Job Description
Responsibilities
POSITION SUMMARY : RN Case Manager responsible to manage resource utilization and clinical outcomes for patients as well discharge needs of the patients.
RN will also be responsible to help with the denial management process. May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and / or on-call / call-back status.
Demonstrates Service Excellence standards at all times.
Qualifications
QUALIFICATIONS :
1. 2 years previous acute care RN experience required.
Previous defined as : within the last three years’)
2. Bilingual preferred (Spanish).
3. Experience in Health Care preferred.
4. Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.
EDUCATION / LICENSURE :
1. Licensed in the State of Texas
2. Must have and maintain current BLS certification within 6 months of hire, according to unit specific needs. Certification must be in accordance with the curriculum of the AHA, for Healthcare Provider’s Program.
3. Registered Nurse currently licensed in the State of Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent license. BSN preferred.
4. Effective January 6, 6, must possess an Associate Degree, Baccalaureate Degree or Diploma from a School of Nursing or University.
RN Case Manager
RN, Registered Nurse, pediatric, pediatrics, NICU, neonatal intensive care unit, home care, homecare, home health, home healthcare, home nurse, private duty nurse, home health nurse, pediatric nurse, pediatric home health nurse, case manager, case management, home health case manager, pediatric case...
RN Case Manager
Role: Clinical - Care Manager II (RN). Handing off members to permanent care managers/service coordinators after 15 business days. Completing assigned tasks within specified turnaround times. Identify related risk management quality concerns and report these scenarios to the appropriate resources. ...
Home Health RN Case Manager
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. ...
Case Manager RN - Weekends
The Case Manager is responsible for evaluating, coordinating, and implementing the functions of Utilization Review and Discharge Planning in order to coordinate: (1) quality of patients care, (2) cost effective outcome management, (3) communication between patients, families, and members of the heal...
Field Case Manager, LTSS (RN) - Liberty County, Cleveland Area, TX
Provides consultation, recommendations and education as appropriate to non-RN case managers. Active and unrestricted Certified Case Manager (CCM). Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appr...
Case Manager RN PRN
At Houston Methodist the Case Manager PRN(CM) position is a licensed registered nurse (RN) whocomprehensively plans for case management of a target patientpopulation on a designated unit(s). Identifies whenservices no longer meet InterQual/Millman l criteria initiatesdiscussion with attending physic...
Case Manager RN
Responsibilities POSITION SUMMARY: RN Case Manager responsible to manage resource utilization and clinical outcomes for patients as well discharge needs of the patients. RN will also be responsible to help with the denial management process. Registered Nurse currently licensed in the State of Texas,...
Case Manager RN
POSITION SUMMARY: RN Case Manager responsible to manage resource utilization and clinical outcomes for patients as well discharge needs of the patients. RN will also be responsible to help with the denial management process. Registered Nurse currently licensed in the State of Texas, or part of a com...
Rn Case Manager I Per Diem Days Mtbh
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; Compliance with state and federal...
Complex Case Manager RN - Oncology (Remote)
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of interna...