RN Case Manager (Nex)

Cook Children's Health Care System; Fort Worth (TX); In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Cook Children’s Health Care System in Fort Worth, TX is seeking an experienced RN Case Manager to coordinate the longitudinal care of patients with complex medical and social needs.

You will act as the primary liaison between patients, medical providers, and the insurance/benefit system, ensuring optimal outcomes and efficient resource use. This role offers 8:00 am–4:30 pm shifts with weekend coverage as needed, and PRN staff fill-ins throughout the week.

Competenze

• Experience in coordinating care for patients with complex medical and social needs.
• Strong communication and advocacy skills for patients, families, and care teams.
• Ability to navigate insurance/benefit systems and care plans.
• Knowledge of clinical pathways and discharge planning.

Mansioni

• Coordinate longitudinal care for patients with complex medical and social needs.
• Serve as liaison among patient, medical providers, and insurance/benefit system.
• Promote optimal outcomes and prevent unnecessary readmissions.
• Advocate for patients' health goals and resource needs.

Conoscenze

Case management

Nursing assessment

Formazione

Associate's in Nursing

Descrizione del lavoro

Location:

Medical Center - Fort Worth

Department:

Case Management

Shift:

Varying Shifts (United States of America)

Standard Weekly Hours:

12

Summary:

The RN Case Manager (Nex) is responsible for coordinating the longitudinal care of patients with complex medical, social, and psychological needs. They serve as the primary liaison between the patient, the medical providers, and the insurance/benefit system. The goal is to promote optimal patient outcomes, prevent unnecessary hospital readmissions, and ensure that resources are utilized effectively while advocating for the patient's specific health goals.

Schedule: 8:00 am-4:30 pm, Monday-Sunday shifts (PRN staff will fill in throughout the week, including weekends.)

Experience:

3 years of experience in one or a combination of the following:

• Specialty nursing (which may include NICU, PICU, CICU, Cardiology, Endocrinology et.), 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.

Education:

• Associate's in Nursing

Certification/Licensure:

• Active, unrestricted Texas Registered Nurse (RN) license.
• BLS for Healthcare Providers

Orientation is 12 weeks, first 5-6 weeks train M-F 08:00 am-4:30 pm

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.