Texas Health Dallas seeks to hire a Care Transition Manager Registered Nurse to work full time day shift. 

The address is 8200 Walnut Hill Road; Dallas TX 75231 

Salary range is Min. $35.69/hr. to Max. $50.46/hr. – based on relevant experience 

Work Schedule   

• Shift is 8AM-5:00PM (Mon-Fri) 

The essential job duties of this position are:
• Actively participates in Daily Patient Care Briefings and identifies patients appropriate for transition needs intervention.
• Reviews Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients. Collaborates with interdisciplinary team to identify high risk patients whose RRP score may not have indicated appropriately.
• Ensures all assigned patients have an identified Primary Care Physician (PCP). If PCP not identified, exhaust all efforts in an attempt to assign.
• Completes Transition Evaluation on all identified patients within 24 hours of referral; documents appropriately.
• Interviews/Assesses patients / caregivers as part of transition evaluation and as needed.
• Identifies transition needs (including medications), develops transition plan within 24 hours of referral, and discusses funding of post transition care with patients / caregivers; documents appropriately.  

• Validates transition plan with Interdisciplinary Team (Physician, Clinical Nurse Leader, Nursing, etc.).
• Ensures transition plan and post acute management plan consistency across care settings.
• Complies with all documentation requirements. Documents all activities in electronic health record.
• Adheres to compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter, etc.
• Has working knowledge of Advanced Directives, Living Will, Medical Power of Attorney, Mental Health Treatment Declaration,
• Out-of Hospital Do Not Resuscitate
• Order and Advanced Illness Planning
• Participates in Joint Commission readiness activities 

Serves as a content expert on the following: 

• Compliance with program expectations.
• Mitigation activities with all clinical partners / payors as needed.
• Compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter, etc.
• Potential denials, avoidable days, alternate level of care days, etc.
• Medical necessity criteria, patient status, and discharge criteria.
• All clinical documentation
• Clinical Review staff requirements and communications 

Qualifications

The ideal candidate will possess the following qualifications 

• Current RN licensure upon hire Required
• Bachelor’s degree in Nursing required
• Minimum 3 years clinical experience as staff nurse at an acute care hospital (required)
• Minimum 2 years acute care hospital discharge planning/care management (preferred)
• CPR - Cardiopulmonary Resuscitation Upon Hire Required And
• ACM - Accredited Case Manager (upon hire preferred) Or
• CCM - Certified Case Manager (upon hire preferred) 

Preferred Experience 

• Min. five years clinical experience as staff nurse at an acute care hospital 

• Min. two years acute care hospital discharge planning/care management 

Skills
• Knowledge of Microsoft Outlook and Office (Word, Excel)
• Competency in medical necessity criteria preferred 

• Customer service skills
• Ability to engage in complex clinical decision-making
• Strong oral and written communication skills
• Strong commitment to interdisciplinary collaboration and communication 

• Strong skills in the preparation of clinically pertinent medical record documentation  

• Critical thinking and analysis skills and conflict resolution skills 

• Position requires flexible scheduling, including weekend and evening shift work as necessary
• Psychosocial and crisis intervention skills
• Ability to prioritize and meet deadlines. 

• Preferred experience with electronic health record and automated case management systems. 

• Individual must be self-directed and goal/outcomes/measurement driven 

Why Texas Health Resources? 

Texas Health Presbyterian Hospital Dallas is an 898-bed, Magnet-designated hospital and recognized clinical program leader, having provided compassionate care to the residents of Dallas and surrounding communities since 1966. A full-service regional referral center, Texas Health Dallas has approximately 3,500 employees and 1,100 physicians on its medical staff, and offers a full range of services, including cancer care, cardiology, neurosciences, orthopedics, senior care, women's services and a renowned Level III neonatal intensive care unit. Texas Health Dallas has been recognized as a U.S. News and World Report Best Hospital in multiple specialties and is an accredited Cycle IV Chest Pain Center by the Society of Chest Pain Centers. The hospital is also a Bariatric Surgery Center of Excellence, a certified Emergency Stroke Care center and was named “Best Place to Have a Baby” in Dallas County in 2012.We invite you to join us in furthering your career and our accomplishments and philosophy of excellence. 

Texas Health Highlights 

• URL blocked - click to apply(5th year in a row) 

• 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4th year in a row) 

• Employees’ Choice “Best Places to Work” by Glassdoor 

• A “Best Workplaces in Texas” by Fortune and Great Place to Work® 

• 2019 “20 Best Workplaces in Health Care and Biopharma” by Great Place to Work® and Fortune (ranked #1) 

• A 2019 Gold level LearningElite award – national list of best organizations for learning and development by Chief Learning Officer magazine 

• A 2019 “America’s Best Employers for Diversity” list by Forbes