Case Manager PRN

Welcome to Baylor Scott & White Surgical Hospital Las Colinas
, Irving, TX, where innovation, collaboration, and patient-centered care converge to create an exceptional workplace!

Baylor Scott & White Surgical Hospital Las Colinas
is seeking a qualified Case Manager
to join our team!!!

Case Manager at Baylor Scott & White Surgical Hospital Las Colinas:

• Facilitates progress through the continuum of care, from Pre-Admission through Discharge for Baylor Scott & White Surgical Hospital Las Colinas.
• Provides feedback to payers on patient’s clinical status and secures approvals for additional days of stay.
• Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators.
• Evaluates patients for discharge planning needs and appropriately directs the patient’s care.
• Monitors resource consumption for most effective use;
  Identifies teaching and psychosocial concerns for the best patient outcomes.
• Assists in aggregating data for quality trending.
• Assists in Infection Control surveillance.
• Functions as a Patient Advocate to assist patients in resolving concerns.

• A Powerhouse
  
  Collaboration:
  
  Our hospital is a joint venture between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and dedicated local physicians. This partnership ensures a dynamic and enriching environment for both patients and staff.
• Serving North Texas: Covering the expansive North Texas region, we provide a wide range of medical and surgical services across 7 Operating Rooms, 12 private inpatient rooms, and a 3-bed Emergency Department.
• Expert Specializations: Our hospital is a hub for expertise, specializing in Orthopedics, Joint Replacement, Spine, Urology, General Surgery, ENT, and more. Our diverse range of specialties offers you the opportunity to expand your skills and make a difference in patients' lives.
• A Legacy of Excellence: Established in 2003 as Irving Coppell Surgical Hospital, we've been serving the Dallas-Fort Worth communities for years. Our unwavering mission is to provide top-notch surgical care in a welcoming and safe environment – a place where we'd confidently treat our own families.
• Education & Compassionate Care: Our commitment to personalized health and wellness extends beyond medical procedures. We empower our staff to stay up-to-date on the latest advancements, treatments, and procedures, ensuring the best possible care for our patients and their families.
• Cutting-Edge Technology: Experience the future of healthcare with our state-of-the-art facility equipped with advanced technology. From routine procedures to complex surgeries, we combine exceptional care with genuine compassion.

Join us at Baylor Scott & White Surgical Hospital Las Colinas
and contribute to a legacy of excellence and innovation. Apply today to be a part of our dynamic team and make a meaningful impact on the lives of our patients and their families. Your journey to a fulfilling career starts here!

• Graduate of an accredited school of nursing; BSN preferred

• Current, active Texas RN or LVN licensure required.
• Case Management certification preferred, but not required.
• BLS required.

• Minimum two (2) years acute care experience required.
• Previous case management experience preferred.

• The Case Manager is works with all departments to insure appropriate patient care.
• Is able to work effectively with insurance co., Medicare etc. in making sure that we are paid appropriately for the patient care we give.
• Keeps the Business Office Manager, CNO and Clinical Services Director and Manager aware of any problems that have occurred in any area of patient care.
• Works with the Doctors and the Doctors’ offices to ensure that we have the correct status for the patient and that the patient received the correct after care once home.
• Serves as a resource to Senior Management.

• Ability to work independently.
• Working knowledge of Microsoft Word and Excel preferred.
• Willingness to learn computer applications necessary for work functions.
• Ability to adapt to changing situations and various personalities with a positive attitude.
• Ability to utilize Electronic Heath Care Record for patient documentation.
• Adheres to strictest confidentiality in dealing with patients, families, hospital personnel and the public.
• Knowledge of professional nursing principles and CMS Conditions of Participation for Utilization Review
• Knowledge of current third-party regulations, Medicare, Medicaid benefits and services
• Knowledge of medical billing procedures