Case Manager (RN/LIC) PRN Edinburg

Universal Health Services, Inc.; Edinburg (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Universal Health Services, Inc. is seeking an RN Case Manager to oversee patient resource utilization and clinical outcomes, including discharge planning. The role may involve weekend, holiday, evening, night shifts or on-call duties while upholding service excellence.

Requirements include Texas RN licensure, with BSN preferred and consideration of compact-state eligibility. Prior health care coordination experience and compliance with the Code of Conduct are essential.

Qualifications

• 1 year acute care RN experience required.
• Bilingual preferred (Spanish).
• Experience in Health Care Coordination preferred.
• Must comply with Compliance Program and Code of Conduct.

Responsibilities

• RN Case Manager to manage resource utilization and clinical outcomes for patients and discharge needs.
• Assist with the denial management process and related reporting.
• Potential to work weekends, holidays, evenings, nights or on-call as needed.
• Demonstrates Service Excellence standards at all times.

Skills

Care coordination

Clinical documentation

Resource utilization management

Spanish (bilingual)

Education

Texas RN license

Compact state license eligibility

BSN preferred

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

QUALIFICATIONS:

• 1 years previous acute care RN experience required.
• (Previous defined as: ‘within the last three years’)
• 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.

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.

Notice

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