RN Case Manager (UTHP Quality)

UT Health San Antonio is one of the country’s leading health sciences universities and is designated as a Hispanic-Serving Institution by the U.S. Department of Education. With missions of teaching, research, patient care and community engagement, its schools of medicine, nursing, dentistry, health professions and graduate biomedical sciences have graduated 39,700 alumni who are leading change, advancing their fields, and renewing hope for patients and their families throughout South Texas and the world.  UT Health San Antonio is a 2021 Forbes Best-In-State Employer and is fast becoming known as a place that launches and advances careers. 

 As an employer, UT Health San Antonio provides:

•    An excellent benefits package with lower-cost health insurance options for employees as well as competitive dental and vision plans.

•    A defined benefit retirement plan with matching contributions higher than the market average.

•    Three to five weeks of paid time off per year, plus sick leave and paid holidays.

•    Discounts at UT Health providers and facilities.

 Job Summary:

 

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.

Job Duties:

 

• Provides 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.
• Coordinates 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.
• Directs and participates in the development and implementation of patient care policies and protocols.
• Performs all other duties as assigned.

 

 

Education:

• Associate’s degree in nursing is required.

Experience:

• Three (3) years of nursing experience in a clinic or hospital setting, to include one (1) year of experience in the specific related patient population is required.

Additional Licenses and Certifications:

• Current Texas Registered Nurse License is required.

Additional Information