About this opportunity
Baptist Health System lists this Director Registered Nurse (RN) - Case Management - $38-53 per hour opportunity in san antonio, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job Description & Requirements
Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Case Management Director for a nursing job in San Antonio, Texas.
Specialty: Case Management
Discipline: RN
Duration: Ongoing
36 hours per week
Shift: 12 hours
Employment Type: Staff
POSITION 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.
Key Responsibilities
Establishes goals and objectives that support overall strategic plans of the facility/Baptist Health System
Develops and manages the annual department operating and capital budgets
Directs daily operations of assigned department(s)
Directs performance of staff
Maintains objectivity in decision making, utilizing facts to support decisions
Supports the mission statement, policies and procedures of the Baptist Health System
Manages to eliminate boundaries to achieve integrated, efficient and quality service
Achieves ongoing compliance with all regulatory agencies
Serves as a resource to employees and customers as demonstrated by visibility and knowledge of issues
Demonstrates flexibility in response to change
Anticipates and responds to problems and risks
Communicates effectively with all levels in the organization and with inter/external customers
Minimum Education
Bachelor’s Degree from an accredited school, college or university as a Registered Nurse
Preferred Education
Master’s Degree from an accredited college or university in Nursing or related field
Minimum Experience
2 years in acute hospital case management, healthcare or leadership experiences
Preferred Experience
5 years in acute hospital case management. McKesson InterQual® experience and Business Planning experience
Required Certifications / Licensure
Possession of current Texas State registration as a Registered Nurse
Preferred Certifications / Licensure
Accredited Case Management (ACM)
Job Details
Baptist Health System - San Antonio Job ID # . Posted job title: Director of Case Management
Benefits
Health Care FSA
Dependent Care FSA
Life insurance
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Worksite address
san antonio, TX, 78208, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.