RN Case Manager - Case Management

Company: Mission Regional Medical Center
Location: Harlingen
Posted on: September 18, 2023

Job Description:

RN Case ManagerOverview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Harlingen Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Harlingen Medical Center is a nationally-recognized and award-winning general acute care hospital. The Level IV Trauma Designated hospital specializes in bariatrics, cardiology, emergency medicine, gastroenterology, orthopedics, obstetrics and gynecology, and wound care. Harlingen has received an "A" rating from The Leapfrog Group and among the "50 top Performing Cardiovascular Hospitals" according to Fortune/IBM Watson Health. The hospital has received numerous awards from Healthgrades in orthopedics, cardiology, women's services and more. For information, please visit www.harlingenmedicalcenter.com.

Responsibilities

Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

Education and Work Experience

Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred. Current BCLS (AHA) certificate upon hire and maintain current; Knowledge of Milliman Criteria and InterQual Criteria preferred. Experience and knowledge in basic to intermediate computer skills. Behavioral Violence Prevention Training within 3 months of hires and maintain current.

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We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

Keywords: Mission Regional Medical Center, Harlingen , RN Case Manager - Case Management, Executive , Harlingen, Texas