RN Case Manager, ER -Weekend

CCMC Cook Children's Medical Center; Fort Worth (TX); In loco; USD 55.000 - 72.000; Part-time

Descrizione del lavoro

Cook Children’s Medical Center in Fort Worth, TX, is seeking an ED RN Case Manager to coordinate patient placement between observation and inpatient status. You will work with ED physicians and Patient Access to ensure proper billing, payer authorization, and timely notifications, while promoting safe, efficient care and resource use.

The role requires an associate degree in nursing with 3+ years in case management or related areas; BLS and Texas RN license are expected.

Competenze

• Associate degree in nursing.
• At least three years of experience in case management, care coordination, utilization review, discharge planning and related areas.
• Must be computer literate with strong organizational and communication skills.
• Experience with EMRs (EPIC, Meditech, Healthy Planet).
• Bilingualism is preferred depending on department assignment.

Mansioni

• Determine correct bed status (OBS vs inpatient) for patient placement.
• Collaborate with ED physicians and Patient Access staff to ensure accurate billing and payor authorization.
• Promote optimal clinical outcomes and efficient resource utilization.
• Navigate and use electronic medical records to support care coordination.

Conoscenze

Computer literacy

Interpersonal communication

Written communication

Oral communication

Resource coordination

Bilingualism preferred

Formazione

Associate degree in nursing

BSN preferred

Strumenti

EPIC

Meditech

Healthy Planet

Descrizione del lavoro

Location

Medical Center - Fort Worth Department: Case Management Shift: Weekend Shift (United States of America) Standard Weekly Hours: 20

Summary

The ED RN Case Manager will work with a defined patient population to facilitate the correct status designation of place into observation (OBS) or admit into inpatient. This position will promote optimal clinical outcomes and resource utilization to insure that all patients are placed in the correct bed status, using approved clinical criteria Indicia (MCG) and InterQual Clinical Criteria. This position will work in collaboration with the ED physicians as well as Patient Access staff to correctly enter the patients status for accurate billing and required payor authorization/notification.

Schedule

Weekends 2-10 hours shifts 7:30 am-5:30 pm

Education and Experience

Associate degree in nursing. At least three years of any combination of experiences working in/with case management, care coordination, utilization review, patient intake, discharge planning and troubleshooting fund resources, quality assurance, clinical pathways, continuous quality improvement, or state and federal health plans or commercial insurance plans in a clinical or managed care environment.

• Must be computer literate, and have effective organizational, interpersonal, written, and oral communication skills.
• Must be familiar with various community resources and charitable organizations.
• Must be able to adapt to changing healthcare environments and work with all members of the healthcare team to achieve positive outcomes.
• Must have experience using or navigating electronic medical records (e.g., EPIC, Meditech, Healthy Planet, etc.).
• BSN from an accredited college or university is preferred.
• Bilingualism is preferred or may be required depending on the specific department assignment.

Licensure, Registration, and/or Certification

Current RN license from Texas Board of Nursing required. Must achieve a Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and must maintain this certification.

*This requirement does not apply to Health Plan Case Manager Certification (CCM) preferred.

About Us

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.

Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy.

As a member of our Cook Children’s team, you can be an important part of making that happen.