Case Manager RN FT McAllen

South Texas Health System; McAllen (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Job summary

South Texas Health System seeks an RN Case Manager to oversee patient resource utilization and clinical outcomes, including discharge planning. The role supports the denial management process and may require weekend, holiday, evening, night shifts, or on-call duties to ensure service excellence.

A Texas RN license is required. Candidates should have acute care RN experience, preferably with health care coordination exposure, and a commitment to compliant practices under the organization’s Code

Qualifications

• 1 year acute care RN experience required.
• Bilingual preferred (Spanish).
• Experience in Health Care Coordination preferred.
• Must demonstrate commitment and adherence to the Compliance Program and Code of Conduct.

Responsibilities

• RN Case Manager: manage resource utilization and clinical outcomes for patients.
• Assist with discharge needs and planning for patients.
• Support denial management process.
• May work weekends, holidays, evenings, nights, and/or on-call/call-back status.

Skills

RN experience

Spanish (bilingual)

Care coordination

Compliance awareness

Education

Texas RN license

Compact state license

Nursing degree (ADN/BSN/ Diploma)

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. There 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

• 1 years previous acute care RN experience required.
• Bilingual preferred (Spanish).
• Experience in Health Care Coordination preferred.
• 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.

(Previous defined as: ‘within the last three years’)

Education / Licensure

• Licensed in the State of Texas
• 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.
• Effective January 6, 2016, must possess an Associate Degree, Baccalaureate Degree or Diploma from a School of Nursing or University.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Authorized by Corporate Human Resources