Job Information

AdventHealth RN Care Manager PRN Weekends in Burleson, Texas

Description

Texas Health Huguley

Operated as a joint venture between Texas Health Resources and Adventist Health System, we believe that total health is achieved through a balance of physical, mental, social and spiritual well-being. With each patient’s unique circumstances in mind, our multi-disciplinary care teams provide a vast array of services, combining state-of-the-art technology with a personal commitment to creating an exceptional patient experience.

Our team members also enjoy outstanding care in the form of comprehensive health benefits, a friendly, faith-based work environment, and plenty of opportunities to learn and grow. In addition to earning the Gallup Great Workplace Award six years in a row, we were also recognized as one of “150 Great Places to Work” by Becker’s Hospital Review.

Our 224-bed hospital includes a medical ICU, cardiovascular ICU, PCU, open heart surgery center and behavioral health. In addition, we have accredited programs in orthopedics, chest pain, and inpatient diabetes, plus an award-winning emergency department.

Shift : PRN / Weekends

You will be responsible for:

  • Performs a variety of general office duties daily.

  • Performs concurrent patient reviews related to appropriateness, level of care, diagnostics and procedures performed.

  • Applies appropriate screening criteria(s) in a timely manner to determined initial admission and continued stay necessity.

  • Initiates appropriate activities when patients do not meet criteria or when alternative care is needed.

  • Communicates findings to insurance companies in a timely and accurate manner.

  • Determines appropriate admission status and communicates with appropriate individuals.

  • Reviews case for appropriate documentation which supports the patients intensity of service and severity of illness.

  • Performs quality indicators reviews. Screens cases for required monitors.

  • Identifies clinical risk issues and reports to appropriate department.

  • Collaborates with members of the healthcare team in developing discharge plans in a timely manner.

  • Develops discharge plans based upon a family and patient’s needs assessment, capabilities, limitations and availability of community resources.

  • Assists with and arranges referrals and/or transfers to outside agencies/facilities.

  • Participates actively in LOS and Patient Care Conferences.

  • Actively participates in Performance Improvement Teams.

  • Knows the Performance Improvement (PI) Model – the Plan, Do, Check, Act (PDCA) Model.

  • Able to describe process that was improved by using the PDCA Model concepts.

  • Knows the organization-wide Performance Improvement Priorities for the current year.

Qualifications

. What will you need?

  • Registered Nurse (RN) in Texas

  • Must have a minimum of 3 continuous years’ experience in an acute care setting, preferably hospital, or at least 2 years’ experience in case management / utilization review with managed care company and 2-3 years’ experience in an acute care setting.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Case Management

Organization: Texas Health Huguley Hospital

Schedule: 1 - Day

Shift: Huguley

Req ID: 22028648

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