
Registered Nurse Case Manager (RN)
Required skills
- Texas State license
- Registered Nurse
- RN
- Case Management
- Utilization Management
- Transition Management
- Care Coordination
- medical necessity
- discharge
- readmissions
Nice to have
- ACM
Role summary
Seeking a Registered Nurse Case Manager (RN) to facilitate patient care across a continuum, ensuring optimal health outcomes and resource utilization. Responsibilities include managing care levels based on medical necessity, coordinating transitions, preventing readmissions, and ensuring compliance with standards. Requires 2 years of acute hospital patient care and utilization/case management experience, along with a Texas RN license. Preferred qualifications include a Bachelor's or Master's degree in Nursing and ACM certification. Join a dedicated healthcare team focused on compassionate care and professional growth.
The RN Case Manager is 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
Qualifications
MINIMUM EDUCATION: Graduate of an accredited School of Nursing
PREFERRED EDUCATION: Bachelors or Masters Degree in 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
PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A
#LI-NS1
Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!
At Resolute Health Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- 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
Note: Eligibility for benefits may vary by location and is determined by employment status
Resolute Baptist Hospital offers a full range of comprehensive healthcare, including emergency services, cardiology and cardiovascular care, orthopedics, primary care, rehabilitation services, Womens Health, Labor & Delivery / Obstetrics, Neonatal and the areas only Level III Neonatal Intensive Care Unit (NICU). Join our team!
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