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Registered Nurse (RN) Case Manager - FT/Days

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San Antonio, TX, United States

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Description

SHIFT: Days (rotating weekends)

SCHEDULE: Full-time

Metropolitan Methodist Hospital

Registered Nurse (RN) Case Manager
Case Management
FT - Days - Exempt
 

Center City San Antonio is the backdrop for a vibrant and diverse community of patients served by Metropolitan Methodist Hospital. Our 354 bed hospital offers outstanding heart and cancer care, general surgery, neurosurgery, orthopedic surgery, obstetrics and gynecology services, inpatient and outpatient rehabilitation services, sleep disorder evaluation and the largest emergency room in downtown San Antonio. Our Suzell Waller Women’s pavilion, the only stand-alone facility in downtown San Antonio dedicated to the health of women and their newborn babies, has earned an excellent reputation, one baby at a time.

Metropolitan Methodist Hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare and for the third consecutive year as a Leader in LGBT Healthcare Equality by the Human Rights Campaign (HRC) Foundation. We are pleased to announce it is the first hospital in San Antonio to achieve Pathway to Excellence designation by the American Nurses Credentialing Center. We have also been nationally recognized by Leapfrog for our focus on safety and quality, receiving a Grade A Hospital Safety Score for 5 consecutive rating periods, as well as Leapfrog’s Top General Hospital award in 2017. For more information, please visit our website at www.sahealth.com and select Metropolitan Methodist Hospital under Locations. 


We offer you a generous benefits package including:
  • Medical, Dental, disability and life insurance

  • Flexible Spending Accounts
  • Paid Time Off
  • Employee Discount Program
  • Employee Stock Purchase Program
  • Tution Reimbursement
  • Student Loan Repayment Program

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.

  • Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.
  • 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

  • care, planning and documenting.
  • Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

Qualifications

Education: 

  • Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

Experience: 

  • 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

Preferred:

  • Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

  • Bachelor of Science in Nursing

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

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Methodist Hospital Metropolitan
Facility: Methodist Hospital Metropolitan
Job ID: 01578-94231
Category: Case Management
Contract: Full-time
Shift: Days (rotating weekends)
Job Class: Regular

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