Responsible for coordinating, developing, executing, monitoring, and evaluating all Case Management activities. Case Management activities encompass: utilization review, resource management, coordination of care, transition/discharge planning, across the episode of care. Working in collaborative practice with the physician and other members of the health care team to meet patient-specific and age-related patient needs, linking cost resource management and quality to patient care. 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. May substitute experience for degree.
MINIMUM EXPERIENCE: 2 years of recent acute care nursing experience. Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc.
PREFERRED EXPERIENCE: 2 years in Utilization Review, Discharge planning and Medical case management in a hospital setting. Strong organizational skills. Knowledge of specific regulatory, managed care requirements.
REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse
PREFERRED CERTIFICATIONS/LICENSURE: Certified in Case Management
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): BLS-obtained through approved American heart Association Training Center
Case Management/Home Health
Valley Baptist Medical Center - Harlingen