- Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.
- Monitors all areas of patients' stay for effective care coordination and efficient care facilitation.
- Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care.
- Appropriately refers high risk patients who would benefit from additional support.
- Serves as a patient advocate. Enhances a collaborative relationship to maximize the patient's and family's ability to make informed decisions.
- Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
- Participates in interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization, provide family education and identified post hospital needs. Collaborates with clinical staff in the development and execution of the plan of care, and achievement of goals.
- Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.
- Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
- Knowledge of Medicare benefits and insurance processes and contracts.
- Knowledge of accreditation standards and compliance requirements.
- Ability to demonstrate critical thinking, appropriate prioritization and time management skills.
- Basic computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software.
- Excellent interpersonal, verbal and written skills in order to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers
- Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members.
- Approximate percent of time required to travel, 0%
- Must read, write and speak fluent English.
- Must have good and regular attendance.
- Performs other related duties as assigned.
- Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as required by state regulations
- Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
- Certification in Case Management a plus.
- Two years of experience in a healthcare setting preferred.
- Prefer prior experience in case management, utilization review, or discharge planning.
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Insight Global Arlington, United StatesJob Description · Job DescriptionTitle: Bilingual Case Manager · Location: Arlington, TX 76001 · Position is a Hybrid role, only requiring in-office for team meetings on every-other Wednesday. Other days are work from home, and then traveling to client locations. · Travel: Comfo ...
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A-Line Staffing Solutions Tarrant County, United StatesJob Description · Job DescriptionA-Line Staffing is now a RN Case Manager. This would be full time / 40+ hours per week. · If you are interested in this RN Case Manager Opportunity, please contact Michelle at or · RN Case Manager Hours · Schedule is Mon-Fri 8am-5pm · This oppor ...
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ProPivotal Staffing Dallas, United StatesCase Manager (Remote in Massachusetts ONLY) - $45/hr · This position is a fully remote contract role available exclusively to candidates who reside in Massachusetts. · We are seeking a Clinical Care Manager for a remote, contract position offering $45/hr, exclusively for candidat ...
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ClearSky Health Mansfield, United StatesOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. · The Case Manager works wi ...
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Integrative Emergency Services Fort Worth, United StatesJob Description · Job DescriptionIntegrative Emergency Services, LLC ("IES") is looking for a Case Manager who will provide case management services to patients with substance use disorder and have familiarity with populations' cultures. Will coordinate project service and activi ...
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Prism Health North Texas Dallas, United StatesJob Description · Job DescriptionOur Core ValuesThe culture at Prism Health North Texas is built on our shared Core Values. We make hiring, firing, promotion and performance review decisions based on these values and behaviors, so it is important that you also share these Core Va ...
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Nexus Health Systems Ltd Dallas, United StatesJob Description · Job DescriptionThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination betwee ...
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Select Medical Dallas, United StatesOverview · Baylor Scott & White Institute for Rehabilitation · Dallas, TX · Neuro Transitional Rehabilitation Center · Case Manager (RN, LMSW, PT, OT, SLP) · Hours: Monday-Friday / 7:30AM - 4:30PM · Full Time · Minimum Salary: $70,000 · Sign on bonus: $5,000 · We are cur ...
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Nexus Health Systems Dallas, United StatesThe Case Manager is responsible for directing and coordinating the functions and activities of health care services delivery and discharge planning with the multidisciplinary team. The Case Manager facilitates communication and coordination between the health care team members in ...
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RN Case Manager II - Arlington, TX, United States - Kindred Hospital Tarrant County Arlington
Description
RN Case Manager II
Job Summary
Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members.
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
Provides 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 functions of case management, utilization review and management, and discharge planning.
Essential FunctionsCare Coordination
