and equipment to ensure safe and timely transitions for patients.
  • Comply with CMS regulations and maintain HIPAA compliance in all discharge planning tasks.
  • Perform daily utilization review tasks to ensure accurate and timely documentation of patient care.
  • Communicate effectively with interdisciplinary teams, physicians, payers, and physician office staff to coordinate care and ensure cost-effective outcomes.
  • Provide clinical documentation and requested information to payors in accordance with hospital policy and Interqual guidelines.
  • Timely documentation in Electronic Health Record (EHR) systems.
  • Serve as a departmental resource for auxiliary departments and staff.
Requirements:
  • Graduate of an accredited school of nursing, BSN preferred.
  • Current, active Texas RN licensure required.
  • BLS required.
  • Case Management certification preferred, but not required.
  • Minimum two (2) years acute care experience required.
  • Previous case management experience preferred.
  • Ability to work independently and adapt to changing situations.
  • Working knowledge of Microsoft Word and Excel preferred.
  • Ability to utilize Electronic Health Care Record for patient documentation.
  • Adheres to strictest confidentiality in dealing with patients, families, hospital personnel, and the public.

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