Case Manager - RN
Case Manager - RN
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Job Description
Overview
Join an awardwinning teamof dedicated professionals committed to our core values of quality compassion and community!Dallas Regional Medical Centera member of Prime Healthcare offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Dallas Regional Medical Center is a 202bed acute care hospital accredited by The Joint Commission that offers a wide range of medical services including 24/7 emergency care cardiology wound care surgical services cardiac catheterization and imaging. The hospital is the only Certified Stroke Center Accredited Chest Pain Center and Labor and Delivery Unit in the area. In addition Dallas Regional is the only Trauma Center for 13 miles and was the first Accredited Geriatric Emergency Room in Dallas hospital is a recipient of Healthgrades Patient Safety Excellence Awards 15 Healthgrades FiveStar ratings over the past three years and Straight A Hospital Safety Grades from The Leapfrog Group since 2018. For more information visit.
Responsibilities
The Case Manager (RN) is 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 postgraduation 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.
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race color sex sexual orientation gender identity religion national origin age (subject to applicable law) disability military status genetic information or any other basis protected by applicable federal state or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: Experience:
Manager
Employment Type
Full-Time
Key Skills
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