Case Manager RN
1 month ago
Job Summary:
We are seeking a skilled and compassionate Case Manager RN to join our team at Nexus Children's Hospital. As a Case Manager RN, you will play a vital role in assessing patient/family psychosocial needs, planning, implementing, and evaluating care for patients across the healthcare episode.
Key Responsibilities:
- Assess patient/family psychosocial needs and develop individualized care plans
- Collaborate with the multidisciplinary team to ensure delivery of cost-effective quality care within an appropriate length of stay
- Manage patient care to prevent fragmentation and duplication of services
- Work in collaborative practice with physicians and other healthcare team members to meet patient-specific and age-related patient needs
- Link cost resource management and quality to patient care
- Provide clinical updates to third-party payors within stated time frames to obtain continued stay authorization
- Document all case management activities in the medical record
- Participate in Quality Improvement, UM Committee, and Risk Management as indicated
Requirements:
- Minimum of RN with an active, unrestricted license in the State of Texas
- 3-5 years of experience in acute hospital direct care
- 2-3 years of experience in acute hospital case management, utilization management, or discharge planning of complex medical/surgical cases
- Proficient with the use of InterQual, Milliman, or other national recognized criteria
- Strong analytical and organizational skills
- Working knowledge and ability to apply professional standards of practice in the work environment
- Knowledge of specific regulatory managed care and accreditation requirements
- Computer proficiency
- Bilingual Spanish case management experience required
What We Offer:
Nexus Children's Hospital offers a competitive salary and benefits package, as well as opportunities for professional growth and development.
How to Apply:
If you are a motivated and compassionate Case Manager RN looking for a new challenge, please submit your application today.
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