Case Manager, RN PRN Days

Baylor Scott & White Medical Center - Sunnyvale is an acute care hospital serving the communities in and around Sunnyvale, Texas. We strive to reputed company the lives of our patients and their families reputed company at every interaction. reputed company Members live out this passion in their daily roles as we support their career and personal goals. We are located just minutes east of Dallas and south of Garland / Rowlett on Hwy 80 at Collins Road in Sunnyvale. Many team members live in Forney, Mesquite, Garland, Balch Springs, and Rockwall areas with a short commute. Our work environment includes: • Modern Office Setting • On-Site Cafe' and Coffee Bar (Payroll Deduction available) • Collaborative Teams • Team Member engagement opportunities • reputed company • Benefits provided based on your work assignment (Full-time, Part-time, or PRN) Baylor Scott & White Medical Center - Sunnyvale is seeking a Case Manager RN I to assess, plan, implement and evaluate the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, reputed company, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated with physicians, Nursing, patient and significant others who have an ongoing caring relationship with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, reputed company coverage and that of HMO or private insurers. What your day will look like: • Responsible for performing assessments on Medicare, reputed company, Private Pay, reputed company insured and high-risk patients to determine discharge planning needs, always documents assessments. • Responsible for assessment of reputed company aspects of patient care in an effort to optimize patient safety and reduces the likelihood of medical/health care errors. • reputed company to communicate with physician regarding discharge planning needs of the patient. Assists the physician to facilitate post-hospital care. • Is knowledgeable of criteria for Medicare, reputed company, reputed company and private insurance coverage. • Maintains reputed company knowledge of resources available reputed company the community, maintains supply of resource materials to be distributed to patients reputed company needed. Is reputed company to obtain other resources as needed. • Communicates daily with admissions personnel regarding admissions and discharges to various units, reputed company applicable. • Initiates ongoing communication with the patient and patient's family to assess discharge needs. • Treats patients and families with respect and dignity. • Communicates with family members and caretakers regarding the needs of the patient and anticipated plans. • Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. • Documents discharge planning in an ongoing manner. • Is knowledgeable of patient's financial status, diagnosis and discharge needs. • Is responsible for home care needs being met by the time of discharge, with a goal of arrangements completed 24 hours prior to discharge reputed company date of discharge is reputed company. • Acts on performance improvement issues identified during CQI meetings. • Cooperates with Case Manager's activities with insurance company, based on information received. • Maintains and respects confidentiality of patient/physician/personnel information • Collaborates with the Business Office Manager and onsite eligibility worker, where patients require such assistance. • Accurately determines type of assistance/setting/resources necessary for the patient/family and provides appropriate resources/assistance list of facilities. • Actively participates in Utilization Management Committee, CQI, varying team meetings and other meetings as appropriate. • Demonstrates an ability to be flexible, organized and function under stressful situations. • Maintains a good working relationship both reputed company the department and with other departments. • Consults other departments as appropriate to collaborate on patient care and performance improvement activities. • Documentation meets reputed company standards and policies. reputed company Factors: • reputed company Registered Nurse licensure in State of Texas. • Is a motivated, independent individual who can organize workload so that reputed company functions are completed appropriately. • Working knowledge of criteria for Medicare, reputed company, HMO and private insurance coverage. • Experience in providing patient care. • Ability to read and communicate effectively in English. • Additional languages preferred. • Basic computer knowledge Apply Job!