Case Manager Registered Nurse in San Antonio, Texas, United States
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Methodist Hospital Specialty and Transplant

Case Manager Registered Nurse

San Antonio, TX, United States
Full-time  Days 7-10 Hrs/Wkends Only 
Category: Case Management • Job ID: 191754

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Description

Do you have a passion for healthcare and helping others? Do you enjoy working in a fast-paced, patient-centered environment? Jump-start your career in our Case Management department. Submit your application today!
 
Benefits:
 
We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase and student loan repayment program. We would love to talk to you about this fantastic opportunity.
 
Seeking a weekend (Sat/Sun/Mon) RN Case Manager to join our team. The Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.
 
What you will do in this role:
 
  • Provides case management services for both inpatient and observation patients as assigned.
  • Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another.
  • Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family.
  • Reassesses the patient’s clinical condition as indicated. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.
  • Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition.
  • Partners with Social Services to ensure the post-acute medical needs and level of care are appropriate.
  • Assumes responsibility for timely referral to Social Services when risk factors for psychosocial determinants of health are identified.
  • Involves patient and family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals.
  • Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command.
  • Makes appropriate referrals to third party payer and disease and case management programs for recurring patients and patients with chronic disease states.
  • Facilitates patient throughput with an ongoing focus on an effective care transition, quality, and efficiency.
  • Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team.
  • Aligns patient needs with available resources to ensure a safe discharge/transition.
  • Acts as a liaison through effective and professional communications between and with physicians, patient/family, hospital staff, and outside agencies.
  • Actively seeks ways to control costs without compromising patient safety, quality of care, or the services delivered.
  • Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources,
  • Participates in performance improvement activities including, but not limited to, identifying, documenting, and intervening when avoidable days occur.
  • Adheres to established policy and procedure and standards of care; escalates issues promptly through the established chain of command.
  • Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives.
  • Serves as an advocate for patient's rights, needs, and values; ensures that patients’ ethnic, cultural, or religious values, beliefs, preferences ,and needs are considered and aligned.
  • Performs other duties as assigned.
  • Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

Education: 

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

Experience: 

  • 2+ years experience in case management OR 3+ years experience in clinical nursing

 

License and Certification:

  • RN License to practice as a professional registered nursing in the state of Texas OR

  • Active Multi-State RN Compact License. (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date.)

 

Preferred:

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

  • Bachelor of Science in Nursing

  • InterQual experience

 

Be a part of an organization that invests in you. We are actively reviewing applications. Qualified candidates will be promptly contacted by our hiring managers for interviews. Submit your application today and help us raise the bar in patient care!

 

 

Methodist Hospital Specialty and Transplant has been nationally recognized for its record setting kidney, liver and pancreas transplant programs. It is home to the Texas Transplant Institute and is the largest living donor kidney transplant program in the US. According to the United Network of Organ Sharing database, the center reached a major milestone in 2019 by performing 231 living donor kidney transplants in a single year setting a new national record - that’s 65 more transplants than the second center on the list.
 
In addition to transplant care, Methodist Hospital Specialty and Transplant is a full service hospital with over 260 beds that provides specialized services for liver cancer care, emergency care, weight loss surgery, urology surgery, vascular surgery, inpatient rehabilitation, colorectal surgery and behavioral health care. It is a designated Center of Metabolic and Bariatric Surgery Excellence by the American Society for Bariatric Surgery. Our Sexual Assault Response Team provides a compassionate environment for sexual assault survivors ages 13+, serving as a model for hospitals and agencies all over the world. Methodist Hospital Specialty and Transplant prides itself on providing the highest quality of patient care possible as proven by their consecutive Grade A scores from the Leapfrog’s Hospital Safety Grade survey and ranking in the nation’s top quartile for patient experience. For more information, please visit our website at www.sahealth.com and select Methodist Hospital Specialty and Transplant under Locations.
 
 
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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