LVN Case Manager

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. Why Choose Baylor Scott & White Surgical Hospital Las Colinas? 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! Required Skills : Education Graduate of an accredited school of nursing; BSN preferred Licensure / Certification Current, active Texas RN or LVN licensure required. Case Management certification preferred, but not required. BLS required. Required Experience : Specific Job Experience Minimum two (2) years acute care experience required. Previous case management experience preferred. Principal Duties and Responsibilities : 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. Knowledge, Skills And Abilities 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