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United Surgical Partners International, Inc., in Frisco, TX, seeks an RN Case Manager to navigate the revenue cycle, ensuring smooth continuity of care from pre-admission to discharge. You will coordinate with clinical teams, review patient status, and advocate for appropriate approvals and care planning.
The role emphasizes independent work, proficient use of MS Word/Excel, and adaptability to evolving cases and payer requirements, with a focus on quality metrics and patient outcomes.
Job ID 93486 Date posted 08/11/2026
Facilitates progress through the continuum of care, from Pre-Admission through Discharge. Provides feedback to payors on patient’s clinical status and secures approvals for additional days of stay. Monitors quality standards as determined by the Performance Improvement Plan and Medical Staff Quality Indicators. Evaluates patients for discharge planning needs and appropriately directs the patient’s care. Monitors resource consumption for most effective use. Identifies teaching and psychosocial concerns for the best patient outcome. Assists in aggregating data for quality trending and Infection Control surveillance. Functions as Patient Advocate to assist patients in resolving concerns.