Case Manager RN, PRN Rotating

Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. The Case Manager works with Physicians, Social Services and interdisciplinary team to facilitate clinical pathways and achievement of desired treatment outcomes. Coordinates and oversees the care and service of patients to achieve desired clinical and resource outcomes. The Case Manager is responsible for providing education and support to patients and families related to their medical condition. Assesses need for continued care for patients, applies utilization review concepts according to federal, state, and JCAHO guidelines.

Work Experience:

• Three years full-time RN experience in an acute care hospital setting, Pediatric experience preferred. One year of Case Management experience, preferred.

License/Registration/Certification:

• Current Texas RN License or Multistate RN License.
• Current Basic Life Support (BLS)

Education and Training:

• Bachelors Degree in Nursing required.

Certification in one or more of the following clinical specialties within 2 years:

• National Certification in Pediatrics.
• Oncology Nursing Certification.
• National Case Management Certification.

Skills:

• Clinical expertise.
• Excellent interpersonal communication and negotiation skills.
• Strong analytical, data management and computer skills.
• Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement.
• Able to work with people of all social, economic, and cultural backgrounds.
• Flexible, open-minded and adaptable to change.
• Understanding of pre-acute and post-acute venues of care and community resources.
• Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients/families.
• Bilingual English/Spanish preferred, culturally sensitive.
• Ability to read and comprehend English at a level necessary to follow written and oral instructions and safety precautions.