RN Case Manager – Acute Care, Discharge & Denial

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

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.