Case Manager PRN Days LVN or RN

United Surgical Partners International Inc (USPI)

Case Manager PRN Days LVN or RN

San Antonio, TX
Paid
  • Responsibilities

    Welcome to Baylor Scott & White Surgical Hospital Las Colinas, Irving, TX, where innovation, collaboration, and patient-centered care converge to create an exceptional workplace!

    **Baylor Scott & White Surgical Hospital Las Colinas **is seeking a qualified Case Manager to join our team!!!

    Case Manager at Baylor Scott & White Surgical Hospital Las Colinas:

    • Facilitates progress through the continuum of care, from Pre-Admission through Discharge for Baylor Scott & White Surgical Hospital Las Colinas.

    • Provides feedback to payers on patient’s clinical status and secures approvals for additional days of stay.

    • Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators.

    • Evaluates patients for discharge planning needs and appropriately directs the patient’s care.

    • Monitors resource consumption for most effective use; Identifies teaching and psychosocial concerns for the best patient outcomes.

    • Assists in aggregating data for quality trending.

    • Assists in Infection Control surveillance.

    • Functions as a Patient Advocate to assist patients in resolving concerns.

    Why Choose Baylor Scott & White Surgical Hospital Las Colinas?

    • A Powerhouse Collaboration : Our hospital is a joint venture between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and dedicated local physicians. This partnership ensures a dynamic and enriching environment for both patients and staff.
    • Serving North Texas : Covering the expansive North Texas region, we provide a wide range of medical and surgical services across 7 Operating Rooms, 12 private inpatient rooms, and a 3-bed Emergency Department.
    • Expert Specializations : Our hospital is a hub for expertise, specializing in Orthopedics, Joint Replacement, Spine, Urology, General Surgery, ENT, and more. Our diverse range of specialties offers you the opportunity to expand your skills and make a difference in patients' lives.
    • A Legacy of Excellence : Established in 2003 as Irving Coppell Surgical Hospital, we've been serving the Dallas-Fort Worth communities for years. Our unwavering mission is to provide top-notch surgical care in a welcoming and safe environment – a place where we'd confidently treat our own families.
    • Education & Compassionate Care : Our commitment to personalized health and wellness extends beyond medical procedures. We empower our staff to stay up-to-date on the latest advancements, treatments, and procedures, ensuring the best possible care for our patients and their families.
    • Cutting-Edge Technology : Experience the future of healthcare with our state-of-the-art facility equipped with advanced technology. From routine procedures to complex surgeries, we combine exceptional care with genuine compassion.

    Join us at Baylor Scott & White Surgical Hospital Las Colinas and contribute to a legacy of excellence and innovation. Apply today to be a part of our dynamic team and make a meaningful impact on the lives of our patients and their families. Your journey to a fulfilling career starts here!

    Required Skills

    Education ****

    • Graduate of an accredited school of nursing; BSN preferred

    Licensure/Certification ****

    • Current, active Texas RN or LVN licensure required.
    • Case Management certification preferred, but not required.
    • BLS required.

    Required Experience

    Specific Job Experience

    • Minimum two (2) years acute care experience required.
    • Previous case management experience preferred.

    Principal Duties and Responsibilities:

    • The Case Manager is works with all departments to insure appropriate patient care.
    • Is able to work effectively with insurance co., Medicare etc. in making sure that we are paid appropriately for the patient care we give.
    • Keeps the Business Office Manager, CNO and Clinical Services Director and Manager aware of any problems that have occurred in any area of patient care.
    • Works with the Doctors and the Doctors’ offices to ensure that we have the correct status for the patient and that the patient received the correct after care once home.
    • Serves as a resource to Senior Management.

    Knowledge, Skills and Abilities

    • Ability to work independently.
    • Working knowledge of Microsoft Word and Excel preferred.
    • Willingness to learn computer applications necessary for work functions.
    • Ability to adapt to changing situations and various personalities with a positive attitude.
    • Ability to utilize Electronic Heath Care Record for patient documentation.
    • Adheres to strictest confidentiality in dealing with patients, families, hospital personnel and the public.
    • Knowledge of professional nursing principles and CMS Conditions of Participation for Utilization Review
    • Knowledge of current third-party regulations, Medicare, Medicaid benefits and services
    • Knowledge of medical billing procedures
  • Qualifications

    Education ****

    • Graduate of an accredited school of nursing; BSN preferred

    Licensure/Certification ****

    • Current, active Texas RN or LVN licensure required.
    • Case Management certification preferred, but not required.
    • BLS required.