Registered Nurse Case Manager (RN)

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge, and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention, and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards, and Tenet policy; Education provided to physicians, patients, families and caregivers. Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Valley Baptist - Harlingen hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. At Valley Baptist - Harlingen, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match Generous paid time off Career development and continuing education opportunities Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note : Eligibility for benefits may vary by location and is determined by employment status We help people achieve health for life through compassionate service inspired by faith.Since the early 1920s, Valley Baptist Medical Center hospitals have been involved in the community, caring for the health and spiritual needs of people in the Rio Grande Valley. We are dedicated to continuing our strong tradition of providing quality, compassionate healthcare that puts people first. Our mission is to serve, heal and educate with concern for the whole patient, an understanding of the economic environment and a relentless commitment to quality. Join our team! #J-18808-Ljbffr Socket.dev