Registered Nurse Case Manager (RN)

Baptist Health System; San Antonio (TX); On-site; USD 105,000 - 145,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) matching

Generous PTO

Career development

Job summary

Saint Luke's Hospital is seeking a results-driven healthcare leader to drive excellence in patient outcomes and operational success. The role focuses on care coordination, utilization management, and transitions of care with a strong emphasis on team leadership and compliance.

Responsibilities include ensuring appropriate levels of care, reducing readmissions, and educating clinicians and families. Join a mission-driven team in a leading health system dedicated to quality and patient-centered

Qualifications

• Graduate of an accredited School of Nursing.
• Preferred Bachelor's or Master's in Nursing.
• Minimum 2 years acute hospital patient care experience; utilization/case management.
• Preferred supervisory experience.
• Current Texas State RN license.
• ACM certification preferred.

Responsibilities

• Coordinate care along a continuum to optimize health, access to care and resource use.
• Ensure care is provided at the appropriate level based on medical necessity.
• Support throughput, safe discharge and prevention of avoidable readmissions.
• Educate physicians, patients, families and caregivers on care management and transitions.

Skills

Care coordination

Utilization management

Transition of care

Leadership

Team supervision

Education

Graduate of a nursing school

Bachelor's/Master's in Nursing

Job description

Overview

Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Saint Luke's Hospital hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At Saint Luke's Hospital, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance. The Available Plans And Programs Include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

Responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patient’s resources and right to self-determination. Has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards forcare 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 efficient throughput while assuring care is sequenced and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patients, families and caregivers. Completes established competencies for the position within designated introductory period. Other related duties as assigned

Qualifications

MINIMUM EDUCATION: Graduate of an accredited School of Nursing

PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing

MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management

experience.

PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse

PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)

REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A

Organization Description

Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team!

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

MINIMUM EDUCATION: Graduate of an accredited School of Nursing

PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing

MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management

experience.

PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse

PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)

REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A