Registered Nurse Case Manager (RN) - Case Management

About the Role

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse you will facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources balanced with the patient’s resources and right to self‑determination. The role includes ensuring appropriate level of care, transition management, utilization management, care coordination, compliance with regulations, and education of physicians, patients, families and caregivers.

Responsibilities

• Facilitate care coordination and resource utilization to achieve optimal patient health.
• Assess patients for transition needs, ensure timely throughput, safe discharge, and prevent avoidable readmissions.
• Perform utilization management to support medical necessity and denial prevention.
• Promote appropriate length of stay and patient satisfaction through transition management.
• Ensure care is provided at the appropriate level in compliance with state, federal, TJC accreditation standards and Tenet policy.
• Provide education to physicians, patients, families, and caregivers.
• Complete established competencies within the introductory period and perform other related duties as assigned.

Qualifications

• Graduate of an accredited School of Nursing (minimum).
• Bachelor’s or Master’s Degree in Nursing (preferred).
• Minimum 2 years acute hospital patient care experience.
• Utilization/case management experience (required).
• Current Texas State license for Registered Nurse (required).
• Accredited Case Management (ACM) certification (preferred).
• CPR certification not required (no specific course listed).

Benefits

• Medical, dental, vision, and life insurance.
• 401(k) retirement savings plan with employer match.
• Generous paid time off.
• Career development and continuing education opportunities.
• Health savings accounts and flexible spending accounts for healthcare & dependents.
• Employee Assistance Program and employee discount program.
• Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, auto & home insurance.
• Eligibility may vary by location and employment status.

Organization Description

Baptist Health System has more than 120 years of history caring for the community. The system includes six full‑service hospitals, a specialized children’s hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services, and the Baptist School of Health Professions. The mission is to help people achieve health for life through compassionate service inspired by faith.