Case Manager RN

Dallas Regional Medical Center; Mesquite (TX); Presencial; USD 75.000 - 95.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, dental, and vision insurance

Paid vacation, sick time and holidays

401K options

Tuition reimbursement

Life and disability insurance

Descripción de la vacante

Prime Healthcare Services at Dallas Regional Medical Center– Mesquite, TX seeks an RN Case Manager to oversee patient care from admission through discharge, coordinating with physicians, nurses, social workers, and other providers to ensure quality outcomes.

The role requires a current RN license, BLS, and experience in case management, discharge planning, or nursing management. Full-time, day shifts, with comprehensive benefits and ongoing professional development.

Formación

• Current and valid state RN License.
• BLS certification within 30 days and maintain current.
• Five years acute care nursing experience; at least one year in case management or discharge planning.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Basic to intermediate computer skills.
• Behavioral Violence Prevention Training within 3 months of hires and maintain current.

Responsabilidades

• Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs.
• Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team.
• Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab or home health.
• Utilization Review: monitor hospital resources and services to ensure appropriate care.
• Patient and Family Education: help patients and families understand care plans and post-discharge instructions.
• Advocacy: advocate for patient needs and preferences, ensuring care aligns with goals.

Conocimientos

BLS certification

Case management experience

Discharge planning experience

Nursing assessment

Computer skills

Herramientas

Milliman Criteria

InterQual Criteria

Basic computer skills

Descripción del empleo

We are seekinganRNCase Manager,also referred to asaRegistered NurseCase ManagerorRNClinical Case Manager.AnRNCase Manager willoversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers alsoconductdischarge planning,utilizationreview, andhelpingpatients navigate insurance and healthcare systems.

Shift’s Available:Days

Employment Type:Full Time

Hours:8 hour – 8a-5pm

Location:Dallas Regional Medical Center– Mesquite, TX

Here are some of the benefits of working at Prime Healthcare:

• Health, dental, and vision insurance options
• Paid vacation, sick time and holidays
• Bereavement leave, FMLA and other leave options
• Employer 401K options
• Tuition reimbursement options
• Life, disability, and other insurance options
• Many other amazing benefits

Full benefits at Prime Healthcare:https://www.primehealthcare.com/careers/benefits/

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to):

• Patient Assessment:evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay

• Care Coordination:develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment andtimelyinterventions

• Discharge Planning:coordinate safe andappropriate dischargeplans, including referrals to rehab, home health, or long-term care facilities

• UtilizationReview:monitorthe use of hospital resources and services to ensureappropriate careand avoid unnecessary treatments or extended stays

• Patient and Family Education:help patients and families understand care plans, post-discharge instructions, and available resources

• Advocacy:advocate for patient needs and preferences, ensuring care is aligned with their goals and values

Qualifications

Before we go any further, we do have some deal-breakers. You must have:

• Current and valid state RN License

• BLS certification within 30 days and maintain current

Additional Required Knowledge, Skills & Abilities:

• Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.

Additional Qualifications That AreaPlus:

• Knowledge of Milliman Criteria and InterQual Criteria preferred.

• Experience and knowledge in basic to intermediate computer skills.

• Behavioral Violence Prevention Training within 3 months of hires and maintain current.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf