Case Manager (RN/LIC) / Case Management / Full Time / Day

Universal Health Services; Amarillo (TX); On-site; USD 75,000 - 98,000; Full time

Benefits offered by this job

Challenging and rewarding work

Competitive compensation

Excellent medical, dental, vision and药

401(k) with company match

Tuition savings for nursing education

Career development opportunities

Pet Insurance

Benefits website

Job summary

Northwest Texas Healthcare System in Amarillo, TX is seeking a Case Manager (RN) to oversee acute care case management activities, insurance reviews, transfers and DRG knowledge. The role emphasizes leadership, problem solving and collaboration with clinical teams to ensure high-quality, cost-effective care.

Responsibilities include evaluating admissions, coordinating with the healthcare team on patient education, and ensuring core measure compliance.

Qualifications

• RN licensure required.
• Minimum of five years clinical experience.
• Current BLS certification from the American Heart Association (upon hire or within 30 days).

Responsibilities

• Evaluates admissions and hospital resource utilization for appropriateness and timeliness.
• Collaborates with healthcare team to assess patient education needs.
• Completes all insurance reviews, coordinates multidisciplinary meetings, and participates in core measure compliance.
• Participates in utilization management activities and transfers.

Skills

Clinical decision-making

English proficiency

Education

Associate's Degree in Nursing

Bachelor’s Degree preferred

Job description

Responsibilities

Northwest Texas Healthcare System is a 495-bed system serving the city of Amarillo and the surrounding region. We offer the ideal combination of traditional values and the most advanced technologies in healthcare, plus the conveniences of big city living in a friendly, smaller-town atmosphere. From the beauty of Palo Duro Canyon and great recreational facilities to our quality educational system, Amarillo is a great place to live and work.

A hospital is only as good as its employees. That's why we’re looking for professionals who are dedicated and passionate about their work. We’re looking for employees who can add to our culture of exemplary patient care and personal excellence. We’re looking for exceptional professionals who share our vision and values.

Visit us online at: https://www.nwths.com/careers

Position: Case Manager (RN)

Position Summary

Responsible for acute care case manager management activities, insurance reviews, transfers, strong knowledge base of DRGs and appropriate admission status. Also demonstrates leadership skills, problem solving skills, and collaborative skills to work with other healthcare teams, including utilization management activities and promotion of high-quality cost effective care in a collaborative manner.

Job Duties/Responsibilities

Evaluates admissions and hospital’s resource utilization for appropriateness and timeliness. Collaborates with all members of the healthcare team to assess or coordinate patient and education needs. Completes all insurance reviews, coordinates multidisciplinary team meetings, and participates in core measure compliance.

Benefit Highlights

• Challenging and rewarding work environment


• Competitive Compensation & Generous Paid Time Off


• Excellent Medical, Dental, Vision and Prescription Drug Plans


• 401(K) with company match and discounted stock plan


• SoFi Student Loan Refinancing Program


• Tuition savings to continue your nursing education with Chamberlain University


• Career development opportunities within UHS and its 300+ Subsidiaries!


• Pet Insurance


• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500 corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

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Qualifications

Education, Training, Experience and Licenses/Registrations Required

1. Minimum of an Associate’s Degree in nursing, preferably a Bachelor’s Degree (in nursing or other healthcare-related field) or equivalent experience and clinical expertise

2. Minimum of five years clinical experience

3. Current BLS certification from the American Heart Association upon hire or within 30 days of start date and maintain certification throughout employment.

Physical and Sensory Requirements

1. Ability to read and write in English

2. Ability to speak and hear, to allow discussions with employees and peers.

3. Ability to cope with and remain calm under stress

4. Ability to respond to pages

5. Ability to evaluate and interpret information and make independent decisions

6. Bending and lifting (5-10 lbs), grasping, fine hand coordination, pushing and pulling.

7. Ability to understand and interpret financial data

8. Ability to utilize critical thinking and prioritization skills

9. Ability to multitask

10. Ability to communicate at all levels of the organization

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.