We are seeking an RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager. An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems. This position is on a per diem basis, meaning PD/PRN as needed. 

Shift’s Available:  Days 

Employment Type: Per-Diem (PRN / PD) 

Location: Mission Regional Medical Center, Mission TX

Here are some of the benefits of working at Prime Healthcare:  

• Competitive compensation  

• Medical insurance benefit plan 

• 401K   

Mission Regional Medical Center is a 297-bed, non-profit hospital that provides inpatient and outpatient hospital services to the people of the Rio Grande Valley. Rated one of the top hospitals in the country for clinical excellence in many services including maternity and orthopedic care, Mission Regional Medical Center has been offering quality healthcare, close to home, for over 60 years. For more information visit www.missionrmc.org.

Essential Duties and Responsibilities (includes, but not limited to): 

• Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay 

• Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions 

• Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities 

• Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays 

• Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources 

• Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values 

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1. BSW or other bachelor's degree in a related field.  At least one year experience in case management, discharge planning or nursing management; or
2. Experience and knowledge in basic to intermediate computer skills.
 

Preferred qualifications:

1. Minimum 5 years of acute care experience preferred.
2. CCM or obtained within 1year
3. Current BCLS certificate preferred.
4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

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