Registered Nurse Case Manager (RN) PRN days
About the role
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Westover Hills Baptist Hospital, we're seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.
Responsibilities
Responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patient’s resources and right to self-determination. Has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions.
Integrates the national standards for care management scope of services including:
- Utilization Management supporting medical necessity and denial prevention;
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction;
- Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at appropriate level of care;
- Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy;
- Education provided to physicians, patients, families and caregivers.
Completes established competencies for the position within designated introductory period. Other related duties as assigned
Requirements
The following are required:
- MINIMUM EDUCATION: Graduate of an accredited School of Nursing
- MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management experience.
- REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse
The following are preferred:
- PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing
- PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.
- PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
Benefits
We offer a comprehensive benefit package that prioritizes your health, professional development, and work-life balance, including:
- 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, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance