Case Manager RN WellMed Parkdale

WellMed, part of the Optum family of businesses, is a leading healthcare provider dedicated to transforming care for older adults across Texas and Florida. Established through a partnership with Optum in 2011, WellMed specializes in preventative health care and chronic disease management for seniors, serving more than one million older adults. The organization operates a robust network of over 16,000 doctors' offices, encompassing more than 22,000 primary care physicians, hospitalists, specialists, and advanced practice clinicians. With a strong presence in the healthcare landscape, WellMed focuses on innovation and high-quality care delivery to improve health outcomes for seniors, aligning with Optum’s mission to revolutionize healthcare with an emphasis on better outcomes and enhanced patient experiences.

The Case Manager II - Inpatient Services role, based in Corpus Christi, TX, is an integral part of the Optum Care Delivery team aimed at making healthcare better for everyone. This is a full-time position offering an annual salary range of $60,200 to $107,400, depending on experience, education, certification, and other relevant factors. WellMed values providing its employees with comprehensive benefits, performance recognition, and career development opportunities within a supportive and innovative environment. Employees are empowered to impact patient care positively while maintaining a healthy work-life balance.

As a Case Manager II, you will perform clinical reviews of inpatient admissions across various care facilities, including acute hospitals, rehabilitation centers, long-term acute care hospitals (LTAC), and skilled nursing facilities (SNF). The role emphasizes coordinating comprehensive care from admission through discharge, implementing individualized transition plans for patients utilizing evidence-based clinical guidelines, and collaborating closely with interdisciplinary care teams. You will serve as the clinical liaison between hospitals, physicians, facility staff, ambulatory care teams, patients, and their families, ensuring seamless transitions and continuity of care. Your responsibilities include managing a case load effectively, conducting patient care conferences, and identifying patients at risk of readmission to optimize care outcomes.

WellMed combines clinical resources, extensive data, and global organizational support to equip Case Managers in assisting patients to achieve healthier lives. This position also requires participation in utilization management processes, conducting timely and accurate documentation, and maintaining licensure and hospital credentialing as required. You will engage regularly with utilization management Medical Directors to discuss complex cases and ensure compliance with clinical guidelines. This role demands strong critical thinking, leadership, and communication skills, as well as the ability to work both independently and collaboratively within a multidisciplinary team environment. The physical and mental requirements include the ability to lift, sit, stand, and engage in complex problem-solving for extended periods. WellMed fosters a drug-free workplace committed to equal employment opportunities, and all candidates must pass a drug test prior to employment. Join WellMed and OptumCare to advance your nursing career while contributing to changing senior care in a meaningful way. Caring, connecting, and growing together is the core philosophy guiding every team member's contribution.