RN / Case Management / Texas / Permanent / Registered Nurse Case Manager Coordinator Job
Location: San Antonio
Posted on: November 27, 2022
Description SHIFT: No Weekends
Do you have a passion for healthcare and helping others? Do you
enjoy working in a fast-paced, patient-centered environment?
Jump-start your career in our Case Management department. Submit
your application today!
Benefits: We offer you an excellent total compensation package,
including competitive salary, excellent benefit package and growth
opportunities. We believe in our team and your ability to do
excellent work with us. Your benefits include 401k, PTO medical,
dental, flex spending, life, disability, tuition reimbursement,
employee discount program, employee stock purchase program. We
would love to talk to you about this fantastic opportunity. Seeking
a Case Manager Coordinator to join our team who will be responsible
for facilitating effective & appropriate health services throughout
the continuum of care. Collaborative and systematic processes are
used to assess patient needs, plan services and collect data.
Additionally, this position assists in the coordination,
implementation, monitoring and evaluation of options and services
to meet the individuals healthcare needs. Communication with
physicians, payers and others to promote fiscal responsibility and
effective use of available resources to decrease fragmentation of
care across all settings. What you will do in this role:
- Assess by interview and chart review discharge needs of all
high risk patients and other referred patients. Identify resources
available to address needs, offer and document choices, coordinate
referrals and document plan to include the final discharge
- Perform admission and continued stay reviews as per CM plan.
Provide clinical information to payers for certification and
reimbursement of care. Discuss alternate level of care with
physicians. Refer cases not meeting acute criteria to Physician
Advisor, as needed.
- Facilitates and/or provides education of hospital staff,
physicians, patients and caregivers for purposes of efficient
resource utilization. Acts as a resource for staff and other
- Keeps current on JC standards, CMS (Conditions of
Participation, Core Measure, etc.). Review criteria and other rules
that govern the provision of care, planning and documenting.
- Tracks resource or other information used to identify
improvement opportunities. Attends medical staff, hospital
committee meetings and/or discusses findings with appropriate
- Conducts special projects to reduce patients length of stay
such as tracking avoidable days in relationship to high risk DRGs
(Heart Failure, COPD and Sepsis).
- Graduate of an accredited Baccalaureate Degree Nursing Program
- 5 years RN experience in acute care case management, including
knowledge of: Diagnosis Related Group (DRGs) and ability to assess
clinical data to determine a working DRG; appropriate intervention
strategies to reduce length of stay and manage utilization; and
reimbursement mechanisms and managed care issues that impact
medical necessity and discharge planning. License and
- Current Texas licensure as a RegisteredBe a part of an
organization that invests in you. We are actively reviewing
applications. Qualified candidates will be promptly contacted by
our hiring managers for interviews. Submit your application today
and help us raise the bar in patient care!
Methodist Hospital opened in 1963 as the first hospital in the now
internationally acclaimed South Texas Medical Center. With over 800
beds, Methodist Hospital offers a broad range of specialties
including cardiology, oncology, bone marrow transplants, emergency
medicine, neurosciences, maternity care, gynecology and
orthopedics. We are proud to be the largest provider of the
lifesaving ECMO Program in San Antonio, are home to the largest
robotics program in the world, and our Adult Blood Cancer and Stem
Cell Transplant unit has become the first program to receive FACT
Accreditation in North America. As the flagship hospital, and most
comprehensive medical care facility of Methodist Healthcare, we
appreciate the support and recognition we receive from the
community. Weve recently been named the No.1 Best Regional Hospital
by the U.S. News and World Report for 2019-20. We pride ourselves
on providing the highest quality of care possible for our patients,
which is proven by our consecutive Grade A Leapfrog Hospital Safety
scores. In addition, Methodist Hospital not only received a Primary
Stroke Center designation from The Joint Commission, but has also
received a Comprehensive Stroke Center Certification from DNV GL
Healthcare, designating the facility as offering the most advanced
stroke treatment available in a given geographic area. For more
information, please visit our website at www.sahealth.com and
select Methodist Hospital under Locations.
We are an equal opportunity employer and value diversity at our
company. We do not discriminate on the basis of race, religion,
color, national origin, gender, sexual orientation, age, marital
status, veteran status, or disability status.
Keywords: HCA., San Antonio , RN / Case Management / Texas / Permanent / Registered Nurse Case Manager Coordinator Job, Healthcare , San Antonio, Texas
Didn't find what you're looking for? Search again!