Case Manager - (RN)

Dallas Regional Medical Center; Town of Texas, Mesquite (WI, TX); On-site; USD 60,000 - 90,000; Full time

Job summary

Join a dedicated team at an award-winning healthcare facility committed to quality and compassion. As a Case Manager (RN), you will play a pivotal role in managing patient care, advocating for their needs, and ensuring seamless healthcare delivery. This position offers an opportunity to make a significant impact on patient outcomes while working in a supportive environment that values teamwork and community. With a focus on excellence, you will collaborate with healthcare providers to promote effective care strategies and enhance the patient experience. If you are passionate about making a difference in healthcare, this role is for you.

Qualifications

• Minimum 5 years of post-graduate experience in nursing.
• Current RN license and BCLS certification required.
• Preferred experience in case management and discharge planning.

Responsibilities

• Manage quality and resources for all patients from admission through care.
• Advocate for patients and promote cost containment.
• Facilitate quality outcomes through medical records review.

Skills

Patient Advocacy

Cost Containment

Clinical Leadership

Medical Records Review

Basic Computer Skills

Education

RN License

BCLS Certification

5 Years Acute Care Experience

Tools

Milliman Criteria

InterQual Criteria

Job description

Case Manager - (RN)

Facility: Dallas Regional Medical Center

Location:	US-TX-Mesquite
ID:	2025-201670
Category:	RN
Position Type:	Full Time
Shift:	Days
Job Type:	Non-Exempt

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers opportunities to expand your horizons and be part of a community dedicated to making a difference.

Dallas Regional Medical Center is a 202-bed acute care hospital accredited by The Joint Commission, offering a wide range of medical services including 24/7 emergency care, cardiology, wound care, surgical services, cardiac catheterization, and imaging. The hospital is the only Certified Stroke Center, Accredited Chest Pain Center, and Labor and Delivery Unit in the area. It is also the only Trauma Center within 13 miles and the first Accredited Geriatric Emergency Room in Dallas County. The hospital has received numerous awards, including Healthgrades Patient Safety Excellence Awards and Straight "A" Hospital Safety Grades from The Leapfrog Group since 2018. For more information, visit www.dallasregionalmedicalcenter.com.

Responsibilities

The Case Manager (RN) is responsible for:

• Managing the quality and resources for all patients admitted to the facility, from admission through the continuum of care.
• Advocating for patients, promoting cost containment, and demonstrating leadership to integrate healthcare providers for seamless care delivery.
• Facilitating and ensuring quality, clinical, and cost-effective outcomes through holistic and comprehensive review of medical records for medical necessity, service intensity, and severity of illness.

Qualifications

Education and Work Experience:

1. Minimum 5 years of post-graduate experience in an accredited nursing program and a current state RN license (starting April 1, 2015).
2. Grandfathered prior to April 1, 2015: Minimum 5 years post-graduate experience in Social Work for Licensed Clinical Social Worker; RN case management preferred.
3. Preferred: 5 years of acute care nursing experience, including at least 1 year in case management, discharge planning, or nursing management.
4. Current BCLS (AHA) certification upon hire, maintained current.
5. Knowledge of Milliman and InterQual Criteria preferred.
6. Basic to intermediate computer skills required.
7. Behavioral Violence Prevention Training within 3 months of hire, maintained current.

Company is an equal opportunity employer and prohibits discrimination and harassment based on protected categories. For more information, visit Know Your Rights.

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