Senior RN Case Manager – Pediatrics

Nexus Health Systems; Saint George, Northern (LA, KY); Hybrid; USD 70,000 - 100,000; Full time

Job summary

The Nexus Children’s Hospital – Shenandoah is seeking a Lead RN Case Manager to join our pediatric-focused team in Shenandoah, TX. You will assess psychosocial needs, plan and coordinate care, and ensure cost-effective care across the episode while preventing fragmentation of services.

Collaborate with physicians, payors, and an interdisciplinary team to support age-specific outcomes, discharge planning, and resource management in a compassionate care environment.

Qualifications

• Current RN license in the State of Texas (required).
• BSN preferred.
• Case Management certification (ACM or CCM) preferred.
• Prior experience in pediatrics, rehabilitation, acute care, behavioral health, or complex medical case management strongly preferred.
• Strong communication skills and ability to work effectively with families under stress.

Responsibilities

• Maintains PHI and HIPAA compliance according to hospital policy and regulations.
• Promotes a safe working environment and safe patient care at all times.
• Practices "minimum information necessary" during utilization review, case management, and discharge functions.
• Acts as a patient advocate for all patients within the facility.
• Adheres to all regulatory, company, and ethical standards of practice.
• Demonstrates respect, professionalism, and confidentiality at all times.
• Supports and models the organization’s mission, vision, and values.
• Conducts initial and ongoing patient assessments with focus on clinical needs and discharge criteria.
• Plans, coordinates, and facilitates interdisciplinary care conferences.
• Evaluates ongoing treatment plans and collaborates with providers for adjustments.
• Coordinates discharge planning and ensures safe transition to the next level of care.
• Provides education to patients and families regarding treatment goals, discharge needs, and community resources.

Skills

RN licensure (TX)

Communication

Pediatrics experience

Utilization review

Discharge planning

Case management cert

Education

BSN preferred

Job description

The Nexus Children’s Hospital – Shenandoah is seeking a Lead RN Case Manager to join our pediatric-focused team in Shenandoah, TX. You will assess psychosocial needs, plan and coordinate care, and ensure cost-effective care across the episode while preventing fragmentation of services.

Collaborate with physicians, payors, and an interdisciplinary team to support age-specific outcomes, discharge planning, and resource management in a compassionate care environment.