Case Management RN
: Job Details :

Description

Introduction

Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at TriStar Centennial Medical Center have the opportunity to make a real impact. As a(an) Case Management RN you can be a part of change.

Benefits

TriStar Centennial Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medicalcoverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Case Management RN. We want your knowledge and expertise!

Job Summary and Qualifications

The RN CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care using established criteria and in conjunction with the multidisciplinary team. The RN CM will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization.

II.POSITION QUALIFICATIONS:

Bachelor's prepared RN with current state licensure. In lieu of BSN, RN must have 5 years case management experience and complete a bachelor's of science in nursing within 2 years of hire date

5 years of nursing experience with 2 years critical care or 3 years nursing experience with 2 years case management experience preferred.

Certification in case management, nursing, or utilization review preferred.

InterQual experience, preferred.

Ability to establish and maintain collaborative and effective working relationships.

Ability to communicate effectively in oral, written and electronic formats.

Demonstrates analytical and critical thinking abilities with proactive decision-making and negotiation skills

III. General Essential Functions

Provides case management services for both inpatient and observation patients as assigned

Identifies patients who are at risk for adverse outcomes during the transition from one level of care/setting to another

Performs a comprehensive assessment of psychosocial, medical and discharge needs of patients/family along with an assessment of resources appropriate and available to the patient/family

Reassesses the patient's clinical condition as indicated. Considers patient's readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources.

Coordinates the plan of care and drives the discharge plan by collaborating with the multidisciplinary health care team and in particular with the patient's physician to facilitate a successful care transition

In partnership with Social Services, the RN CM is responsible for ensuring the post-acute medical needs and level of care are appropriate

The RN CM is responsible for timely referral to Social Services when risk factors for psychosocial determinants of health are identified

Involves patient, family/responsible/significant others in identifying and clarifying needs and expectations to develop mutual and realistic goals

Evaluates progression of care using evidence-based tools and approved criteria (InterQual) throughout the episode of care; escalates progression and transition of care issues through the established chain of command

Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease states

Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency

Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all members of the health care team

Align patient's needs with available resources to ensure a safe discharge / transition

Acts as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies

Actively seeks ways to control costs without compromising patient safety, quality of care or the services delivered

Directs activities to identify and provide for the needs of the under-resourced patient population to include patient education activities, patient assistance programs, and community-based resources

Participates in performance improvement activities including, but not limited to, identifying, documenting and intervening when avoidable days occur

Adheres to established policy and procedure and standards of care; escalates issues through the established chain of command timely

Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies, and quality initiatives

Serve as an advocate for patient's rights, needs, and values; ensuring that patients' ethnic, cultural, or religious values, beliefs, preferences and needs are considered and aligned

Demonstrates knowledge human growth and development, assessment, types of treatment, and care of patients appropriate to the ages of patients. ..

Promotes internal and external customer services initiatives

Utilizes critical thinking skills to meet needs of individual patients.

Demonstrates ability to perform technical skills and procedures.

Documents all patient care.

Participates in Performance Improvement activities as assigned.

Works with Business Office to manage issue..

Other duties as assigned

TriStar Centennial Medical Center is a 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include heart and vascular and imaging. These also include neurosciences, oncology, orthopedics, pediatrics, rehabilitation, sleep disorder, and women's services. We are an affiliate of TriStar Health. TriStar Centennial Medical Center is a 43-acre campus. We are home to TriStar Centennial Heart & Vascular Center. We are home to TriStar Centennial Women's Hospital. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.

HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

There is so much good to do in the world and so many different ways to do it. - Dr. Thomas Frist, Sr.HCA Healthcare Co-Founder

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Case Management RN opening. Submit your application today and help advance the practice of nursing.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.