What are the responsibilities and job description for the Case Manager RN position at Mission Regional Medical Center?
Overview
Shift’s Available : Days
Employment Type : Per-Diem (PRN / PD)
Location : Mission Regional Medical Center, Mission TX
W e ar e seeking a n RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilizatio n review, and helpin g patients navigate insurance and healthcare systems. This position is on a per diem basis, meaning PD/PRN as needed.
Here are some of the benefits of working at Prime Healthcare:
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
EDUCATION, EXPERIENCE, TRAINING
Required Qualifications
Per Diem
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Shift’s Available : Days
Employment Type : Per-Diem (PRN / PD)
Location : Mission Regional Medical Center, Mission TX
W e ar e seeking a n RN Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager . An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilizatio n review, and helpin g patients navigate insurance and healthcare systems. This position is on a per diem basis, meaning PD/PRN as needed.
Here are some of the benefits of working at Prime Healthcare:
- Competitive compensation
- Medical insurance benefit plan
- 401K
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
- Patient Assessment: e valuate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
- Care Coordination: d evelop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
- Discharge Planning: c oordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
- Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
- Patient and Family Education: h elp patients and families understand care plans, post-discharge instructions, and available resources
- Advocacy: a dvocate for patient needs and preferences, ensuring care is aligned with their goals and values
EDUCATION, EXPERIENCE, TRAINING
Required Qualifications
- BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or
- Experience and knowledge in basic to intermediate computer skills.
- Minimum 5 years of acute care experience preferred.
- CCM or obtained within 1year
- Current BCLS certificate preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
Per Diem
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf