RN Case Manager: Care Coordination & Throughput Leader

Socket.dev; San Antonio (TX); On-site; USD 90,000 - 110,000; Full time

Benefits offered by this job

Medical benefits

401(k) with match

Paid time off

Career development

Job summary

Mission Trail Baptist Hospital is seeking an experienced nursing leader to optimize care coordination across the continuum. You will oversee utilization management, ensure appropriate transitions, and prevent readmissions while aligning with medical necessity and regulatory standards.

The role emphasizes education for clinicians, patients and families, with a focus on safe discharge, throughput, and patient satisfaction.

Qualifications

• Graduate of an accredited School of Nursing.
• Minimum 2 years acute hospital patient care experience.
• Current Texas State license for Registered Nurse (RN).
• ACM certification preferred.

Responsibilities

• Facilitate care coordination along the continuum of care.
• Assess transition needs to ensure timely throughput, safe discharge and prevent readmissions.
• Ensure care is provided at the appropriate level of care based on medical necessity.
• Comply with regulatory standards, TJC and Baptist policy; support utilization management.
• Educate physicians, patients, families and caregivers on care plans and resources.

Skills

Care coordination

Utilization management

Transition management

Education and training

Regulatory compliance

Education

Graduate of an accredited School of Nursing

Bachelor's or Master's Degree in Nursing

Tools

EHR systems

Utilization review software

Job description

Mission Trail Baptist Hospital is seeking an experienced nursing leader to optimize care coordination across the continuum. You will oversee utilization management, ensure appropriate transitions, and prevent readmissions while aligning with medical necessity and regulatory standards.

The role emphasizes education for clinicians, patients and families, with a focus on safe discharge, throughput, and patient satisfaction.