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Registered Nurse Case Manager (RN)

Company: HCA.
Location: Mcallen
Posted on: April 12, 2019

Job Description:

Standard

Qualifications:


Rio Grande Regional Hospital - McAllen, TX

Registered Nurse- Case Manager- Case Management



Founded in 1982, Rio Grande Regional Hospital (RGRH), an HCA-affiliated facility, is proud of maintaining its status as one of the leading healthcare providers in the Rio Grande Valley. For nearly 33 years, we have remained focused and committed to providing quality healthcare to all members of our community.

With 320 beds and a team of more than 500 physicians representing over 35 specialties, we offer a range of inpatient and outpatient medical, surgical, and specialty services, including:

  • 24-hour emergency room
  • Level III Trauma Center
  • Comprehensive cardiovascular care
  • 30-bed Neonatal Intensive Care Unit (NICU)

    Rio Grande Regional Hospital is currently looking for a Registered Nurse- Case Manager- Case Management



    Responsibilities:

    The Case manager will coordinate the care and service delivery of the patient population across the continuum of illness with a focus on the following:
    • Integrates factors related to quality, efficiency and cost-effectiveness in managing care and makes appropriate referrals.
    • Identify cases with potential for high risk complications and act as an advocate for the individual's health care needs
    • Assure timely and appropriate discharges through assessment of patients' post discharge needs and the provision of services necessary to meet those needs.
    • Assumes a leadership role through coordination of care with physicians, staff, patient/family and outside agencies
    • Identify opportunities for improvement of patient care and facilitate support functions the adult care patient population.
      Maintain a competitive professional status and involves self in professional activities
      • Excellent collaboration and communication skills
      • Expertise in acute care settings in order to assess and identify medical necessity
      • Federal and state requirements
      • Third party payer criteria and regulations, including InterQual
      • Utilization review or case management background, one year preferred Working knowledge of community and governmental resources

Keywords: HCA., McAllen , Registered Nurse Case Manager (RN), Healthcare , Mcallen, Texas

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