Moore County Hospital District (MCHD) is an award winning Critical Access Hospital located in the High Plains of Texas in the town of Dumas.  The National Association of Rural Hospitals named MCHD to the Top 20 Rural Hospitals in the US for Quality (#9)! MCHD serves a population base that covers six counties and consistently performs alongside top hospitals in the nation, both rural and urban, in clinical measures, patient satisfaction, and employee satisfaction. MCHD is a recipient of the Hurst Gold Standard of Nursing Award, the Studer Excellence in Patient Care Award, the TORCH Light award, the Joint Commission Top Performer award, the Texas Healthcare Quality Improvement Award, the Studer Healthcare Partner of the Month award, the Home Care Elite award, and more.  MCHD's 2019 Press Ganey Employee Engagement Survey ranked MCHD in the top 95% of healthcare organizations nationally for employee job satisfaction and engagement, in the top 96% for 2020 and 2021!  MCHD has averaged in the 94th percentile in the US over the past 8 years! This is a Full-time position. SUMMARY: Serves as a key team member of the UR/Case Management department.  Plans, coordinates and provides patient education, discharge planning and post discharge follow up. Performs utilization review functions including documentation review for admission criteria per MCG guidelines, physician advisory, and provision of clinical information for insurance authorization. Conduct audits and assist with denials in reimbursement. Coordinate Swing Bed patient care including referrals, comprehensive assessments, interdisciplinary group meetings and discharge planning. Provide community education as needed. Alternates with team members to provide weekend case management coverage.    EDUCATIONAL/EXPERIENCE REQUIREMENTS:  Registered Nurse with minimum of 2 years nursing experience with at least one of these years occurring in the last 12 months. Preferred clinical experience in case management or utilization review.    REQUIREMENTS Current CPR    LICENSURE / CERTIFICATION REQUIREMENTS: Current Texas RN license or RN compact licensure.   OTHER REQUIREMENTS: Must be able to communicate effectively with patients, caregivers, physicians and other members of the interdisciplinary team.  Bi-lingual preferred but not required.