Care Transition Manager RN – Care Management

Care Transition Manager RN – Care ManagementWe are looking for top skilled nurses to join our Texas Health family. Is that you?Work location: Texas Health Rockwall - 3150 Horizon Rd, Rockwall, TX 75032Work hours: Full Time, 40 hours weekly, day schedule, must be able to work occasional weekend schedulePosition Highlights:Texas Health Hospital Rockwall is proud to serve the growing areas of Rockwall County, Kaufman County, Hunt County, eastern Dallas County, southern Collin County, and outlying areas. Our caregivers live in these tight knit communities too therefore we have a particular interest in providing the best care possible for you - our neighbors, friends, and family members.Here’s What You Need:

Bachelor's degree nursing individuals hired as CTRN prior to May 11, 2017 will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017 required

3 years as a staff nurse at an acute care hospital required and

1 year in discharge planning/care management preferred

RN - Registered Nurse required upon hire and

CPR - Cardiopulmonary Resuscitation required upon hire and

ACM - Accredited Case Manager preferred upon hire or

CCM - Certified Case Manager preferred upon hire or

Other ANCC preferred upon hire

A successful Care Transition Manager RN will have:Working knowledge of medical necessity criteria preferredKnowledge of Microsoft Outlook and Office (Word, Excel)Customer service skillsAbility to engage in complex clinical decision-makingStrong oral and written communication skillsStrong commitment to interdisciplinary collaborationCritical thinking, analysis, and conflict resolution skillsFlexible scheduling as necessaryPsychosocial and crisis intervention skillsAbility to prioritize and meet deadlinesWhat You Will DoResponsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner:Reviews the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients and collaborates with the interdisciplinary team to identify high risk patients whose THRIL score may not have indicated appropriately.Promotes discussion and assists in the identification of a primary care physician (PCP) for patients without a PCPCompletes Transition Evaluations on patients within 24 hours of identification and begins discharge planning.Interviews and assesses patients and caregivers as part of the transition evaluation and as needed.Identifies transition needs and discusses funding of post-transition care with patients and caregivers.Ensures patients are provided post-acute options based on clinical necessity and patient choice while also considering the payor source:Serves as a content expert regarding payor information. Educates the multidisciplinary team, patients and caregivers regarding payor requirements and barriers.Responsible for compliance with documentation guidelines and regulatory agency requirements:Complies with all documentation requirements and documents all activities in the electronic health record.Serves as a content expert on the following:Compliance requirements for delivery of HINN, second IMM and MOON lettersPotential denials, avoidable days, and alternate level of care daysMedical necessity, patient status and discharge criteriaClinical review staff requirements and communicationsAdditional perks at Texas Health:

Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.

Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.

Strong Unit Based Council (UBC).

A supportive, team environment with outstanding opportunities for growth.

Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

#LI-KC1Employment opportunities are only reflective of wholly owned Texas Health Resources entities.We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.