Job Description

This position may qualify for a sign-on bonus.

Full Time, Days

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. Has overall responsibility to ensure that care is provided at the appropriate level of care based on medical necessity and 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: Provides assistance to the Director of Case Management in the management of the department, but not limited to, hiring/training/managing staff, schedule coordination, analysis and reporting, interfacing, collaborating and working closely with the other departments; Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating efficient throughput while assuring care is sequenced and at the appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Provides education to physicians, patients, families and caregivers; Facilitates education programs for Case Management Department on community resources use in discharge planning that encourages professional growth; Provides reports to DCM and hospital leadership. Completes established competencies for the position within designated introductory period. Other related duties as assigned.

MINIMUM EDUCATION: Graduate of an accredited School for Nursing

PREFERRED EDUCATION: Bachelor’s Degree from accredited college or university for Nursing

MINIMUM EXPERIENCE: 2 years of acute hospital patient care, hospital case management, healthcare or

leadership experience. Demonstrates computer knowledge of programs related to position and displays competency on an ongoing basis.

PREFERRED EXPERIENCE: Previous Case Management Supervisory experience

REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State registration as a Registered Nurse

PREFERRED CERTIFICATIONS/LICENSURE: Certification in Case Management (CCM)

REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A

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Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At North Central Baptist Hospitals hospital, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success.

At North Central Baptist Hospitals, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note Eligibility for benefits may vary by location and is determined by employment status