Valley Baptist Medical Center in Harlingen, Texas is recruiting an experienced Registered Nurse Case Manager to join its hospital-based care coordination team. This role carries full accountability for utilization management, transition planning, and denial prevention across the acute care continuum — a high-impact position for an RN who wants to drive patient outcomes and operational throughput at a faith-based regional medical center with deep roots in the Rio Grande Valley. A sign-on bonus is available for qualified candidates.
Perks and Benefits
- Sign-on bonus available for this position
- Medical, dental, vision, and life insurance
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)
- Continuing education and career development opportunities
- Employee Assistance Program and employee discount program
- Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, auto and home insurance
Practice Highlights
- Hospital-based case management role embedded within an acute care facility serving the Rio Grande Valley region
- Scope integrates four core domains: Utilization Management, Transition Management, Care Coordination, and Regulatory Compliance
- Performs accurate medical necessity screening and submits cases for Physician Advisor review; manages concurrent payer disputes
- Leads and facilitates multidisciplinary patient care conferences and Complex Case Reviews
- Oversees full transition planning cycle — assessment, reassessment, implementation, and post-acute coordination — to reduce avoidable readmissions and length of stay
- Identifies and refers complex psychosocial cases to Social Work Services; collaborates with physicians, office staff, and ancillary departments
- Ensures compliance with state and federal regulatory requirements, The Joint Commission (TJC) accreditation standards, and institutional policy
- Documents in the Case Management system with timeliness and precision; tracks potentially avoidable days and reports over- and underutilization
- Provides education to patients, families, caregivers, and physicians to support post-acute care needs and safe discharge planning
- Operates within a mission-driven health system with a continuous presence in the community since the early 1920s
Qualifications
- Active RN license in the state of Texas (or eligibility to obtain); must meet all state law and regulatory requirements for practice
- Graduate of an accredited school of nursing required; bachelor's or master's degree in nursing preferred
- Minimum 2 years of acute hospital patient care experience required
- Prior acute hospital case management experience strongly preferred
- Accredited Case Manager (ACM) certification preferred
About the Community
Harlingen sits in the heart of the Rio Grande Valley in deep South Texas — a region known for its warm climate, affordable cost of living, and proximity to the Texas Gulf Coast and the international culture of the US-Mexico border. The area offers year-round outdoor recreation, a growing healthcare and education sector, and easy access to South Padre Island beaches. For clinicians seeking a lower cost of living, a tight-knit community, and a meaningful patient population, the Rio Grande Valley is a compelling destination.