Director Registered Nurse (RN) - Case Management - $38-53 per hour

Baptist Health System

San Antonio (TX)

On-site

USD 100,000 - 130,000

Full time

14 days+

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Benefits offered by this job

Health Care FSA

Dependent Care FSA

Life insurance

Job summary

A healthcare provider in San Antonio, Texas is seeking a Director of Case Management to oversee utilization performance improvement and operational management. This role demands a Bachelor's in Nursing, a minimum of 2 years of experience in acute hospital case management, and current Texas RN licensure. The ideal candidate will manage budgets, ensure regulatory compliance, and support patient satisfaction metrics. Benefits include health care and life insurance.

Qualifications

Bachelor’s Degree from an accredited school, college or university as a Registered Nurse.
2 years in acute hospital case management, healthcare or leadership experience required.
Possession of current Texas State registration as a Registered Nurse.

Responsibilities

Establishes goals and objectives that support overall strategic plans.
Develops and manages the annual department operating and capital budgets.
Directs the daily operations of assigned department(s).
Achieves ongoing compliance with all regulatory agencies.

Skills

Hospital utilization management

Patient throughput efficiency

Communication skills

Education

Bachelor's Degree in Nursing

Master's Degree in Nursing or related field

Job description

Job Description & Requirements

Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Case Management Director for a nursing job in San Antonio, Texas.

Specialty: Case Management
Discipline: RN
Duration: Ongoing
36 hours per week
Shift: 12 hours
Employment Type: Staff

POSITION SUMMARY

Responsible for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patient, families and caregivers. Completes established competencies for the position within designated introductory period. Other related duties as assigned.

Key Responsibilities

Establishes goals and objectives that support overall strategic plans of the facility/Baptist Health System
Develops and manages the annual department operating and capital budgets
Directs daily operations of assigned department(s)
Directs performance of staff
Maintains objectivity in decision making, utilizing facts to support decisions
Supports the mission statement, policies and procedures of the Baptist Health System
Manages to eliminate boundaries to achieve integrated, efficient and quality service
Achieves ongoing compliance with all regulatory agencies
Serves as a resource to employees and customers as demonstrated by visibility and knowledge of issues
Demonstrates flexibility in response to change
Anticipates and responds to problems and risks
Communicates effectively with all levels in the organization and with inter/external customers