Case Manager

Job Title: Case Manager, Employee Health Nurse
Reports to: CCO, Quality Director                                       Department: Nursing
Position Avaliable: Full-Time

POSITION SUMMARY:  

The Case Management & Employee Health Nurse is responsible for coordinating patient care across the continuum while overseeing employee health and occupational health services. This role supports safe patient transitions, appropriate utilization of services, employee safety, and regulatory compliance in accordance with CMS Conditions of Participation, OSHA standards, CDC guidance, and applicable Texas regulations. Due to the rural and cross-functional nature of CAH operations, this position may perform multiple duties to support hospital operations.

PRIMARY RESPONSIBILITIES:

Case Management and Care Coordination: 

• Coordinates patient care from admission through discharge for inpatient, observation, transitional care, and emergency department patients as assigned 
• Conducts discharge planning assessments and coordinates post-acute services including home health, DME, hospice, transitional care, or skilled nursing placement 
• Collaborates with providers, nursing staff, therapy, and ancillary departments to support safe and timely patient transitions 
• Supports compliance with CMS CAH requirements including medical necessity documentation, length-of-stay monitoring, and transitional care documentation 
• Coordinates transfers to higher levels of care 
• Identifies common barriers to care in rural settings 
• Documents case management activities in the electronic health record
• Facilitates and participates in interdisciplinary care discussions 
• Supports quality improvement initiatives related to throughput, readmissions, and care coordination
  

Employee and Occupational Health Nurse: 

• Manages employee health records in compliance with CMS, OSHA, CDC, and Texas DSHS requirements 
• Coordinates pre-employment and ongoing employee health requirements including TB screening and immunizations 
• Coordinates post-exposure evaluation and follow-up 
• Collaborates with Infection Prevention on exposure tracking and illness trends 
• Provides employee health and safety education 
• Maintains confidentiality of employee health information
  
• Additional Responsibilities:
• Supports Infection Prevention, Quality, Emergency Preparedness, or Staff Education activities as assigned 
• Assists with survey readiness and regulatory reviews 
• Assists with development and review of related policies 
• Participates in committees, meetings, and training as required 
• Performs other duties as assigned consistent with licensure, competency, and organizational needs
  

Qualifications: 

• LVN license required, RN preferred 
• Proficient computer skills  
• Strong organizational and communication skills 
• BLS required, ACLS preferred 
• Experience in case management, employee health, or infection prevention preferred   

Physical and work requirements:   

• Combination of office and clinical environments   
• Ability to sit, stand, and walk throughout the facility   
• Ability to lift up to 25 pounds occasionally   
• Flexible scheduling may be required