Level II Registered Nurse (RN) - Case Manager, Clinical Support Specialist - $31
Baptist Health System, San Antonio, TX, United States
Job Description & Requirements
Specialty:
Clinical Support Specialist
Discipline:
RN
Duration:
Ongoing
36 hours per week
Shift:
12 hours
Employment Type:
Staff
Position Summary
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 for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards for care management scope of services including utilization management supporting medical necessity and denial prevention; transition management promoting appropriate length of stay, readmission prevention and patient satisfaction; compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; education provided to physicians, patients, families and caregivers; provides education programs for Case Management Department on community resources used in discharge planning; provides reports to DCM and hospital leadership as requested; team leader for discharge planning unit, providing guidance and monitoring. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Minimum Education
Graduate of an accredited School of Nursing
Preferred Education
Bachelors or Masters Degree in Nursing
Minimum Experience
2 years acute hospital patient care experience, utilization/case management. 1 year supervisory experience. Demonstrates computer knowledge of programs related to the position and displays competency on an ongoing basis.
Preferred Experience
Previous Case Management Supervisory experience.
Required Certifications/Licensure
Possession of current Texas State license for Registered Nurse or LMSW/LCSW
Preferred Certifications/Licensure
Certification in Case Management (CCM, ACM)
Required Courses/Completions (e.g., CPR)
N/A
Benefits
Health Care FSA
Dependent Care FSA
Life insurance
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Specialty:
Clinical Support Specialist
Discipline:
RN
Duration:
Ongoing
36 hours per week
Shift:
12 hours
Employment Type:
Staff
Position Summary
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 for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards for care management scope of services including utilization management supporting medical necessity and denial prevention; transition management promoting appropriate length of stay, readmission prevention and patient satisfaction; compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; education provided to physicians, patients, families and caregivers; provides education programs for Case Management Department on community resources used in discharge planning; provides reports to DCM and hospital leadership as requested; team leader for discharge planning unit, providing guidance and monitoring. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Minimum Education
Graduate of an accredited School of Nursing
Preferred Education
Bachelors or Masters Degree in Nursing
Minimum Experience
2 years acute hospital patient care experience, utilization/case management. 1 year supervisory experience. Demonstrates computer knowledge of programs related to the position and displays competency on an ongoing basis.
Preferred Experience
Previous Case Management Supervisory experience.
Required Certifications/Licensure
Possession of current Texas State license for Registered Nurse or LMSW/LCSW
Preferred Certifications/Licensure
Certification in Case Management (CCM, ACM)
Required Courses/Completions (e.g., CPR)
N/A
Benefits
Health Care FSA
Dependent Care FSA
Life insurance
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