RN Case Manager Lead

As a RN Case Manager Lead, your voice to influence patient care is valued and empowered at every turn u2013whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications The Lead Case Manager is responsible as the main resource person for the Case Managers. The Lead interacts and guides the team to ensure quality and integrity of care based on TMCP Standards of Excellence and the Three Pillars of Success. What You Will Do In This Role: + Help ensure staff has the proper resources and education to tend to their respective job. + Practice autonomously, consistent with practice standards based policy/procedures + Provides daily leadership for case/resource management to achieve maximum deployment and integration. Measures such functions throughout the organization using the facility improvement process. + Utilizes data analysis to drive departmental and facility improvement projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. + Collaborates with clinicians and support staff in designing and implementing processes to comply with regulatory requirements and assist with TJC survey readiness/preparation. + Participates in performance improvement activities of the department and organization. + Provides leadership for all areas of the Case Manager roles. + Responsible for the tracking of choice letters and Medicare and discharge appeal letters. + Assists with tracking trends for barriers to patient access to care; makes recommendations in the development of action plans to improve process and systems. + Actively monitors training of all new Case Managers. + Assists the Manager and Director in the development and check-off of on-going staff competencies and ensures that all staff members are compliant with annual safety, HIPAA and Code of Conduct requirements; provides input on staff performance evaluations + Functions effectively as a multi-disciplinary team member; exercises independent judgment within the context of the interdisciplinary patient care team. + Maintain compliance with applicable laws, regulations and standards of those planning, regulatory, and accrediting agencies that affect the institution. + Participate in development and evaluation of professional practice by participating on unit and/or hospital committees, special projects and attendance at staff meetings and town halls. What qualifications you will need + Bachelor's Degree in Nursing + TX State RN license or compact license is acceptable + Minimum 3 year Case Management experience in an acute care setting, Supervisory experience a plus + Strong communication skills and the ability to listen, interact, and communicate verbally in writing, excellent interpersonal skills Benefits Medical City Plano, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services + Wellbeing support, including free counseling and referral services + Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence + Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling + Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing + Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits ( _Note: Eligibility for benefits may vary by location._

Created: 2026-05-08