RN Case Manager- FT- Days- Res Mgmt - 20414

DHR Health; Edinburg (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

DHR Health in Edinburg, TX seeks an RN Case Manager to advocate for hospital clients and coordinate care for complex patients. This full-time position works under the Case Management Coordinator to ensure quality, cost-efficient outcomes across the continuum of care.

The RN Case Manager reviews admission and continued-stay criteria, facilitates discharge planning, and collaborates with interdisciplinary teams to optimize resource use and patient care.

Responsibilities

• Coordinate, negotiate, procure services and resources for complex patients.

Job description

US:TX:Edinburg | PATIENT CARE SUPPORT | Full Time

Posted 2 days ago

Description

DHR Health - US:TX:Edinburg - Days

Summary:

POSITION SUMMARY:

Under the general supervision of the Case Management Coordinator, the RN Case Manager acts as a patient advocate to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. The RN Case Manager identifies opportunities to reduce cost while ensuring the highest quality of care is maintained. Review criteria are applied to determine medical necessity for admission and continued stay. The RN Case Manager provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care.

The RN Case Manager works collaboratively with interdisciplinary staff internal and external to the organization, and participates in quality improvement and evaluation processes related to the management of patient care. The