Clinical Nurse Specialist in Case Management

7 days ago


Socorro, United States Las Palmas Medical Center Full time

Las Palmas Medical Center, a leading healthcare provider in El Paso and the surrounding region, offers an exciting opportunity for a Registered Nurse Case Manager PRN to join their team.

Job Summary

The Registered Nurse Case Manager PRN is responsible for coordinating the delivery of medical services and discharge planning for a specified patient population. This role involves performing concurrent and retrospective review of patient medical records to ensure compliance with requirements of external review agencies, including governmental and non-governmental payers, and quality assurance agencies. The successful candidate will promote a cooperative and supportive relationship as liaison with patients, families, facility staff, physicians, funding representatives, and community agencies.

In this role, you will be responsible for ensuring continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities. The duties of the acute care Case Manager may be performed as in the integrated or triad model.

Key Responsibilities
  • Coordinates the delivery of medical services and discharge planning for a specified patient population.
  • Performs concurrent and retrospective review of patient medical records to ensure compliance with requirements of external review agencies.
  • Promotes a cooperative and supportive relationship as liaison with patients, families, facility staff, physicians, funding representatives, and community agencies.
  • E nsures continuity in the handoff of patient clinical information from the hospital to other involved healthcare entities.
Requirements
  • RN licensure in the state of TX or Compact State.
  • Associates Degree or BSN.
  • Three to five years of clinical experience within an acute healthcare setting, with recent work history in an acute care case management role or related healthcare experience.
Preferred Qualifications
  • Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance, use of InterQual or other clinical decision support criteria, discharge planning, and reimbursement structures.
  • Ability to read, analyze, and comprehend complex clinical and financial data and its application to level of care criteria and discharge options.
  • Strong, broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
  • Excellent critical thinking skills and assertive personality traits to facilitate ongoing physician communication.
  • Computer literacy and familiarity with the operation of basic office equipment.
Benefits

As a valued member of our team, you will enjoy a comprehensive benefits package that includes:

  • A competitive salary range of $83,000 - $120,000 per year, depending on experience.
  • A 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
  • An Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
  • Fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder, and pet care, home and auto repair, event planning, and more.
  • Consumer discounts through Abenity and Consumer Discounts.
  • Retirement readiness, rollover assistance services, and preferred banking partnerships.
  • Education assistance (tuition, student loan, certification support, dependent scholarships).
  • Colleague recognition program.
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence).
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

At Las Palmas Medical Center, we are committed to providing excellent care to our patients and supporting our colleagues in their careers. If you are a dedicated and compassionate nurse looking for a challenging and rewarding role, please apply today.



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