RN Care Manager: Discharge & Throughput Leader

CHRISTUS Health; San Antonio (TX); Sur place; USD 70 000 - 90 000; Plein temps

Résumé du poste

CHRISTUS Health in San Antonio, TX, seeks an experienced RN Case Manager to optimize patient care delivery through effective discharge planning and utilization management. You will collaborate with the care team to ensure appropriate level of care, document interventions, and support cost-effective outcomes.

Requirements include Texas RN licensure and a BSN preferred, with 5 years clinical practice and case management experience.

Qualifications

• Graduate of an accredited nursing program; RN licensure in Texas is required.
• BSN preferred.
• Minimum 5 years in clinical practice for the served population.
• Case management/resource management and discharge planning experience preferred.
• Familiarity with MIDAS and Meditech systems preferred.
• Milliman (MCG) and Interqual criteria experience preferred.
• CPR optional.
• Certification in Case Management preferred.

Responsabilités

• Lead throughput through safe discharge planning.
• Monitor LOS and GMLOS to optimize patient flow.
• Assess medical necessity, level of care, and setting appropriateness using guidelines.
• Coordinate discharge planning with Social Worker and referrals.
• Communicate daily with nursing, physicians and care team regarding LOS and care plans.
• Document delays of care and readmissions to identify trends and interventions.
• Reconcile services with payer requirements to ensure reimbursement.
• Participate in interdisciplinary rounds and contribute to care planning.

Connaissances

Analytical reporting

Discharge planning

Bilingual English/Spanish

Formation

RN license in Texas

BSN preferred

Outils

MIDAS

Meditech

MCG/Interqual guidelines

Description du poste

CHRISTUS Health in San Antonio, TX, seeks an experienced RN Case Manager to optimize patient care delivery through effective discharge planning and utilization management. You will collaborate with the care team to ensure appropriate level of care, document interventions, and support cost-effective outcomes.

Requirements include Texas RN licensure and a BSN preferred, with 5 years clinical practice and case management experience.