Part Time Utilization Management Jobs in Texas (NOW HIRING)

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering exceptional experience.

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

The Clinical Liaison builds relationships with current and potential referral sources. The liaison evaluates patients for post-acute care services. The liaison performs pre-admission assessments to establish if patients qualify for the inpatient rehabilitation center. The liaison collaborates with physician and nurse managers to ensure compliance with Medicare guidelines. Proper documentation is maintained both on pre-admission and throughout the patient's rehab stay.

• Completes preadmission assessments timely, thoroughly, and with sufficient detail to justify a rehab admission.
• Coordinates admission process with referral source, patient/family and rehab team through effective communication and documentation.
• Educates potential patients and families, as well as referral sources on inpatient rehabilitation and the benefits of the program.
• Develops and maintains positive business relationships with key referral sources.
• Develops and implements strategies to grow market share in the core business line in the assigned hospital.
• Promotes BSW services and programs to the external community. Is available to assist with health fairs and educational programs as needed.
• Works closely with service line leadership and Clinical Liaisons. Promotes rehab services by participating in educational programs, meet and greets, and interdisciplinary meetings in hospitals or other care levels.
• Ensures compliance with Medicare guidelines and proper IRF documentation both on pre-admission and throughout the patient's rehab stay.
• Understanding of the IRF-PAI (Inpatient Rehabilitation Facility-Patient Assessment Instrument).
• Provides exceptional customer service by ensuring patient referrals are managed and completed in a timely manner.

• Knowledge of care management and resource utilization management.
• Knowledge of current Medicare PPS guidelines and regulations related to inpatient rehab compliance and IRF-PAI management.
• Knowledge and understanding of nursing and patient care standards and procedures.
• Know laws, rules, and regulations. Understand standards and guidelines of certifying and accrediting bodies. Follow hospital and department/unit standards, protocols, policies, and procedures for nursing care in the assigned area.
• Know medical terms, health promotion, risk reduction, and disease prevention. Understand medications, common dosages, effects, and possible adverse reactions.
• Knowledge of medical and professional nursing ethics and patient privacy rights.
• Must be able to communicate thoughts clearly, both verbally and in writing.
• Skills related to promoting and marketing a service line.
• Ability to work collaboratively with both internal and external referral sources and external partners and organizations.
• Must have critical thinking and problem-solving skills.
• General computer skills include Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email.

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - Associate's
• MAJOR - Nursing
• EXPERIENCE - 2 Years of Experience

CERTIFICATION/LICENSE/REGISTRATION

• Registered Nurse (RN)
• Licensed Clinical Social Worker
• Licensed Masters Social Worker
• Licensed Social Worker Adv Prac
• Occupational Therapist
• Physical Therapist