Lead Case Manager Nurse

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

 

Dallas Regional Medical Center is a 202-bed acute care hospital accredited by The Joint Commission that offers a wide range of medical services including 24/7 emergency care, cardiology, wound care, surgical services, cardiac catheterization, and imaging. The hospital is the only Certified Stroke Center, Accredited Chest Pain Center, and Labor and Delivery Unit in the area. In addition, Dallas Regional is the only Trauma Center for 13 miles, and was the first Accredited Geriatric Emergency Room in Dallas County. The hospital is a recipient of Healthgrades Patient Safety Excellence Awards, 15 Healthgrades Five-Star ratings over the past three years, and Straight "A" Hospital Safety Grades from The Leapfrog Group since 2018. For more information visit www.dallasregionalmedicalcenter.com.

 

Responsibilities

The working Lead of Case Management is responsible for providing supervision to the case managers, social workers, coordinators/discharge planners, utilization review coordinators and utilization review technicians. Provides oversight for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management.  Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care.  The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

 

1.     Licensed RN in your state.

2.     Minimum 5 years of acute care experience

3.    At least one-year experience in case management, discharge planning or management

4.    Experience and knowledge in basic to intermediate computer skills.

 

Preferred qualifications:

 

1.    CCM or obtained within 6 months of hire2.    Knowledge of Milliman Criteria and InterQual Criteria preferred.3.    Current BCLS certificate

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf