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Methodist Hospital South
In July 2017, South Texas Regional Medical Center became part of the Methodist Healthcare System family, the most preferred and respected healthcare provider in the area. With this change of ownership, we are now known as Methodist Hospital South. Even though our name has changed, the heart of our hospital remains; it just got a little bigger. The foundation we now stand on is faith-based and driven by our commitment to “Serving Humanity to Honor God”.
The clinical team at Methodist Hospital South is comprised of healthcare professionals with years of training and experience who bring compassion to their work. Our 67 bed hospital has been nationally recognized by Leapfrog’s Hospital Safety Grade A, is a recipient of the Excellence in Patient Safety Across the Board Award, designated as an accredited Chest Pain Center, and is in pursuit of Level IV trauma designation. Our maternal newborn center has been recognized with a Level I Maternal & Neonatal designation and participates in the TexasAIM, Baby Friendly and Texas 10 Step programs. Acute care services include our Emergency Department, Medical/Surgical Unit, Intensive Care Unit, Labor & Delivery, 3 Operating Rooms and an Endoscopy suite. Diagnostic and outpatient services include Tele-Neurology, Imaging, Laboratory, Cardiopulmonary and Occupational, Physical and Speech Therapies. For more information, please visit our website at www.methodisthospitalsouth.com.
Medical, Dental, disability and life insurance
Your Role: RN Case Manager - Case Management
The Case Manager will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will: 1) Optimize functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts among health care team members; and 4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria.
Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered.
Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.
Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization
Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of 2
Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.
Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.
Minimum of 3 years clinical experience in area in which Case Management will be performed.
Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).
License and Certification:
Current Texas licensure as a Registered Nurse
Prefer at least one year experience in utilization review, resource management, discharge planning or case management.
Bachelor of Science in Nursing
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