RN, Case Manager, Inpatient (PRN)

Location:
Medical Center - Fort Worth

Department:
Case Management

Shift:
First Shift (United States of America)

Standard Weekly Hours:
8

Summary:

The RN Case Manager uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both CCMC and the patient are used in a timely and cost-effective manner to meet the healthcare needs of the patient.

This position will fill-in and help cover all units including Surgery/Trauma, Oncology, Rehab/Transitional care, neuro, ICU, Respiratory, Med/Surge, Cardiology and Endocrinology.

Hours: Part-time / PRN as needed, preferably available to cover 2 shifts per week. Shifts would be 8:00 am-4:30 pm M-F, 8:00am -6:30 pm Sa-Su

Note: Selected candidate would need to be available to train full time for the first 6-8 wks with a total of 12 weeks training to cover all units.

Education and Experience:

• Associate degree in nursing required, BSN preferred.
• At least (3) three years of any combination of experiences working in/with case management, care coordination, utilization review, patient intake, discharge planning and troubleshooting fund resources, quality assurance, clinical pathways, continuous quality improvement, or state and federal health plans or commercial insurance plans in a clinical or managed care environment.
• Strong case management skills preferred.
• Must be computer literate, and have effective organizational, interpersonal, written, and oral communication skills.
• Must be familiar with various community resources and charitable organizations.
• Must be flexible and able to adapt to changing healthcare environments and work with all members of the healthcare team to achieve positive outcomes.
• Must have experience using or navigating electronic medical records (e.g., EPIC, Meditech, Healthy Planet, etc.).
• English/Spanish speaking is preferred.

• Current RN license from Texas Board of Nursing.
• Basic Life Support (BLS) certification for Health Care Providers within 30 days of employment and must maintain this certification as per Medical Center Policy, MC 175*.
• Case Manager Certification (CCM) preferred.