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Work Schedule/Shift

Days

Job ID

5000512443906

Req. No

70040994

Job Title

RN Case Manager - Care Management

Region

CHRISTUS Trinity Mother Frances

Category

Registered Nurse (RN)

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

TMFHS TYR Mother Frances Hosp-38000

Address

800 E. Dawson
Tyler, TX  75701
US

Type

Full Time

Apply Now RN Case Manager - Care Management Job in Tyler

This position is responsible for the coordination of care for the patient and their support systems. Collaborations with physicians, social work, nursing, and all disciplines of care are crucial in determining not only appropriateness of care, but also the continuum of care, discharge planning, and post discharge/transfer. A working knowledge of resource contacts for continued care is also pertinent. Clinical outcomes management and monitoring is also an element of this position. This position is also responsible for the concurrent review and data abstraction of the medical record. Patients are assessed for clinical documentation reflecting continuum of care and medical necessity according to criteria established by TMF, Medicare, Medicaid, Managed Care agencies, and Clinical Path resources [Interqual, M&R]. Such criteria are used only as a guide in determining medical necessity for continued stay for individualized patients. Demonstrates mastery and competence in computer skills. Demonstrates knowledge of disease processes, normal vs. abnormal clinical findings, and usual and customary healthcare treatment. Demonstrates excellent communication skills and quality management skills. Participates as a member of the inter-disciplinary healthcare team.

  • TX RN license
  • Current CPR
  • BSN required
  • Knowledge of Medicare, Medicaid, TMF, TDH, M&R, Interqual criteria.
  • Minimum of 3 - 5 years acute care experience in a clinical area of expertise.
  • Experience in Case management. preferred
  • Case Management preferred
  • Proficient in Windows, Word, Excel
  • Proficient in keyboarding & mouse use
  • Fax machine operations
  • Copier
  • Printer
  • Basic nursing skills [see checklist]
  • Disease Management knowledge
  • Critical thinking skills / judgments
  • Customer service communications
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