RN Hospital Case Manager New

Job ID 77878-147 Date posted 09/10/2025

Welcome to Baylor Scott & White Orthopedic and Spine Hospital – Arlington, TX, where we focus on an environment of excellence, growth, and specialized patient care. We are a dynamic community dedicated to revolutionizing orthopedic and spine care!

We are seeking a Registered Nurse Case Manager/Discharge Planning/Utilization Review to join our team!!

• Schedule: 8AM-4:30PM, M-F**
  
  

Registered Nurse Case Manager/Discharge Planning/Utilization Review at Baylor Scott & White Orthopedic and Spine Hospital – Arlington:

The RN Case Manager oversees discharge planning and utilization review at BOSHA, including:

• Coordinating safe discharges and post-acute placements.
• Ensuring compliance with CMS/Medicare requirements.
• Reconciling patient status, orders, and payer authorizations.
• Completing InterQual reviews, authorizations, and managing denials/PCRs.
  
  

Why Choose Baylor Scott & White Orthopedic and Spine Hospital – Arlington?

• A Legacy of Expertise: Join a 38-bed hospital that has proudly been serving Arlington residents and patients from across the region since 2010. We're not just a hospital; we're the only specialized facility of our kind in the DFW Metroplex, bringing world-class experts close to home for the highest level of orthopedic and spine care.
• USPI Partnership: Baylor Scott & White Orthopedic and Spine Hospital – Arlington is a proud joint venture between United Surgical Partners International, local physicians, and Baylor Scott & White. This partnership fosters an environment of collaboration, innovation, and continuous learning.
• Committed Patient Care: Our focus is delivering top-quality, specialized treatment with compassion tailored to each individual. We're committed to ensuring all patients feel comfortable, informed, and empowered about their surgery, making this hospital experience a positive one.
• Accreditation & Certification: Our facility holds accreditation from The Joint Commission and is fully licensed by the state of Texas. Along with our Total Joint Program and Spine Program. Additionally, we have been awarded with Press Ganey Guardian of Excellence Customer Service Award. Our commitment to meeting rigorous performance standards ensures the highest level of care for our patients.
  
  

Join us at Baylor Scott & White Orthopedic and Spine Hospital – Arlington and embark on a journey of professional fulfillment, growth, and meaningful patient care. Apply today to be part of our esteemed team, where your expertise and dedication create an exceptional healthcare environment. Your path to a rewarding career starts here!

Required Skills:

Education/License:

• Current license as a Registered Nurse in TX
• CCM preferred
  
  

Required Experience:

Required Experience:

• One to three years' experience in Case Management.
  
  

Required

1 year Utilization Review and Acute Care experience required.

• Relevant clinical experience preferred.
• Demonstrate competent communication and leadership skills.
• Knowledge of Joint Commission, CMS, Private Insurance and TDSHS standards.
• Basic computer knowledge. Word and Excel preferred
• Possess the ability to make independent decisions and handle multiple projects simultaneously.