Texas Health Resources Case Manager Registered Nurse in Dallas, Texas
Texas Health Dallas seeks to hire a Care Transition Manager Registered Nurse to work full time day shift.
The address is 8200 Walnut Hill Road; Dallas TX 75231
Salary range is Min. $35.69/hr. to Max. $50.46/hr. – based on relevant experience
• Shift is 8AM-5:00PM (Mon-Fri)
The essential job duties of this position are:
• Actively participates in Daily Patient Care Briefings and identifies patients appropriate for transition needs intervention.
• Reviews Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients. Collaborates with interdisciplinary team to identify high risk patients whose RRP score may not have indicated appropriately.
• Ensures all assigned patients have an identified Primary Care Physician (PCP). If PCP not identified, exhaust all efforts in an attempt to assign.
• Completes Transition Evaluation on all identified patients within 24 hours of referral; documents appropriately.
• Interviews/Assesses patients / caregivers as part of transition evaluation and as needed.
• Identifies transition needs (including medications), develops transition plan within 24 hours of referral, and discusses funding of post transition care with patients / caregivers; documents appropriately.
• Validates transition plan with Interdisciplinary Team (Physician, Clinical Nurse Leader, Nursing, etc.).
• Ensures transition plan and post acute management plan consistency across care settings.
• Complies with all documentation requirements. Documents all activities in electronic health record.
• Adheres to compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter, etc.
• Has working knowledge of Advanced Directives, Living Will, Medical Power of Attorney, Mental Health Treatment Declaration,
• Out-of Hospital Do Not Resuscitate
• Order and Advanced Illness Planning
• Participates in Joint Commission readiness activities
Serves as a content expert on the following:
• Compliance with program expectations.
• Mitigation activities with all clinical partners / payors as needed.
• Compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter, etc.
• Potential denials, avoidable days, alternate level of care days, etc.
• Medical necessity criteria, patient status, and discharge criteria.
• All clinical documentation
• Clinical Review staff requirements and communications
The ideal candidate will possess the following qualifications
• Current RN licensure upon hire Required
• Bachelor’s degree in Nursing required
• Minimum 3 years clinical experience as staff nurse at an acute care hospital (required)
• Minimum 2 years acute care hospital discharge planning/care management (preferred)
• CPR - Cardiopulmonary Resuscitation Upon Hire Required And
• ACM - Accredited Case Manager (upon hire preferred) Or
• CCM - Certified Case Manager (upon hire preferred)
• Min. five years clinical experience as staff nurse at an acute care hospital
• Min. two years acute care hospital discharge planning/care management
• Knowledge of Microsoft Outlook and Office (Word, Excel)
• Competency in medical necessity criteria preferred
• Customer service skills
• Ability to engage in complex clinical decision-making
• Strong oral and written communication skills
• Strong commitment to interdisciplinary collaboration and communication
• Strong skills in the preparation of clinically pertinent medical record documentation
• Critical thinking and analysis skills and conflict resolution skills
• Position requires flexible scheduling, including weekend and evening shift work as necessary
• Psychosocial and crisis intervention skills
• Ability to prioritize and meet deadlines.
• Preferred experience with electronic health record and automated case management systems.
• Individual must be self-directed and goal/outcomes/measurement driven
Why Texas Health Resources?
Texas Health Presbyterian Hospital Dallas is an 898-bed, Magnet-designated hospital and recognized clinical program leader, having provided compassionate care to the residents of Dallas and surrounding communities since 1966. A full-service regional referral center, Texas Health Dallas has approximately 3,500 employees and 1,100 physicians on its medical staff, and offers a full range of services, including cancer care, cardiology, neurosciences, orthopedics, senior care, women's services and a renowned Level III neonatal intensive care unit. Texas Health Dallas has been recognized as a U.S. News and World Report Best Hospital in multiple specialties and is an accredited Cycle IV Chest Pain Center by the Society of Chest Pain Centers. The hospital is also a Bariatric Surgery Center of Excellence, a certified Emergency Stroke Care center and was named “Best Place to Have a Baby” in Dallas County in 2012.We invite you to join us in furthering your career and our accomplishments and philosophy of excellence.
Texas Health Highlights
• 2019 FORTUNE Magazine’s “100 Best Companies to Work For®” (5 th year in a row)
• 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4 th year in a row)
• Employees’ Choice “Best Places to Work” by Glassdoor
• A “Best Workplaces in Texas” by Fortune and Great Place to Work®
• 2019 “20 Best Workplaces in Health Care and Biopharma” by Great Place to Work® and Fortune (ranked #1)
• A 2019 Gold level LearningElite award – national list of best organizations for learning and development by Chief Learning Officer magazine
• A 2019 “America’s Best Employers for Diversity” list by Forbes
Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.