What are the responsibilities and job description for the LVN Case Manager position at USPI?
Welcome to Baylor Scott & White Surgical Hospital Las Colinas, Irving, TX, where innovation, collaboration, and patient-centered care converge to create an exceptional workplace!
Baylor Scott & White Surgical Hospital Las Colinas is seeking a qualified Case Manager to join our team!!!
Case Manager at Baylor Scott & White Surgical Hospital Las Colinas:
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Facilitates progress through the continuum of care, from Pre-Admission through Discharge for Baylor Scott & White Surgical Hospital Las Colinas.
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Provides feedback to payers on patient’s clinical status and secures approvals for additional days of stay.
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Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators.
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Evaluates patients for discharge planning needs and appropriately directs the patient’s care.
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Monitors resource consumption for most effective use; Identifies teaching and psychosocial concerns for the best patient outcomes.
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Assists in aggregating data for quality trending.
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Assists in Infection Control surveillance.
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Functions as a Patient Advocate to assist patients in resolving concerns.
Why Choose Baylor Scott & White Surgical Hospital Las Colinas?
- A Powerhouse Collaboration: Our hospital is a joint venture between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and dedicated local physicians. This partnership ensures a dynamic and enriching environment for both patients and staff.
- Serving North Texas: Covering the expansive North Texas region, we provide a wide range of medical and surgical services across 7 Operating Rooms, 12 private inpatient rooms, and a 3-bed Emergency Department.
- Expert Specializations: Our hospital is a hub for expertise, specializing in Orthopedics, Joint Replacement, Spine, Urology, General Surgery, ENT, and more. Our diverse range of specialties offers you the opportunity to expand your skills and make a difference in patients' lives.
- A Legacy of Excellence: Established in 2003 as Irving Coppell Surgical Hospital, we've been serving the Dallas-Fort Worth communities for years. Our unwavering mission is to provide top-notch surgical care in a welcoming and safe environment – a place where we'd confidently treat our own families.
- Education & Compassionate Care: Our commitment to personalized health and wellness extends beyond medical procedures. We empower our staff to stay up-to-date on the latest advancements, treatments, and procedures, ensuring the best possible care for our patients and their families.
- Cutting-Edge Technology: Experience the future of healthcare with our state-of-the-art facility equipped with advanced technology. From routine procedures to complex surgeries, we combine exceptional care with genuine compassion.
Join us at Baylor Scott & White Surgical Hospital Las Colinas and contribute to a legacy of excellence and innovation. Apply today to be a part of our dynamic team and make a meaningful impact on the lives of our patients and their families. Your journey to a fulfilling career starts here!
Required Skills:
Education
- Graduate of an accredited school of nursing; BSN preferred
Licensure/Certification
- Current, active Texas RN or LVN licensure required.
- Case Management certification preferred, but not required.
- BLS required.
Required Experience:
Specific Job Experience
- Minimum two (2) years acute care experience required.
- Previous case management experience preferred.
Principal Duties and Responsibilities:
- The Case Manager is works with all departments to insure appropriate patient care.
- Is able to work effectively with insurance co., Medicare etc. in making sure that we are paid appropriately for the patient care we give.
- Keeps the Business Office Manager, CNO and Clinical Services Director and Manager aware of any problems that have occurred in any area of patient care.
- Works with the Doctors and the Doctors’ offices to ensure that we have the correct status for the patient and that the patient received the correct after care once home.
- Serves as a resource to Senior Management.
Knowledge, Skills and Abilities
- Ability to work independently.
- Working knowledge of Microsoft Word and Excel preferred.
- Willingness to learn computer applications necessary for work functions.
- Ability to adapt to changing situations and various personalities with a positive attitude.
- Ability to utilize Electronic Heath Care Record for patient documentation.
- Adheres to strictest confidentiality in dealing with patients, families, hospital personnel and the public.
- Knowledge of professional nursing principles and CMS Conditions of Participation for Utilization Review
- Knowledge of current third-party regulations, Medicare, Medicaid benefits and services
- Knowledge of medical billing procedures