RN Case Manager: Care Coordination & Discharge

STHS Edinburg; Edinburg (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

Universal Hospital Services Inc. is seeking an experienced RN Case Manager in Texas to manage resource utilization and clinical outcomes for hospital patients and support discharge planning.

The role may require weekends or on-call shifts and includes participation in denial management and adherence to service excellence standards.

Qualifications

• RN with acute care experience required.
• Bilingual Spanish preferred.
• Experience in health care coordination preferred.

Responsibilities

• Manage resource utilization and clinical outcomes for patients and discharge needs.
• Assist with denial management processes.
• May work weekends, holidays, evenings, nights, or on-call as needed.

Skills

RN Case Manager

Bilingual (Spanish)

Care coordination

Education

Licensed in Texas (RN)

RN license (TX or compact)

Nursing degree (ASN/BSN/Diploma)

Job description

Responsibilities

POSITION SUMMARY: RN Case Manager responsible to manage resource utilization and clinical outcomes for patients as well discharge needs of the patients. RN will also be responsible to help with the denial management process. There may be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status. Demonstrates Service Excellence standards at all times.

Qualifications

QUALIFICATIONS:

1. 1 years previous acute care RN experience required.

(Previous defined as: ‘within the last three years’)

2. Bilingual preferred (Spanish).

3. Experience in Health Care Coordination preferred.

4. Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.

EDUCATION / LICENSURE:

1. Licensed in the State of Texas

2. Registered Nurse currently licensed in the State of Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent license. BSN preferred.

3. Effective January 6, 2016, must possess an Associate Degree, Baccalaureate Degree or Diploma from a School of Nursing or University.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.