RN Case Manager – Care Coordination & Discharge

Baptist Hospitals of Southeast Texas, Inc.; Beaumont (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Matched Retirement Plan

Paid Time Off

Comprehensive Benefit Plan

Bonus Potential

Job summary

Baptist Hospitals of Southeast Texas, Inc. is seeking an RN Case Manager-Care Management to oversee a designated patient caseload and support physicians and the interdisciplinary team in delivering high-quality care and optimizing clinical outcomes.

You will proactively screen cases, monitor care coordination, and communicate essential plan-of-care details to patients, families and the care team, ensuring timely discharge and appropriate use of resources.

Responsibilities

• Proactively screens all cases on assigned caseload to identify cases at risk, using approved screening tool, for adverse health consequences post-discharge without adequate discharge planning while following established reporting procedures.
• Actively monitors and documents information pertinent to care coordination and the progress of patients on assigned caseload; proactively intervening and ensuring tasks are completed accurately, and in a timely manner to promote communication and prevent delays in treatment and discharge of patients.
• Communicates all elements critical to the plan of care, including the expected date of discharge to the patient/family and members of the healthcare team; as well as, referring cases with complex issues or barriers to discharge to the Case Management Director or for peer review as appropriate.
• Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, and teaching and ongoing evaluation. Ensures/maintains plan consensus from patient/family, physician and payor.
• Initiates the implementation of the discharge plan prior to discharge to avoid delays in discharge and/ or avoidable readmissions to the hospital; evaluating post discharge needs on assigned cases and develops a discharge plan in collaboration with the patient and support person(s) based on needs indicated by evaluation.

Job description

Baptist Hospitals of Southeast Texas, Inc. is seeking an RN Case Manager-Care Management to oversee a designated patient caseload and support physicians and the interdisciplinary team in delivering high-quality care and optimizing clinical outcomes.

You will proactively screen cases, monitor care coordination, and communicate essential plan-of-care details to patients, families and the care team, ensuring timely discharge and appropriate use of resources.