Nurse Case Manager
Overview
Becoming a Nurse at University Health is a great way to step up and be there for the people of South Texas. They look up to us, and as a Nurse at UH, we’ll look to you to help carry out this mission in an environment that has been designated, and redesignated, as a Magnet Health Organization by the American Nurse Credentialing Center (ANCC) for more than a decade. From your first day, you’ll be hands on with our patients while gaining valuable experience, earning excellent benefits and making a real impact on people’s lives.
- Full Time
- Level:
- Travel: Minimal (if any)
- Salary: $63K-$96K
-
URL for glassdoor logo needs to be replaced.
Glassdoor logo rating needs to be replaced with client rating. The last two numbers "01" should be updated with the client company number. You can find the company number on the reviews page of the company for example TMP's url is https://www.glassdoor.com/Reviews/TMP-Worldwide-Reviews-E247764.htm and the company number for TMP is 247764.In addtion to 'horizontalStarRating' you can change this to 'verticalStarRating'
Success Profile
What does it take to build a successful Nurse Case Manager ? career at University Health? Take a look the top qualities we’re after and see if you have the right mix.
- Collaborative
- Compassionate
- Empathetic
- Problem-solver
- Detail-oriented
- Strong Communicator
At University Health, we are strongly committed to quality, compassion and innovation in everything we do here and in our community.
This is a great place to be exposed to many different types of patients, procedures and disease processes.
Acute Care Nurse
Learn more about what it means to be a nurse at University Health
Benefits
We believe in taking care of those who care for our community and provide each of our health care professionals with the benefits they need to thrive in all aspects of their lives.
Rewards
Learn about our rewards.
-
Healthcare
Medical: Excellent coverage for individuals and families with very low premiums and co-pays, and ZERO co-pays for medications filled at University Health. Dental, vision, pet insurance, flexible and health spending accounts.
-
Paid Time Off (PTO)
Generous accrual rates that start on day one.
-
Retirement
We offer both a 457(b) and 403(b) deferred compensation programs.
-
Education Reimbursement
Including college tuition reimbursement up to $600 per semester, continuing education up to $400 and certification reimbursement.
-
Life and Disability
Basic life paid by University Health, with optional plans for life and disability insurance.
-
Health and Wellness
Employee discounts, including gym memberships, employee health clinic, healing arts program, community events.
Responsibilities
POSITION SUMMARY/RESPONSIBILITIES
Identifies Community First Health Plan members with specific health care needs and provides case management interventions. Analyzes, approves health care services and monitors outpatient care planning for Community First Health Plans members based on established criteria, plan policies and procedures. Formulates and communicates case management plans that efficiently utilize health care services to move the member along the continuum of care towards optimum outcomes in the safest, most cost effective manner.
EDUCATION/EXPERIENCE
Graduation from an accredited school of professional nursing is required, BSN preferred. Master’s degree is preferred. Minimum three years’ acute care experience or managed care experience is required. Minimum one-year of concurrent review experience is required. Candidate must have utilization management and/or quality assurance experience. Basic knowledge of Medicaid, community resources and alternate funding programs is desired. Knowledge of InterQual screening criteria as well as DRG, ICD-9 and CPT coding is preferred.
LICENSURE/CERTIFICATION
Current Registered Nurse license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) designation is preferred.
Events
We host a variety of events designed to educate our staff and community members on a wide range of subjects, from valuable skills to support and more.
Sign Up for Job Alerts
From roles that align with your skills and experience to new opportunities, we can keep you up to date with new listings and more. Sign up to learn more.