Director Registered Nurse (RN) - Case Management - $38-53 per hour

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Director Registered Nurse (RN) - Case Management - $38-53 per hour at Baptist Health System - San Antonio TX summary: The Director Registered Nurse (RN) for Case Management oversees hospital utilization and operational management of the Case Management Department to optimize hospital resource use and ensure regulatory compliance. The role focuses on utilization management, transition management, care coordination, and education for patients, families, and healthcare providers. It also ensures adherence to state and federal regulations, accreditation standards, and internal policies to support efficient patient care and reimbursement processes.
Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Nacogdoches, Texas. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff This position may qualify for a sign-on bonus
Summary Responsible for hospital utilization performance improvement and operational management of the Case Management Department in order to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services. This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and at appropriate level of care; Compliance with state and federal regulatory requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patient, families and caregivers. Completes established competencies for the position within designated introductory period. Other related duties as assigned. Baptist Health System - San Antonio Job ID #2503017879-2. Posted job title: Case Management Director Benefits Health Care FSA Dependent Care FSA Life insurance
Keywords: case management, registered nurse, utilization management, care coordination, patient throughput, hospital operations, regulatory compliance, TJC accreditation, transition management, healthcare management
Location:
Nacogdoches
Job Type:
FullTime
Category:
Nursing

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