Top 78 Nurse case managers Jobs in Robstown, Tx

ED RN Care Manager - Utilization Managment
Christus Health —Corpus Christi, TX
- Full-time
- Master of Social Work
- Nursing
- RN License
Medical Coordinator
Compass Connections —Robstown, TX
- Full-time
- CPR Certification
- Nursing
- Management
Care Manager - Case Management
Christus Health —Corpus Christi, TX
- PRN
- Acute care
- Nursing
- LVN
Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)
Christus Health —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
14d
Labor & Delivery Nurse Manager
Texas Nursing Services —Corpus Christi, TX
- $36.43 - $51.00 an hour
- Full-time
- Nursing
- Surgery
- RN License
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registered Nurse RN OR Coordinator Lead
Corpus Christi Medical Center —Corpus Christi, TX
- Full-time
- Surgery
- Psychiatry
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Manager – Labor & Delivery
Texas Nursing Services —Corpus Christi, TX
- $36.43 - $51.00 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Relocation assistance
- Health insurance
Quick Apply
Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)
Christus Health —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
14d
Registered Nurse - 8N Neuro IMC / Neurosurgical ($10K Sign-on)
Christus Health —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
14d
Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)
Christus Health —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
14d
Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)
Christus Health —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
14d
Registered Nurse - 8N Neuro IMC / Neurosurgical ($10K Sign-on)
Christus Health —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Relocation assistance
Quick Apply
14d
Registered Nurse (RN) Case Manager - Hospice
ATEX Healthcare Hospice —Corpus Christi, TX
- CPR Certification
- Nursing
- Management
Quick Apply
Care Manager II - Case Management
Christus Health —Corpus Christi, TX
- 8 hour shift
- Acute care
- Master of Social Work
- Nursing
21h
Registered Nurse Liaison I - Acute Physical Rehab
Christus Health —Corpus Christi, TX
- 8 hour shift
- Acute care
- CPR Certification
- Nursing
21h
Care Coordination Tech
Driscoll Health —Corpus Christi, TX
- Part-time
- Hospital
- Medical office experience
- Mid-level
2d
Case Manager RN WellMed Parkdale
Optum —Corpus Christi, TX
- $60,200 - $107,400 a year
- Full-time
- Acute care
- Spanish
- Nursing
Quick Apply
Hospice RN Case Manager
Concho Hearts Hospice —Corpus Christi, TX
- $80,000 - $100,000 a year
- Full-time
- RN License
- Mid-level
- Driver's License
- Mileage reimbursement
- 401(k)
Quick Apply
RN Clinical Liaison
Gentiva —Corpus Christi, TX
- Full-time
- CPR Certification
- Nursing
- Management
Quick Apply
10d
RN Case Manager
Hallmark Hospice Care LLC —Corpus Christi, TX
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply

I want to receive the latest job alert for nurse case managers in robstown, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

nurse case managers jobs near robstown, tx

Case Manager jobs in Corpus Christi, TX

Care Coordinator jobs in Corpus Christi, TX

Registered Nurse Emergency Room jobs in Corpus Christi, TX

Clinical Liaison jobs in Corpus Christi, TX

Registered Nurse jobs in Corpus Christi, TX

Medical Coordinator jobs in San Diego, CA

Real Estate Transaction Coordinator jobs in Michigan

Event Coordinator jobs in Columbus, OH

Medical Coordinator jobs in San Francisco Bay Area, CA

Medical Coordinator jobs in Chandler, AZ

Medical Coordinator jobs in Queens, NY

Registered Nurse jobs in Nashua, NH

Registered Nurse jobs in Richland, WA

Registered Nurse jobs in Springfield, MO

Registered Nurse jobs in Chesterfield, VA

Surgical Technician jobs in Oakland, CA

Registered Nurse Rn jobs in Forney, TX

Surgical Technician jobs in El Paso, TX

Surgical Technician jobs in St. Louis, MO

Manager jobs in Louisville, KY

ED RN Care Manager - Utilization Managment

Christus Health -
Corpus Christi, TX

Apply Now

Job Details

Full-time

Qualifications

Managing patients as a nurse case manager
Pre-authorization review for utilization management
Utilization management
Acute care experience
Medical terminology

Full Job Description

Description

Summary:

The Emergency Department (ED) Care Manager is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED. The Care Manager collaborates with the patient and/or family, multidisciplinary team, physicians, community partners, and payers to ensure the patient’s progress and level of care are appropriately determined. The Care Manager has well-developed knowledge and skill in patient status in the inpatient and outpatient settings and collaborates with other care managers, social workers, Patient Access, physicians, and administrative leadership in the ED to determine the appropriate level of care. The Care Manager also has a robust understanding of services and resources outside of the hospital that would be of benefit to the patient and initiates referrals as indicated. This work includes patient assessment and management, resource management, identifying patients appropriate for admission, observation or outpatient status, care facilitation, discharge planning with referrals to all levels of care, and other duties related to the defined population.

Responsibilities:

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Uses approved criteria to conduct patient assessment and admission clinical review to ensure the appropriateness of setting and timely implementation of the plan of care.
Performs review of anticipated admissions, placements in Observation status, and discharges using evidence-based criteria set for appropriate level of care assignment.
Provides identification of patients for whom standard of care treatments could be safely rendered at home.
Screens appropriateness of admission including observation versus inpatient status.
Educates ED physicians and nurses about medical necessity and admission criteria.
Collaborates with physicians and other members of the treatment team on documentation needs and opportunities.
Utilizes high-risk screening criteria to make appropriate community and post-ED referrals.
Initiates prior authorization process when indicated for post-ED referrals and services.
Escalates to physician advisor when unable to resolve discrepancies with the attending physician.
Manages high-use patients and works to find alternatives for care to frequent ED visits.
Plans for discharges from the ED for patients who do not require admission to include arranging for Home Health, DME, placement, and community resources as they relate to social determinants of health.
Provides patient and family education and counseling about existing health problem-related care.
Anticipates barriers/variances to the delivery of care and intervenes as necessary.
Intervenes with physicians and ancillary departments concerning clinical and utilization issues to ensure optimal patient outcomes.
Coordinates and facilitates patient progression throughout the continuum.
Collaborates with all members of the interdisciplinary team to facilitate appropriate care coordination and care delivery.
Able to analyze clinical information and accurately apply clinical criteria.

Job Requirements:

Education/Skills

Graduate of an accredited school of nursing (BSN preferred) or Master’s degree in Social Work (MSW) required

Experience

3+ years of relevant clinical case/care management experience in the acute care setting required
Familiarity with evidence-based medical necessity criteria sets required
Competency in prior authorization functions and software, including the application of criteria and timelines required
Proficiency in medical and managed care terminology required

Licenses, Registrations, or Certifications

RN or LMSW in the state of employment is required
Case Manager certification preferred
BLS preferred

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Apply Now

Refine Your Search

nurse case managers jobs in robstown, tx

ED RN Care Manager - Utilization Managment

Medical Coordinator

Care Manager - Case Management

Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)

Labor & Delivery Nurse Manager

Registered Nurse RN OR Coordinator Lead

RN Manager – Labor & Delivery

Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)

Registered Nurse - 8N Neuro IMC / Neurosurgical ($10K Sign-on)

Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)

Registered Nurse - 8N – Neuro IMC / Neurosurgical ($10K Sign-on Bonus)

Registered Nurse - 8N Neuro IMC / Neurosurgical ($10K Sign-on)

Registered Nurse (RN) Case Manager - Hospice

Care Manager II - Case Management

Registered Nurse Liaison I - Acute Physical Rehab

Care Coordination Tech

Case Manager RN WellMed Parkdale

Hospice RN Case Manager

RN Clinical Liaison

RN Case Manager

I want to receive the latest job alert for nurse case managers in robstown, tx

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected