(3 Days Left) Staff - Registered Nurse (RN) - Case Manager, Clinical Support Specialist - $31-44 per hour
Company: Baptist Health System - San Antonio TX
Location: Harlingen
Posted on: November 3, 2025
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Job Description:
Baptist Health System - San Antonio TX is seeking a Registered
Nurse (RN) Case Manager, Clinical Support Specialist for a nursing
job in Harlingen, Texas. Job Description & Requirements -
Specialty: Clinical Support Specialist - Discipline: RN - Duration:
Ongoing - 36 hours per week - Shift: 12 hours - Employment Type:
Staff This position may qualify for a sign-on bonus Summary The RN
Case Manager is responsible to facilitate care along a continuum
through effective resource coordination to help patients achieve
optimal health, access to care, and appropriate utilization of
resources, balanced with the patient’s resources and right to
self-determination. The individual in this position has overall
responsibility for ensuring that care is provided at the
appropriate level of care based on medical necessity and to assess
the patient for transition needs to promote timely throughput, safe
discharge, and prevent avoidable readmissions. This position
integrates national standards for case management scope of services
including: Utilization Management supporting medical necessity and
denial prevention; Transition Management promoting appropriate
length of stay, readmission prevention, and patient satisfaction;
Care Coordination by demonstrating throughput efficiency while
assuring care is the right sequence and at appropriate level of
care; Compliance with state and federal regulatory requirements,
TJC accreditation standards, and Tenet policy; Education provided
to physicians, patients, families and caregivers. The individual’s
responsibilities include the following activities: a) accurate
medical necessity screening and submission for Physician Advisor
review, b) care coordination, c) transition planning assessment and
reassessment, d) implementation or oversight of implementation of
the transition plan, e) leading and facilitating multi-disciplinary
patient care conferences, f) managing concurrent disputes, g)
making appropriate referrals to other departments, h ) identifying
and referring complex patients to Social Work Services, I)
communicating with patients and families about the plan of care, j)
collaborating with physicians, office staff and ancillary
departments, k) leading and facilitating Complex Case Review, l)
assuring patient education is completed to support post-acute needs
, m) timely complete and concise documentation in Case Management
system, n) maintenance of accurate patient demographic and
insurance information, o) identification and documentation of
potentially avoidable days, p) identification and reporting over
and underutilization, q) and other duties as assigned. Baptist
Health System - San Antonio Job ID . Posted job title: Registered
Nurse Case Manager Full Time Days Benefits - Health Care FSA -
Dependent Care FSA - Life insurance
Keywords: Baptist Health System - San Antonio TX, Harlingen , (3 Days Left) Staff - Registered Nurse (RN) - Case Manager, Clinical Support Specialist - $31-44 per hour, Healthcare , Harlingen, Texas
