Registered Nurse (RN) Case Manager

Company: Methodist Hospital Metropolitan
Location: San Antonio
Posted on: October 13, 2021

Job Description:

Description

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 and student loan repayment. We would love to talk to you about this fantastic opportunity.

Seeking a RN Case Manager to join our team who will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will: 1) Optimize functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts among health care team members; and 4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria.

What you will do in this role:

• Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.
• Utilize community resources to support patient’s post hospital needs. Documents choice in available resources has been offered.
• Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.
• Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization
• Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of 2 care, planning and documenting.
• Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

Qualifications

Education: 

• Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

Experience: 

• Minimum of 3 years clinical experience in area in which Case Management will be performed.  

License and Certification:

• RN License to practice as a professional registered nursing in the state of Texas OR

• Active Multi-State RN Compact License. (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date.)

Preferred:

• Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

• Bachelor of Science in Nursing

Be 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!

With over 370 beds Methodist Hospital Metropolitan offers outstanding heart and cancer care, general surgery, neurosurgery, orthopedic surgery, obstetrics and gynecology services, inpatient and outpatient rehabilitation services, sleep disorder evaluation and the largest emergency room in downtown San Antonio. Our women’s pavilion is the only stand-alone center city facility dedicated to the health of women and their newborn babies, welcoming nearly 4,000 newborns into the world each year. Methodist Hospital Metropolitan is home to the Methodist Weight Loss Center and has been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®.

Our hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare, and for the fourth consecutive year as a Leader in LGBTQ Healthcare Equality by the Human Rights Campaign (HRC) Foundation. It is the first hospital in San Antonio to achieve Pathway to Excellence designation by the American Nurses Credentialing Center. Methodist Hospital Metropolitan has been nationally recognized by Leapfrog for focus on safety and quality, receiving a Grade A Hospital Safety Score for 8 consecutive rating periods. We are also proud to be an Accredited Chest Pain Center by the American College of Cardiology and Primary Stroke Center by the Joint Commission, as well as the first Texas hospital to earn a Gold Seal of Approval for Sepsis Certification. For more information, please visit our website at www.sahealth.com and select Methodist Hospital Metropolitan 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.

Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Keywords: Methodist Hospital Metropolitan, San Antonio , Registered Nurse (RN) Case Manager, Other , San Antonio, Texas