Registered Nurse (RN) Case Manager

Description

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in ourCase Managementdepartment. Submit your application today!

Benefits:

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

Seeking aRN Case Managerto join our team who will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will: 1) Optimize functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts among health care team members; and 4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria.

What you will do in this role:

• Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.

• Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered.

• Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.

• Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization

• Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of 2 care, planning and documenting.

• Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

Qualifications

Education:

• Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

Experience:

• Minimum of 3 years clinical experience in area in which Case Management will be performed.

License and Certification:

• RN License to practice as a professional registered nursing in the state of Texas OR

• Active Multi-State RN Compact License. (Employees with RN Compact License are required toobtain Texas RN License within 90 days of hire date.)

Preferred:

• Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

• Bachelor of Science in Nursing

Be a part of an organization that invests in you. We are actively reviewing applications. Qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application today and help us raise the bar in patient care!

Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. From the beginning, we've recognized the unique needs of each of our patients. It's a process that we continue to improve on, creating ways to better serve the community when they need us the most. With 1013 beds, Methodist Hospital offers a broad range of specialties including cardiology, cancer care, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics.

As the flagship hospital of the Medical Center and of the Methodist Healthcare system of hospitals, we appreciate the support andrecognition we receive from the community having been ranked No. 1 in the Express-News Reader's Choice Awards. We also enjoy being the most preferred hospital in San Antonio, as consistently reported by the Consumer Research Corporation. Methodist Hospital has been nationally recognized by Leapfrog’s Hospital Safety Grade A, accredited by the Joint Commission in stroke care, and designated as an accredited Chest Pain Center. For more information, please visit our website at www.sahealth.com and select Methodist Hospital under Locations.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clickinghere.