RN Case Manager
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Prime Healthcare is hiring a RN Case Manager. The RN Case Manager position at Prime Healthcare is a full‑time role working day shifts of eight hours each at Harlingen Medical Center in Harlingen, Texas, and requires a registered nursing license and a related bachelor’s degree to provide comprehensive patient assessment, care coordination, and discharge planning.
Key focus areas include Evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout stay, Develop and implement individualized care plans with healthcare team to ensure effective treatment and timely interventions, and Coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long‑term care facilities.
Important skills include Basic To Intermediate Computer Skills. Preferred (not required): Milliman Criteria Knowledge and InterQual Criteria Knowledge.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Overview Shifts Available: Days
Employment Type: Full Time
Hours: 8 hour shifts
Location: Harlingen Medical Center - Harlingen, TX
Responsibilities
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Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
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Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
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Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
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Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
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Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources
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Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values
Qualifications
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BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or2. Experience and knowledge in basic to intermediate computer skills.
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RN License
Preferred qualifications:
- Minimum 5 years of acute care experience preferred.2. CCM or obtained within 1year3. Current BCLS certificate preferred.4. Knowledge of Milliman Criteria and InterQual Criteria preferred.
Pay Transparency Here are some of the benefits of working at Prime Healthcare:
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Health, dental, and vision insurance options
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Paid vacation, sick time and holidays
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Bereavement leave, FMLA and other leave options
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Employer 401K options
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Tuition reimbursement options
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Life, disability, and other insurance options
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Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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