RN Case Manager

apartment Surgery Partners location_onLubbock, TX, US

JOIN OUR TEAM!!!

Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key?

We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees love their work here. Many have been with us from the very beginning. Because we’re physician-owned, we understand the value of having a well-trained, well-resourced staff. When it comes to procedural healthcare, experience matters.

Lubbock Heart & Surgical Hospital is committed to providing better outcomes for our employees!

Great Benefits – Medical, Vision, Dental, PTO & 401K
Individually Tailored 6-12 Week Orientation
Opportunities for Advancement
Career Ladder for RNs, LVNs, & CSTs
Consumer discounts through Perks
Family Atmosphere
Opportunity for Multi-Unit Training
Free CEUs through Cornerstone, our online training system

We are looking for a dedicated RN Case Manager/Utilization Review like you to join our Lubbock Heart team.

What You Will do in this Role:

Review medical records concurrently for appropriateness of level of care and discharge planning.
Review medical records concurrently for insurance and managed care reviews.
Review all patient admission data on a concurrent basis within the designated time frames to determine the suitability of the level of care in accordance with Texas Medical Foundation and/or other criteria.
Collaborate with the attending physician if the case does not meet admission or continued stay criteria. Refers unresolved issues and questionable reviews to the Director of Case Management/CDI.
Document all utilization review activity on the appropriate forms.
Develop and maintain an effective working relationship with physicians and staff.
Work with patients and families to identify resources and additional avenues for post-hospital care and support.
Coordinate with nursing to help with discharge teaching.
Work with other agencies to identify placement, transportation, funding, medications, and other protocols as needed in a cost effective manner.
Prepare and maintain essential records and reports.
Assure a sage and therapeutic environment for patients and staff.
Identify and implement actions to improve clinical services.
Organize time and sets priorities to accomplish work load.
Deal with conflict and problematic situations in an open, respectful, and tactful manner.
Support, assist, and adhere to implementation of the organization mission and vision.
Organize use of resources to assure efficient operation.

What Qualifications You Will Need:

Current Registered Nurse licensure in the State of Texas or MSW
Must deal calmly and effectively with high stress situation.
Two (2) or more years of medical or psychiatric case mangement or utilization experience.
Medical Terminology
Three to Five years’ case management experience in a hospital setting preferred.
Minimum of three years’ experience in an acute care setting.
Knowledge of Texas Medical Foundation Criteria.
Knowledge of Interqual Screening Criteria.

Your Shift: Full Time Days including On Call every Third Week

LHSH Incentives

Flexible Scheduling
No mandatory overtime
Career Ladder

Lubbock Heart & Surgical Hospital specializes in the care of cardiac, orthopedic, nephrology, urology, and general medical patients. We are also a highly active inpatient center mainly centered on surgical procedures that include cardiothoracic, orthopedic, urology, and general surgery. We have a 24-hour Emergency Department with 5 fully equipped ED rooms, 4 fully operating OR rooms, 4 cardiac catherization labs with 1 electrophysiology room, 11-day surgery rooms, 58 acute care beds spread over three units, and 16 cardiac critical care rooms. We pride ourselves on giving the best overall care possible to our patients and on our family style atmosphere that includes everyone: patients and their families, physicians, and our employees.

Lubbock#250

Share this job

Related Jobs

Full-time

Advanced Practice Nurse (Nurse Practitioner)

apartment Indian Health Service (IHS) location_onIdalou, TX

$120,000 / YEAR

The incumbent is a primary and specialty care provider to patients and their families (all ages). Assignments include comprehensive medical and nursing care to patients with progressively more difficult or unusual problems. We are accepting applications year-round with eligible applicants being placed on a standing register and eligible candidates referred for consideration as vacancies occur with referral at multiple grade levels and locations and type of appointments.

Full-time

Registered Nurse

apartment Community Options, Inc. location_onLubbock, TX

Description Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are now hiring a Full Time Registered Nurse in Lubbock , TX . The Registered Nurse delivers care to individuals with disabilities in a community setting utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation. This person will interact with individuals, significant others, and health team members while maintaining the standards of professional nursing. *This is an On-call Position * Offering an $8,000 sign on bonus payable at 6 months. Must be Full-time and working all scheduled hours, complete all required training by referred employee, must successfully pass the 6 month introductory/probationary period per the Executive Director’s approval. Responsibilities Provide treatment and health care procedures ordered by a physician and required by the standards of professional practice or law Ensure individuals attend medical appointments per their Individual Support Plan (ISP) Advise supervisor of all concerns and issues related to the provision of nursing services Create and distribute medical/health reports detailing general health, health care goals, and physician recommendations Conduct programmatic trainings including medication administration and delegation Develop and update Individual Support Plans (ISP)/Person Centered Plans (PCP) with an interdisciplinary team to include any concerns, observations, and behavioral developments Train employees on the medical needs of assigned individuals Monitor health and medical conditions of individuals and refer for medical services as needed Monitor the use of medications through medication administration logs Administers medication and management as needed Provides health teaching to the client and assists the client in learning appropriate self-care techniques and safety measures Conducts nursing assessment visit as needed Reports all incidents per operation procedure and regulatory standards Follows policies and procedures according to operational, state, and regulatory standards Completes supervisory visits based on compliance and regulations to include review of plan of care, caregiver competency assessment, and completion of required documentation. Complete daily, monthly, quarterly and annual nursing documents as required Attends and participates in staff meetings, in-services, and other meetings as requested Ensures the ordering, reviewing, monitoring, discontinuation, and, if necessary, the disposal of medications as prescribed by the physician Transcribes or ensures transcription of physician phone orders and other medically related reports Ensures that appointments for health-related issues are scheduled, completed, and that appropriate responses to findings are implemented in a timely manner Provides new employee training, annual re-certification training, and competency validation for health and safety-related topics Employee must cooperate with the license and department staff in any inspection, inquiry, or investigation Minimum Requirements Bachelor’s degree or equivalent experience in nursing field Minimum of one year of experience providing nursing services to individuals with disabilities Valid R.N. license Valid driver’s license with a satisfactory driving record Understanding and commitment to community-based support for persons with disabilities Excellent verbal and written communication skills Employment is contingent upon successful completion of checks of criminal background, central registry, child abuse registry, and drug testing Why Community Options? Competitive Insurance Options (Medical, Dental, Vision) (Day 1) Paid Holidays—Including a Birthday Holiday! Generous Paid Time Off (PTO). Employee Incentive & Discount Programs. 403b Retirement Plan. Exceptional Career Growth Opportunities. Great coworkers/team that support you! University partnerships that include tuition reduction Please Visit Our Website to Complete an Online Application! Careers.comop.org Community Options is an Equal Opportunity Employer M/F/D/V #IND-LU

Full-time

Registered Nurse

apartment Community Options, Inc. location_onLubbock, TX

Home Health

Other

RN - Clinical Team Leader - Home Health

apartment Enhabit Home Health & Hospice location_onLubbock, TX

Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO – Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities Ensure the overall coordination of home health services provided to the patient is delivered according to acceptable standards of practice and company procedures. Review and approve patient information submitted by the licensed professional during a start of care, recertification, resumption of care, or evaluation visit. Facilitate the relationship between physicians, referral sources, patients, caregivers, and employees. Qualifications Must be a graduate of an approved school of professional nursing. Must be licensed in the state in which they currently practice, or in accordance with the board of nursing rules for nurse licensure compact for the state in which they practice. Must have at least two years of nursing experience. Must have one year experience in home health or hospice. Must have demonstrated knowledge and understanding of the federal, state, and local laws and regulatory guidelines that govern a home care operation. Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred Previous experience in management is preferred. Requirements Must possess a valid state driver license Must maintain automobile liability insurance as required by law Must maintain dependable transportation in good working condition Must be able to safely drive an automobile in all types of weather conditions Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Per Diem

Registered Nurse - Surgery

apartment American Vision Partners location_onLubbock, TX

Company Intro At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview As an Per Diem Ophthalmology RN, your strong detail orientation and multi-tasking skills will be essential in our fast-paced, high-volume environment. You will provide a safe and efficient environment for all patients in our Ambulatory Surgical Center (ASC) during the perioperative phases Responsibilities Greets and admit patients to the pre-/post-operative area Assesses, plans, implements and evaluates patient care using the nursing process and take into account individual patient needs Prepares operating suite for patients - monitor cleanliness, assemble supplies, instruments and sutures, check equipment for proper functioning Assesses patient’s condition on arrival in surgery and provide physical or emotional support as needed Assists Anesthesia Provider and Surgeon during procedures, maintaining constant awareness of the operative situation and a safe environment for patients and personnel Evaluates, observes, and treats patients under local anesthesia Maintains accurate and complete records of patients’ surgical experience Starts IVs, gives medications, and prepares drugs and solutions per physician protocols Prepares for and manages immediate postoperative care, including transporting patients to recovery room, communicating patient needs, and providing patient and family training Assists in orientation of new team members and cross-training of existing personnel Obtains patient history through interviews and evaluations, noting data in chart and sharing pertinent information with physician Qualifications Associate’s degree required; BSN preferred Current RN License 1-year Ophthalmology experience as a Surgery RN is a plus BLS certification required ASC experience preferred Bilingual preferred Detailed oriented, reliable and able to multi-task in a fast-paced, high-volume work environment Excellent verbal and written communication skills This is a Safety Sensitive position Benefits & Perks Your health, happiness and your future matters! At West Texas Eye, we offer everything from medical and dental insurance, significant eye care discounts, 401(k), paid holidays, PTO, Sick Time, pet insurance, opportunity for growth, and much more!