Location:
Medical Center - Fort Worth
Department:
Case Management
Shift:
Weekend Shift (United States of America)
Standard Weekly Hours:
20
Summary:
The RN Case Manager (Nex) uses a collaborative process to plan, assess, implement, monitor and evaluate the options and services required to meet the healthcare needs of the patients using the functions of Utilization Review using Interqual and Milliman Care Guidelines, Discharge Planning and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; and (5) information gathering for Quality & Risk Management utilizing Joint Commission Accreditation of Healthcare standards and clinical indicators. The Case Manager will assist with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both CCMC and the patient are used in a timely and cost-effective manner to meet the healthcare needs of the patient.
Education:
BSN preferred with five years clinical experience.Bi-lingual desirable.Three years' experience in case management/utilization review required.Highly desirable to have experience in quality assurance, discharge planning, clinical pathways and continuous quality improvement in a managed care environment.An RN with exceptional experience, e.g.: pediatric or 5-6 years in highly desirable areas listed above would also be considered.Computer literate.
• rganization and interpersonal skills, written and oral communication skills; ability to adapt to changing health care environment; ability to work with all members of the health care team to achieve positive outcomes.
Certification/Licensure:
Current Texas RN license.Basis Life Support (BLS) certification for Health Care Providers required within 30 days of employment and must be maintained per Medical Center Policy, MC 175.
About Us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.