Registered Nurse Case Manager (RN)

Overview Are you a results‑driven leader ready to make a meaningful impact on patients, caregivers, and your community? At Valley Baptist – Harlingen Hospital, we are seeking an innovative and experienced healthcare leader to drive excellence and inspire our team toward exceptional patient outcomes and operational success. Benefits We offer a comprehensive benefit package that prioritizes 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. Job Summary The RN Case Manager facilitates 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 role ensures care is provided at the appropriate level of care based on medical necessity, assesses patients for transition needs, and promotes timely throughput, safe discharge, and preventive readmissions. Responsibilities Accurate medical necessity screening and submission for Physician Advisor review. Care coordination. Transition planning assessment and reassessment. Implementation or oversight of the transition plan. Leading and facilitating multi‑disciplinary patient care conferences. Managing concurrent disputes. Making appropriate referrals to other departments. Identifying and referring complex patients to Social Work Services. Communicating with patients and families about the plan of care. Collaborating with physicians, office staff and ancillary departments. Leading and facilitating Complex Case Review. Assuring patient education is completed to support post‑acute needs. Timely, complete, and concise documentation in the Case Management system. Maintenance of accurate patient demographic and insurance information. Identification and documentation of potentially avoidable days. Identification and reporting of over‑ and under‑utilization. Other duties as assigned. Qualifications Education: Graduate of an accredited school of nursing. Preferred: Bachelor’s or master’s degree in nursing. Experience: 2 years of acute hospital patient care experience. Preferred: Acute hospital case management experience. Certifications: RN license. Preferred: Accredited Case Manager (ACM). EEO Statement Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in undue hardship. Tenet participates in the E‑Verify program. #J-18808-Ljbffr Valley Baptist Health System