RN Case Manager - Intermediate (HOPD Neurosurgery Clinics)

Job Description

Manages cases to enhance the quality of patient management and satisfaction. Promotes continuity of care and cost effectiveness through integrating functions of case management, utilization review and management, and discharge planning.

Responsibilities

• Assists with the provision of ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs; accountable for the care, coordination and discharge planning of all patients.
• Helps to coordinate the integration of social services / case management functions into the patient care, discharge, home planning processes, external service organizations, agencies and healthcare facilities.
• Acts as patient advocate; investigates and reports adverse occurrences; evaluates patient satisfaction and quality of care provided.
• Conducts review for appropriate utilization of services from admission through discharge; ensures that patient tests are appropriate and necessary, completed within the established timeframe and that results are promptly available.
• Performs staff education related to resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
• Communicates with physicians at regular intervals and develops effective working relationships; assists physicians to maintain appropriate cost, case, and desired patient outcomes.
• Participates in the development and implementation of patient care policies and protocols.
• Performs all other duties as assigned.

Qualifications

Education

Associate's Degree in nursing is required.

Licenses / Certifications

Current Texas Registered Nurse License is required. CPR / BLS required.

Required Skills

Three (3) years of nursing experience in a clinic or hospital setting, to preferably include one (1) year of experience in a related patient population (such as utilization management, chronic disease management, home health, hospice).

About Us

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options :

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.