What are the responsibilities and job description for the Case Manager RN position at UT Health Athens?
Overview
Join our team as a day shift, part-time, Acute Virtual Care Case Manager Registered Nurse (RN) in Athens, TX.
Why Join Us?
Thrive in a People-First Environment and Make Healthcare Better
- Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
- People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
- Make Healthcare Better: We use advanced technology to support our team and enhance patient care.
Get to Know Your Team:
- UT Health Athens is a 127-bed facility, including a 24-hour ED, designated as a Level IV trauma center and Level III stroke center; advanced diagnostic technology; 10-bed ICU; maternity unit radiation therapy center; and a stand-alone ED in Gun Barrel City.
Responsibilities
- Overall responsibility for ongoing clinical review of patient medical record as they are identified as needing hospitalization.
- Working directly with medical care providers to determine the appropriate level of care assignment based on CMS (Centers for Medicare and Medicaid Services) requirements.
- Use of medical necessity guidance tools to assist with assignment of the appropriate level of care.
- Coordination and communication will occur with members of the local Case Management team and market Utilization Review team.
Qualifications
Job Requirements:
- Associates degree in nursing or higher
- Competent with Medical Necessity Review criteria
Preferred Job Requirements:
- Two (2) years acute hospital-based case management experience