The RN Case Manager serves with responsibility for assessing and coordinating patient care across the continuum utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided. The RN Care Manager functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.
The RN Case Manager job duties include, but are not limited to:
Assesses plans, implements, documents, coordinates, monitors, evaluates, and updates the plan of care by collaborating with all members of the health care team to provide evidenced based care
Establishes patient care management plans, interventions, treatment goals, and self-management goals
Assesses the health care, educational, psychosocial needs of the patient/family
Assists patients with self-management through education, visits and telephonic engagement; encourages and supports patient adherence to their care plans
Researches, evaluates and recommends resources to meet medical and non-medical needs of patients and families. Collaborates, refers, and communicates across all programs to ensure appropriate coordination of services
Researches and takes an active role in identifying problems and possible solutions in the coordination of care to determine most appropriate setting
Acts as liaison to hospital, long-term care, specialists and home health representatives
The ideal candidate for the RN Care Manager will have knowledge of care management and resource/utilization management and have the ability to work collaboratively with both internal and external medical staff and external partners and organizations.
Location/Facility - McLane Children's Hospital
For more information on the facility, please click our Locations link.
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
PTO accrual beginning Day 1
*Note: Benefits may vary based upon position type and/or level.
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation's exemplary health care organizations. Founded as a Christian ministry of healing, the mission of Baylor Scott & White Health is to promote the well-being of all individuals, families and communities. Joining our team is not just accepting a job, it's accepting a calling!
2 years of experience
TX Driver's License
Internal Number: 19003638
About Baylor Scott & White Health
Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!