Baylor Scott & White Medical Center – Sunnyvale is recruiting a full-time Case Manager, RN – Discharge Planner to lead discharge planning and utilization review across a community-based acute care hospital in Sunnyvale, TX. This facility punches well above its size, offering a specialty mix and outpatient footprint — including physical medicine, wound care, a sleep center, advanced imaging, and two free-standing Emergency Departments — that is uncommon for a community hospital. The role sits at the intersection of clinical assessment, payer navigation, and care coordination, making it an excellent fit for an RN who thrives on complex problem-solving and patient advocacy.
Perks and Benefits
- Employment with a well-established regional health system offering competitive compensation commensurate with experience
- Comprehensive health, dental, and vision insurance coverage
- Retirement savings plan
- Equal opportunity employer with reasonable accommodations for qualified individuals with disabilities
- E-Verify participating employer — candidates with work authorization questions are welcome
Practice Highlights
- Performs discharge planning assessments for Medicare, Medicaid, commercial, private pay, and high-risk patients across multiple inpatient units
- Conducts utilization review with working knowledge of Medicare, Medicaid, HMO, and private insurance coverage criteria
- Coordinates post-hospital care arrangements with a goal of completing home care and placement plans 24 hours prior to a known discharge date
- Communicates directly with attending physicians to facilitate post-acute care transitions and support clinical decision-making
- Maintains ongoing dialogue with patients, families, and caregivers throughout the hospitalization to assess and address evolving discharge needs
- Collaborates daily with admissions personnel to track admissions and discharges across units
- Partners with the Business Office Manager and on-site eligibility worker to connect patients with financial assistance resources
- Maintains a current working knowledge of community resources and distributes appropriate resource materials to patients and families
- Active participant in Utilization Management Committee, CQI meetings, and interdisciplinary team meetings
- Serves a broad outpatient and inpatient catchment area encompassing Sunnyvale, Forney, Mesquite, Seagoville, and surrounding communities
- Facility features an extensive outpatient services footprint: physical medicine, wound care, sleep center, diagnostic imaging, and two free-standing Emergency Departments
Qualifications
- Current Registered Nurse (RN) licensure in the State of Texas required
- Working knowledge of Medicare, Medicaid, HMO, and private insurance coverage criteria and utilization review processes
- Clinical experience in direct patient care; experience in case management or discharge planning strongly preferred
- Demonstrated ability to assess patient financial status, diagnosis, and post-acute care needs and match patients to appropriate resources and care settings
- Strong written and verbal communication skills in English; proficiency in additional languages is a plus
- Basic computer proficiency; ability to maintain thorough, timely documentation consistent with current standards and policies
- Organized, self-directed, and able to manage a complex workload under time-sensitive conditions
About the Community
Sunnyvale is a growing suburb situated in the eastern Dallas–Fort Worth Metroplex, offering residents easy access to the cultural amenities, professional sports, dining, and entertainment of one of the nation's largest metro areas while maintaining a quieter, community-oriented pace of life. The area features highly regarded schools, affordable housing relative to many major Texas cities, and proximity to the recreational opportunities of Lake Ray Hubbard. For clinicians seeking a strong career opportunity without sacrificing quality of life, the eastern DFW corridor is a compelling destination.