Lufkin, TX, US
1 day ago
RN Care Manager
Job Description

Woodland Heights has an opening for a Full Time Care Manager! We provide exceptional care for our patients and are looking for caring and knowledgeable team members to join us. As a Nurse at WoodlandHeights, you’ll play a vital role in doing what you do best - providing quality care to our patients. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.  Woodland Heights  is an employer that will motivate you, inspire you, and allow you to grow. We are looking for the best. If you are too, we invite you to learn more and apply today!

Our nurses enjoy a robust benefits package including:

Benefits

Matching 401(k) Medical, Dental, Vision & Life InsuranceRx Savings ProgramTuition ReimbursementLoan RepaymentCompetitive Pay + Shift DifferentialsGenerous Paid Time-Off (PTO)Extended Illness Bank (EIB)Employee Referral Bonus ProgramOpportunities for career advancementRewards and recognition programsAdditional perks and discounts

Job Summary

The Care Manager - RN is responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role involves collaborating with interdisciplinary teams, reviewing medical records for appropriateness and medical necessity, and maintaining compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness of admission, continued hospital stay, and utilization of diagnostic services.Collaborates with interdisciplinary teams (IDT) to ensure effective communication and coordination of patient care, including identifying avoidable days and resolving care transition issues.Develops and implements discharge plans, coordinating post-hospital placement and social services to meet patient needs.Refers cases to physicians or managers when patients do not meet established criteria, ensuring timely and appropriate interventions.Serves as a liaison with community agencies, maintaining relationships and facilitating seamless transitions for discharged patients.Facilitates interdisciplinary meetings to address patient care needs, resolve challenges, and support collaborative care planning.Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions, and compliance with reporting requirements.Identifies and appropriately refers cases to Child/Adult Protective Services, ensuring compliance with legal and ethical standards.Provides professional assistance to patients, families, and physicians regarding discharge planning and post-hospital care options.Performs other duties as assigned.Complies with all policies and standards.

Qualifications

Bachelor's Degree in Nursing preferred2-4 years of clinical nursing experience in a hospital, home health, or nursing home setting required2-4 years of care management experience preferred

Knowledge, Skills and Abilities

Strong understanding of case management principles, discharge planning, and transitions of care.Knowledge of federal, state, and Joint Commission standards related to case management.Excellent communication and interpersonal skills to collaborate effectively with patients, families, and interdisciplinary teams.Ability to assess complex situations, identify solutions, and implement care plans efficiently.Proficiency in electronic medical records (EMR) and documentation systems.Strong organizational and time management skills to prioritize tasks in a dynamic environment.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure requiredBCLS - Basic Life Support required

State Specific Requirements

Alabama: Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

Woodland Heights Medical Center is your community healthcare provider, a 149-bed facility offering inpatient and outpatient services. 

We believe in the power of people to create great care. 

We're more than 200 healthcare professionals strong. 
We are a Joint Commission accredited facility and have received awards for cardiology, pulmonology, neurology and orthopedic surgery. 
We work hard every day to be a place of healing, caring and connection for patients and families in the community we call home.

Our ValuesCompassion
Accountability
Respect
Excellence
ServiceOur VisionTo be recognized as the preferred healthcare provider and employer of choice in East Texas.Our MissionTo be the leader in service excellence and quality.

INDUR

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