Job Details

Overview

Join our team as a day shift, full-time, Acute Care Case Manager Registered Nurse (RN) in Athens, TX.

Why Join Us?

Thrive in a People-First Environment and Make Healthcare Better

• Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
• People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
• Make Healthcare Better: We use advanced technology to support our team and enhance patient care.

Get to Know Your Team:

• UT Health Athens is a 127-bed facility, including a 24-hour ED, designated as a Level IV trauma center and Level III stroke center; advanced diagnostic technology; 10-bed ICU; maternity unit radiation therapy center; and a stand-alone ED in Gun Barrel City.

Responsibilities

• The Case Management Admission Review Nurse has overall responsibility for ongoing clinical review of patient medical record as they are identified as needing hospitalization.
• This would include working directly with medical care providers to determine the appropriate level of care assignment based on CMS (Centers for Medicare and Medicaid Services) requirements.
• This may include the use of medical necessity guidance tools to assist with assignment of the appropriate level of care.
• Coordination and communication will occur with members of the local Case Management team and market Utilization Review team.

Qualifications

Job Requirements:

• Associates degree in nursing or higher
• Competent with Medical Necessity Review criteria

Preferred Job Requirements:

• Two (2) years acute hospital-based case management experience