Case Manager Registered Nurse / RN
Company: Seton Medical Center Harker Heights
Location: Harker Heights
Posted on: September 11, 2023
Job Description:
Overview
Case Manager RN, Case Management Acute Care, Full Time, Days In a
joint venture partnership with Seton Medical Center, Ardent
operates Seton Medical Center Harker Heights (SMCHH) In Harker
Heights, Texas. At SMCHH exceptional associates deliver exceptional
care. The 83-licensed bed acute care hospital opened in 2012,
offering an array of services such as cardiology, emergency
services, general surgery, orthopedic surgery, a dedicated women's
center and a Level IV trauma center. This position is responsible
for care coordination of a specified patient population in a single
hospital; follows patients throughout the continuum of care and
ensures optimum utilization of resources, service delivery and
compliance with external review agencies. The case manager will
provide ongoing support and expertise through comprehensive
assessment, care planning, plan implementation and overall
evaluation of individual patient needs. Enhances the quality of
patient management and satisfaction, to promote continuity of care
and cost effectiveness through the integration of care management
functions.
Responsibilities
MAJOR RESPONSIBILITIES:
- Formulates and promotes continuity of care assuring appropriate
medical treatments, processes, and utilization of resources based
upon established criterion. Supports management of concurrent
review, discharge planning processes, social services, home care
and other post discharge continuity of care needs.
- Consistent with professional standards integrates
patient/family preferences and values into a quality supportable
plan for their care across the continuum. Advocates for resources
and removal of barriers for the promotion of outcomes that are
consistent with patient values and preferences across the
continuum.
- Conducts ongoing research to build a network of resources and
alternative health care services that can better meet
patient/family continuum of care needs. Collaborates with the PI
program by gathering sentinel events and target diagnosis data.
Stays current with trends/research in professional field. Makes
suggestions for improvement of current processes and practice
trends based on research.
- Collaborates with physicians, RN Care Manager and other team
members in the planning, implementation and evaluation of the
continuum care needs for patients/families. Collaborates with
physicians, nursing directors/clinical managers and department
directors to improve practice issues that impact continuum of care
needs of the patient.
- Participates in providing education support for newly hired
staff persons within the department. Mentors interdisciplinary
healthcare team in critical thinking processes essential to
continuum of care issues.
- Coordinates patient education as needed to address continuum
needs. Collaborates with social worker to educate patients,
families on discharge planning processes.
- Facilitates appropriate lengths of stay and reimbursement for
all hospital admissions in accordance with goals and objectives
established in the utilization management plan. Facilitates patient
movement to the appropriate (acuity) level of care including
observation status through collaboration with patient/family,
multidisciplinary team, and third party payors.
Qualifications
A. Education/Skills/Experience:
- Completion of required education to obtain Texas licensure as a
Registered Nurse or
- Licensed Social Worker with minimum of 3 years previous
experience as a case manager.
- Two (2) years of nursing experience in an acute care or
surgical setting is required.
- Previous Case Management Experience preferred
- Strong knowledge of community resources, discharge planning,
behavioral health assessment skills B. Licenses, Registrations, or
Certifications:
- Registered Nurse licensed to practice in Texas is required or
Licensed Social Worker.
- CCM (Certified Case Manager) preferred
Keywords: Seton Medical Center Harker Heights, Temple , Case Manager Registered Nurse / RN, Healthcare , Harker Heights, Texas
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