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Case Manager RN

2 months ago


Sunnyvale, Texas, United States Baylor Scott & White Medical Center - Sunnyvale Full time
About the Role

Baylor Scott & White Medical Center - Sunnyvale is seeking a skilled Case Manager RN to join our team in Sunnyvale, Texas. As a Case Manager RN, you will play a critical role in assessing, planning, implementing, and evaluating the needs of patients for discharge planning and utilization review.

Key Responsibilities
  • Assessment and Planning: Perform comprehensive assessments on patients to determine discharge planning needs, including those with Medicare, Medicaid, HMO, or private insurance coverage.
  • Discharge Planning: Coordinate with physicians, nursing staff, patients, and significant others to ensure a smooth transition of care.
  • Utilization Review: Conduct utilization review procedures, including knowledge of criteria for Medicare, Medicaid, HMO, and private insurance coverage.
  • Communication: Communicate effectively with patients, families, and healthcare teams to ensure seamless care coordination.
  • Documentation: Maintain accurate and up-to-date documentation of patient assessments, plans, and progress.
Requirements
  • Education: Current Registered Nurse licensure in the State of Texas.
  • Experience: Experience in providing patient care, preferably in an acute care setting.
  • Skills: Strong communication and organizational skills, with the ability to work effectively in a fast-paced environment.
  • Knowledge: Working knowledge of criteria for Medicare, Medicaid, HMO, and private insurance coverage.
What We Offer

Baylor Scott & White Medical Center - Sunnyvale offers a competitive salary and benefits package, as well as opportunities for professional growth and development.