Rn, Case Manager, Inpatient (nex)

208

Fort Worth, Texas, United States
Interqual and milliman care guidelines usage
Discharge planning and case management
Electronic medical records navigation
The RN Case Manager utilizes a collaborative process to plan, assess, and evaluate healthcare options using Interqual and Milliman Care Guidelines

Job Summary

  • The RN Case Manager utilizes a collaborative process to plan, assess, and evaluate healthcare options using Interqual and Milliman Care Guidelines.
  • This role focuses on facilitating quality patient care, cost-effective utilization, and expedited movement through appropriate levels of care.
  • Candidates must be familiar with Joint Commission Accreditation standards and possess strong organizational and communication skills.

Matching Summary

The RN Case Manager utilizes a collaborative process to plan, assess, and evaluate healthcare options using Interqual and Milliman Care Guidelines.

Skills & Requirements

Must-have

  • Interqual and Milliman Care Guidelines usage
  • Discharge planning and case management
  • Electronic medical records navigation
  • Collaborative patient care planning
  • Quality and risk management standards

Nice-to-have

  • Bilingual communication skills preferred
  • Experience with community resources
  • Adaptability to changing healthcare environments
  • CCM certification preferred
  • Knowledge of charitable organizations

Key Requirements

  • Current Texas RN license required
  • Associate degree in nursing required
  • Three years experience in case management or utilization review
  • Basic Life Support (BLS) certification within 30 days
  • BSN from accredited college preferred

Work Rights

Not specified

Tailored Resume

Cover Letter