RN, Case Manager, Inpatient (PRN)

Overview Location: Medical Center - Fort Worth Department: Case Management Shift: First Shift (United States of America) Standard Weekly Hours: 8 Summary The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of patients using the functions of Utilization Review through Interqual and Milliman Care Guidelines, Discharge Planning and Case Management 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 assists with identifying 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 patient’s healthcare needs. Position Details ** This position is PRN as needed, Shift: 8:00 am‑4:30 pm M‑F, 8:00am‑6:30 pm Sa‑Su Education and Experience Associate degree in nursing required. BSN from an accredited college or university is preferred. At least 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. 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 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.). Bilingualism is preferred or may be required depending on the specific department assignment. Licensure, Registration, and/or Certification Current RN license from Texas Board of Nursing required. Must achieve a 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. Cook Children’s is an EOE/AA, Minority/Female/Disability/Veteran employer. #J-18808-Ljbffr Cook Children's Health Care System