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(Archived) RN Case Manager - Case Management
Last Updated: 9/18/19
Job Description
Description
The Case Manager coordinates the care and service of selected patient populations through the acute care episode, across the continuum. Works collaboratively with interdisciplinary teams, both internal and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical, financial, and resource outcomes. Skills needed include excellent written/verbal communication skills, critical thinking skills, creative problem solving, proficient organization, and planning. Must be self-directed and have the ability to tolerate frequent interruptions and a demanding workload. Knowledge of funding, resources, services, clinical standards, and outcomes is preferred. Collaborate with family, health care team members, payers, and patients to assure optimal care, facilitate appropriate utilization of resources; assure appropriate discharge planning and follow up care
Requirements
A. Education/Skills
* Graduate of Registered Nurse Program; BSN preferred; CCM preferred.
B. Experience
* Minimum of five (5) years clinical experience as a Registered Nurse. Prior Case Management and/or Utilization Review experience preferred. Experience in a payer environment is highly desirable.
C. Licenses, Registrations, or Certifications
* Current RN license in State of Texas (or active licensure in another state and in the process of seeking Texas License.)