Registered Nurse Care Manager-Health Plan Admin
Company: Christus Health
Location: Irving
Posted on: March 1, 2026
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Job Description:
Description Summary: The RN Care Manager (CM) II works with
physicians and multidisciplinary team members to develop a plan of
care for each assigned patient from admission through discharge.
The CM ensures that the patient is progressing toward desired
outcomes by continuously monitoring patient care through
assessments and/or evaluations. Assesses and responds to
patient/family needs by coordinating efforts of other team members.
Identifies and resolves barriers that hinder effective patient
care. The CM plans effectively to meet patient need, manage length
of stay and promote efficient utilization of resources to include
the facilitation of patient care across the continuum, intervening
as necessary to remove barriers to timely and efficient care
delivery and reimbursement and resolves barriers that hinder
effective patient care. Responsibilities: Meets expectations of the
applicable OneCHRISTUS Competencies: Leader of Self, Leader of
Others, or Leader of Leaders. Coordinates/facilitates patient care
progression throughout the continuum. Implements and monitors the
patient’s plan of care to ensure effectiveness and appropriateness
of services. Identifies and escalates system barriers that are
impeding diagnostic or treatment progress. Proactively identifies
and resolves delays and obstacles to discharge. Uses advances
conflict resolution skills as necessary to ensure timely resolution
of issues. Collaborates with medical staff, nursing staff, and
ancillary staff to eliminate barriers to efficient delivery of care
in the appropriate setting. Ensures that all elements critical to
the plan of care have been communicated to the patient/family and
members of the healthcare team and are documented as necessary to
assure continuity of care. Manages all aspects of discharge
planning for assigned patients. Provide appropriate interventions
which demonstrate knowledge of and sensitivity toward cultural
diversity and the religious, developmental, health literacy, and
educational backgrounds of the patient population. Assesses the
patient’s formal and informal support system as well as available
benefits and/or community resources. Meets directly with
patient/family to assess needs and develop and individualized care
plan in collaboration with the physician. Ensures and maintains
plan consensus from patient/family, physician and payor. Provide
education, information, direction, and support related to patient’s
goals of care. Acts as patient advocate to develop treatment plan
and coordinate patient care and to transition patient to the
appropriate next level of care. Demonstrates and promotes respect
for the dignity and rights of every patient while adhering to the
safety standards and practices of the organization and the nursing
profession. Collaborates with the physician and other health care
professionals to promote appropriate use of medical center
resources. Provides information and support to patients and
families, helping them access needed resources within the medical
center and community. Actively participates in clinical performance
improvement activities involving length of stay, resource
utilization, avoidable days, cost per case, and readmissions.
Measures effectiveness of interventions through direct
communication with post-acute care providers, patients, and
caregivers. Promotes individual professional growth and development
by meeting requirements for mandatory/continuing education and
skills competency. Job Requirements: Education/Skills BSN Degree
from an accredited nursing program or demonstrated success in
CHRISTUS RN Care Manager I position required. Master’s degree in
nursing preferred. Program management experience, including
management of multiple projects at one time preferred. Excellent
verbal and written communication. Critical and analytical thinking
skills. Demonstrated clinical competency. Working knowledge of
discharge planning, utilization management, case management,
performance improvement, and managed care reimbursement.
Understanding of pre-acute and post-acute levels of care and
community resources. Ability to work independently and exercise
sound judgment in interactions with physicians, payors, patients,
and their families. Experience Three or more years clinical
experience in clinical practice or demonstrated success in CHRISTUS
RN Care Manager I position. Case management and Utilization Review
experience preferred. Licenses, Registrations, or Certifications RN
License in state of employment or compact required. Certification
in Case Management or demonstrated success in CHRISTUS RN Care
Manager I Position preferred. Work Type: Full Time
Keywords: Christus Health, Irving , Registered Nurse Care Manager-Health Plan Admin, Healthcare , Irving, Texas
