RN/Registered Nurse, Care Transition Manager, Full time, Days

Care Transition Manager, RN/Registered Nurse

Bring your passion to Texas Health so we are Better + Together Work location: 4400 Long Prairie Rd., Flower Mound, TX 75028 Work hours: Full Time, Days- may be required to work an occasional weekend day. Department highlights: Modern facility and high-tech equipment Great team dynamics that provide a great support. The department prides itself in high performing staff with excellent critical thinking skills.

Qualifications

Here's What You Need Bachelor's Degree Nursing Individuals hired as CTRN prior to May 11, 2017 will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017- Required 3 Years Staff Nurse at an acute care hospital Required and 1 Year discharge planning/care coordination Preferred 1 Year hospital RN Case Management experience is Preferred Registered Nurse (RN) license required upon hire. Current CPR (Cardiopulmonary Resuscitation) certification required upon hire. Accredited Case Manager (ACM) certification preferred. Certified Case Manager (CCM) certification preferred. Additional American Nurses Credentialing Center (ANCC) certifications are preferred. Skills Working knowledge of medical necessity criteria preferred Knowledge of Microsoft Outlook and Office (Word, Excel) Customer service skills Ability to engage in complex clinical decision-making Strong oral and written communication skills Strong commitment to interdisciplinary collaboration Critical thinking, analysis and conflict resolution skills Flexible scheduling as necessary Psychosocial and crisis intervention skills Ability to prioritize and meet deadlines

What You Will Do

Completes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of identification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and as needed. Participates in multidisciplinary rounds (MDR's) to help identify current length of stay (LOS), expected discharge date, anticipated discharge disposition, barriers to discharge, avoidable days, and potential denials. Communicates with the multidisciplinary team, patient, family, and post-acute care stakeholders to coordinate care. Assists in the determination of the level and type of care needed; coordinates/facilitates patient care progression throughout the continuum with the objective of enhancing quality clinical outcomes and safe discharge planning. Schedule/coordinate patient clinical needs to the appropriate post-acute care facility based on facilities' clinical capabilities/offerings, historical quality outcomes results, preferred network, and patient informed choice. Serves as a content expert regarding payor information. Educates the multidisciplinary team, patients and caregivers regarding payor requirements and barriers. Communicates with payors as needed to coordinate care.

Additional perks of being a Texas Health employee Depending on status, benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, student Loan replacement programs as well as several other benefits. Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth.

Entity Highlights: 99-bed facility with more than 500 physicians on our medical staff who practice a full range of specialties. In addition to our modern facility and high-tech equipment, we have a dedicated team of physicians and staff who go above and beyond to provide the highest quality medical care to every patient who comes through our door. As a result, we've been recognized as the best provider of healthcare services by our patients, peers and the community numerous times. If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together!