Care Management RN
1 week ago
The Utilization Management Nurse II is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to navigate complex regulatory requirements.
Key Responsibilities- Conduct thorough assessments of patient information and treatment plans to determine medical necessity and level of care.
- Utilize approved screening criteria to track impact and variance, ensuring compliance with regulatory requirements.
- Collaborate with physicians and treatment teams to obtain necessary documentation and support level of care.
- Proactively refer cases to physician advisors for medical necessity reviews and denial avoidance.
- Maintain consistent communication and exchange of information with payors to coordinate certification of hospital services.
- Graduate of an accredited School of Nursing or demonstrated success in the Utilization Management Nurse I role for at least five years at Christus Health.
- Two or more years of clinical experience with at least one year in the acute care setting or demonstrated success as Utilization Management Nurse I role at Christus Health.
- LPN or LVN license accepted for associates with 5+ years of demonstrated success and experience in the Utilization Management Nurse I role at Christus Health.
- Certification in Case Management preferred.
This role is a full-time position, Monday through Friday, 8am-5pm. The ideal candidate will possess excellent communication and negotiation skills, with the ability to interact with physicians, nursing staff, administrative staff, discharge planners, and payors.
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Care Manager RN
2 weeks ago
Tyler, Texas, United States Christus Health Full timeCare Management RN Job DescriptionAt Christus Health, we are seeking a skilled and compassionate Care Management RN to join our team. As a key member of our healthcare team, you will play a vital role in providing high-quality patient care and ensuring seamless transitions between healthcare settings.Key Responsibilities:Assess patient needs and develop...
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RN Care Manager
4 weeks ago
Tyler, Texas, United States Christus Health Full timeJob SummaryWe are seeking a skilled RN Care Manager to join our team at Christus Health. As a RN Care Manager, you will be responsible for providing high-quality patient care and coordinating with healthcare teams to ensure seamless transitions and optimal outcomes.Key ResponsibilitiesAssess patient needs and develop individualized care plansCoordinate with...
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Care Manager RN
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Tyler, Texas, United States Park Place Nursing & Rehabilitation Center Full timeJob Title: RN (Registered Nurse)Join Park Place Nursing & Rehabilitation Center in Tyler, TX as a Registered Nurse and be a key part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services to our patients and residents.Responsibilities:Observe patients, chart changes in their conditions, and report them to the...
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Care Manager
2 weeks ago
Tyler, Texas, United States Christus Health Full timeJob Summary:Christus Health is seeking a skilled Care Manager to join our team. As a Care Manager, you will work collaboratively with patients, families, physicians, and multidisciplinary team members to ensure seamless patient progression through the continuum of care. Your primary responsibility will be to develop and implement individualized plans of care...
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Care Manager
4 weeks ago
Tyler, Texas, United States Christus Health Full timeJob SummaryThe Care Manager (CM) PRN collaborates with patients, families, physicians, and multidisciplinary teams to ensure patient progression through the continuum of care. This role involves developing a plan of care for each assigned patient from admission through discharge, identifying and managing optimal patient flow/throughput, and ensuring...
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Care Manager
2 weeks ago
Tyler, Texas, United States Christus Health Full timeAbout the Role:The Care Manager (CM) at Christus Health plays a vital role in ensuring patient progression through the continuum of care. Working collaboratively with patients, families, physicians, and multidisciplinary team members, the CM develops and implements a plan of care for each assigned patient from admission through discharge. This role requires...
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Care Manager
4 weeks ago
Tyler, Texas, United States Christus Health Full timeJob Summary:The Care Manager (CM) PRN at Christus Health works collaboratively with patients, families, physicians, and multidisciplinary team members to ensure seamless patient progression through the continuum of care. This role is responsible for developing and implementing a plan of care for each assigned patient from admission through discharge,...
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Care Manager
1 month ago
Tyler, Texas, United States Christus Health Full timeJob SummaryThe Care Manager PRN collaborates with patients, families, physicians, and multidisciplinary teams to ensure seamless patient progression through the continuum of care. This role involves developing and implementing patient plans of care, identifying and resolving barriers to effective care, and ensuring continuity of care through smooth and safe...
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Care Manager
1 month ago
Tyler, Texas, United States Christus Health Full timeJob SummaryThe Care Manager PRN collaborates with patients, families, physicians, and multidisciplinary teams to ensure seamless patient progression through the continuum of care. This role is responsible for developing and implementing effective plans of care, identifying and resolving barriers to care, and ensuring continuity of care from admission to...
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Care Manager PRN
2 weeks ago
Tyler, Texas, United States Christus Health Full timeCare Manager PRN Job DescriptionThe Care Manager PRN works collaboratively with patients, families, physicians, and multidisciplinary team members to ensure seamless patient progression through the continuum of care. This role is responsible for developing and implementing individualized plans of care, identifying and resolving barriers to effective patient...
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Care Manager II
1 week ago
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Travel Nurse RN Home Health Position
2 weeks ago
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Care Manager II
1 month ago
Tyler, Texas, United States Christus Health Full timeJob Summary:The Care Manager II is a critical role within the healthcare team, responsible for ensuring seamless patient progression through the continuum of care. This position requires collaboration with patients, families, physicians, and multidisciplinary team members to develop and implement effective care plans.Key Responsibilities:Coordinate patient...
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Care Manager PRN
4 weeks ago
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Travel Nurse RN Home Health Opportunity
1 month ago
Tyler, Texas, United States Supplemental Health Care Full timeJob Title: Home Health RNWe are seeking a skilled and compassionate Home Health RN to join our team at Supplemental Health Care. As a Home Health RN, you will provide high-quality patient care and support to individuals in their homes, promoting independence and improving health outcomes.Job Summary:Provide skilled nursing care to patients in their homes,...
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Travel Nurse RN Home Health Position
1 month ago
Tyler, Texas, United States TotalMed Case Management Staffing Full timeJob Title: Home Health Registered NurseTotalMed Case Management Staffing is seeking a skilled Home Health Registered Nurse for a travel nursing assignment in Tyler, Texas.Job Description & RequirementsSpecialty: Home HealthDiscipline: RNEmployment Type: TravelWe are looking for a dedicated Registered Nurse-Home Health to join our team for a travel assignment...
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Nurse Care Manager
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Nursing Manager of Neurological Care
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