Prime Healthcare

Acquires and reorganizes underperforming hospitals

RN Case Manager

Medical, Clinical & VeterinaryPosted on Nov 10

Part-timeHarlingen, TX, USANo salary listedIn-person

About the Job

Requirements

A BSW or another bachelor's degree in a related field is required.
At least one year of experience in case management, discharge planning, or nursing management is required.
Experience and knowledge in basic to intermediate computer skills are listed as a qualification.
An RN license is required.

Responsibilities

Evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay.
Develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions.
Coordinate safe and appropriate discharge plans, including referrals to rehabilitation, home health, or long-term care facilities.
Monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays.
Help patients and families understand care plans, post-discharge instructions, and available resources.
Advocate for patient needs and preferences, ensuring care is aligned with their goals and values.

Desired Qualifications

A minimum of five years of acute care experience is preferred.
CCM certification is preferred, or the candidate may obtain it within one year.
A current BCLS certificate is preferred.
Knowledge of Milliman Criteria and InterQual Criteria is preferred.

Overview

Shifts Available: Days

Employment Type: Part Time

Hours: 8 hour shifts

Location: Harlingen Medical Center - Harlingen, TX

Responsibilities

Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay
Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions
Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities
Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays
Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources
Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values

Qualifications

1. BSW or other bachelor's degree in a related field. At least one year experience in case management, discharge planning or nursing management; or2. Experience and knowledge in basic to intermediate computer skills.

3. RN License

Preferred qualifications:

1. Minimum 5 years of acute care experience preferred.2. CCM or obtained within 1year3. Current BCLS certificate preferred.4. Knowledge of Milliman Criteria and InterQual Criteria preferred.

Pay Transparency

Here are some of the benefits of working at Prime Healthcare:

Health, dental, and vision insurance options
Paid vacation, sick time and holidays
Bereavement leave, FMLA and other leave options
Employer 401K options
Tuition reimbursement options
Life, disability, and other insurance options
Many other amazing benefits

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Employment Status

Part Time > 59

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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About the Company

Prime Healthcare

Acquires and reorganizes underperforming hospitals

Prime Healthcare operates a network of hospitals and outpatient centers across the United States, concentrating on turning around financially struggling facilities. It invests in infrastructure and technology, restructures operations, and negotiates payer terms (including pursuing higher out-of-network reimbursements) to improve financial performance, and it manages both for-profit hospitals and not-for-profit facilities through the Prime Healthcare Foundation. The company aims to raise clinical quality and patient safety while expanding access in hundreds of communities, though it has faced legal and regulatory scrutiny over billing practices and service-line decisions. Its goal is to stabilize and improve the financial and clinical performance of underperforming hospitals so they can continue serving their communities.

Company size: 5,001-10,000
Company stage: Debt Financing
Total funding: $2.2B
Headquarters: Ontario, CA
Founded: 2001

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