LVN Case Manager role at United Surgical Partners International, Inc
Welcome to Baylor Scott & White Surgical Hospital Las Colinas, Irving, TX. The Case Manager will facilitate care and coordinate discharge planning to support high-quality patient outcomes.
Responsibilities
Facilitates progress through the continuum of care, from Pre-Admission through Discharge for Baylor Scott & White Surgical Hospital Las Colinas.
Provides feedback to payers on patient’s clinical status and secures approvals for additional days of stay.
Monitors quality standards as determined by the Performance Improvement Plan and the Medical Staff Quality Indicators.
Evaluates patients for discharge planning needs and appropriately directs the patient’s care.
Monitors resource consumption for most effective use; identifies teaching and psychosocial concerns for the best patient outcomes.
Assists in aggregating data for quality trending.
Assists in Infection Control surveillance.
Functions as a Patient Advocate to assist patients in resolving concerns.
Works with the Doctors and the Doctors’ offices to ensure that we have the correct status for the patient and that the patient received the correct aftercare once home.
Serves as a resource to Senior Management.
Required Skills
Education: Graduate of an accredited school of nursing; BSN preferred.
Licensure/Certification: Current, active Texas RN or LVN licensure required. Case Management certification preferred, but not required. BLS required.
Required Experience: Minimum two (2) years acute care experience required. Previous case management experience preferred.
Knowledge, Skills and Abilities
Ability to work independently.
Working knowledge of Microsoft Word and Excel; willingness to learn computer applications necessary for work functions.
Ability to adapt to changing situations and various personalities with a positive attitude.
Ability to utilize Electronic Health Care Record for patient documentation.
Adheres to confidentiality in dealing with patients, families, hospital personnel and the public.
Knowledge of professional nursing principles and CMS Conditions of Participation for Utilization Review.
Knowledge of current third-party regulations, Medicare, Medicaid benefits and services.
Knowledge of medical billing procedures.
Job Details
Seniority level: Entry level
Employment type: Full-time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Join us and contribute to a legacy of excellence and innovation. Apply today to be part of our dynamic team and make a meaningful impact on the lives of our patients and their families.
Note: This description reflects responsibilities and qualifications for the LVN Case Manager role and may be subject to change.