Case Manager RN
Prime Healthcare
Overview
W e ar e seeking a n RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilizatio n review, and helpin g patients navigate insurance and healthcare systems. This position is on a per diem basis, meaning PD/PRN as needed.
Shift’s Available : Days
Employment Type : Per-Diem (PRN / PD)
Location : Mission Regional Medical Center, Mission TX
Here are some of the benefits of working at Prime Healthcare:
Competitive compensation
Medical insurance benefit plan
401K
Mission Regional Medical Center is a 297-bed, non-profit hospital that provides inpatient and outpatient hospital services to the people of the Rio Grande Valley. Rated one of the top hospitals in the country for clinical excellence in many services including maternity and orthopedic care, Mission Regional Medical Center has been offering quality healthcare, close to home, for over 60 years. For more information visit
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
Patient Assessment: e valuate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
Care Coordination: d evelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
Discharge Planning: c oordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
Patient and Family Education: h elp patients and families understand care plans, post-discharge instructions, and available resources
Advocacy: a dvocate for patient needs and preferences, ensuring care is aligned with their goals and values
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Required qualifications:
- BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or2. Experience and knowledge in basic to intermediate computer skills.
Preferred qualifications:
- Minimum 5 years of acute care experience preferred.2. CCM or obtained within 1year3. Current BCLS certificate preferred.4. Knowledge of Milliman Criteria and InterQual Criteria preferred.
#LI-AG1
Employment Status
Per Diem
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:
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FacilityMission Regional Medical Center
LocationUS-TX-Mission
ID2026-268441
CategoryClinical Professional
Position TypePer Diem
ShiftDays
Job TypeNon-Exempt
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