Job Posting Title Registered Nurse (RN) Case Manager I (FT-Weekends)

We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Registered Nurse (RN)•

Case Manager I Full Time Weekends:

Sat, Sun, Mon (12 hour shifts with flexible start times) Case Management functions throughout majority of inpatient units within University Medical Center as well as the Emergency Center. Case Management works closely with Social Services. The attention to detail a nurse can provide along with a strong clinical training are critical components for the Case Manager at UMC. Our focus is Utilization Review with some discharge planning and coordination of care for patients. Our purpose is to provide high quality care through appropriate resource allocation, to assure effective and efficient utilization of hospital facilities and services, and help facilitate improving maximum financial strength.

Job Summary:

• Screen admissions each day to identify appropriate level of management required for each patient for the service area covered.
• Review new admissions, applying medical necessity criteria, and develop an anticipated discharge date for the assigned units/rooms.
• Prepares to discuss patients with length of stay greater than 20 days and difficult discharges with the Managed Care Committee members on Wednesdays.
• Assist and facilitate coordination of comprehensive, individualized plan of care in collaboration with interdisciplinary team.
• Utilize CCM for documentation of Reviews, Appropriateness of admission and continued stay, Avoidable days, Denials, Interdisciplinary communication.
• Monitor and facilitate appropriate utilization of resources.
• Perform review functions for appropriateness of admission and continued hospital stay using Cerner Care Management (CCM)/InterQual criteria. Works with Emergency Room staff to facilitate transfer of patients needing to appropriate facilities.
• Work with Emergency Room Staff to develop strategies to decrease Emergency Department use by individuals identified as "frequent users" and to find community resources for these patients.
• Lead unit huddles (per unit guidelines) with Social Services to discuss discharge needs/ barriers and anticipated discharge dates.
• Collaborate with the interdisciplinary team to formulate a safe, efficient discharge plan based on the patient's needs and payer requirements. Qualifications
• Graduation from an accredited School of Nursing
• Valid Texas RN License/Eligible Compact License
• Must maintain a current BLS certification from American Heart Association
• BSN required or must be obtained within 3 years of hire Experienced RN; minimum of 2 years of acute care experience.
• Proficient typing skills a must
• Conflict management a must
• Ability to trouble shoot/problem-solve a must
• Ability to multi-task with multiple computer systems a must
• ACM certification preferred
• Previous Case Management experience preferred
• Previous leadership/management experience preferred UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• Request for accommodations in the hire process should be directed to UMC Human Resources.

Benefits:

Resilience program Emotional Physical Spiritual Financial Career Community On-Site Professional Counselors (EAP) Discounted Pharmacy Cost Cash Retention Bonus (only one in our region) Retirement Benefits w/Employer Match PTO & Extended Illness Medical, Dental, & Vision Insurance And more at: https://apps.umchealthsystem.com/documents/wellness.pdf

UMC Vision, Mission and Standards:

Vision:

To Serve Our Patients in the Best Teaching Hospital in the

Country Mission Statement:

Service is our passion. We serve by providing safe, high quality care to all, achieving excellent financial performance, and training tomorrow's healthcare professionals.

Standards of Excellence:

Attitude, Communication, Responsiveness, Compassion, Teamwork, Ownership, Safety and Respect About UMC Magnet Designated 501 licensed beds 62 Site locations Regions only Level I Trauma Center Regions only

BICU DNV

accredited Primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC) Ranked as one of the Best Places to Work in Texas by

Texas Monthly UMC Physicians Culture, Vision, Mission, and Standards:

Culture:

Service is

Our Passion Vision:

The best place to work and the best place to receive healthcare.

Mission Statement:

To improve the quality of life for our community by providing the best patient experience for every patient.

Standards:

Teamwork, Respect, Accountability, Compassion, Kindness About UMCP 35 Practice Locations

• private practices and urgent care centers Over 125 physicians and advanced practice providers Ranked as "One of the Best Places to Work in Texas" by Texas Monthly Employee Engagement Score of 96% measured by Press Ganey Associates