We are seeking a highly skilled Registered Nurse Care Manager to join a premier medical team in Irving, TX. In this role, you will partner with physicians and multidisciplinary teams to develop and execute comprehensive plans of care from admission through discharge. You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery.
What You Will Do
- Care Coordination: Facilitate patient care progression throughout the continuum, ensuring the plan of care is effective, appropriate, and documented.
- Discharge Planning: Manage all aspects of discharge planning, including assessing formal/informal support systems and identifying community resources.
- Barrier Resolution: Proactively identify and resolve system barriers, delays, and obstacles to treatment or discharge using advanced conflict resolution skills.
- Clinical Collaboration: Work closely with medical, nursing, and ancillary staff to promote the appropriate use of medical center resources and eliminate care delivery bottlenecks.
- Patient Advocacy: Meet directly with patients and families to assess needs, provide education on goals of care, and ensure consensus between the physician, family, and payor.
- Performance Improvement: Actively participate in initiatives to improve length of stay (LOS), resource utilization, avoidable days, and readmission rates.
What You Will Bring
- Education: BSN Degree from an accredited nursing program (Required). Proof of education is mandatory for submission.
- Experience: 3+ years of clinical practice as a Care Manager (Required).
- Licensure: Active RN License in the state of employment or a valid Compact License (Required).
- Technical Knowledge: Working knowledge of discharge planning, utilization management (UM), and managed care reimbursement.
- Preferred: Certification in Case Management (CCM) and experience in program management or multiple-project oversight.
You Will Be Successful If:
- You possess excellent verbal and written communication skills for interacting with physicians and payors.
- You have a deep understanding of pre-acute and post-acute levels of care and available community resources.
- You are a critical thinker who can work independently and exercise sound judgment in high-pressure clinical situations.
- You are sensitive to cultural diversity, health literacy, and the unique educational backgrounds of a diverse patient population.
Additional Details
- Location: This position is 100% onsite at our facility in Irving, TX.
- Compliance: Candidates must provide proof of education and active licensure at the time of application.