RN Case Manager PCU

Description

Introduction

Do you have the career opportunities as a(an) RN Case Manager you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join Methodist Hospital Northeast which is a part of the nation's leading provider of healthcare services, HCA Healthcare.

Benefits

Methodist Hospital Northeast, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage 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.

Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at Methodist Hospital Northeast!

Job Summary and Qualifications

The Case Manager will work with patient/families identified to have discharge planning, psychosocial, financial or other needs to develop a plan that will: 1) Optimize functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts among health care team members; and 4) promote quality, cost effective outcomes. The Case Manager will demonstrate knowledge and skills necessary to develop a plan based on physical, psychosocial, educational and age related criteria.

What you will do in this role:

• Assesses by interview and charts review discharge needs of all high-risk patients (and others referred). Identifies resources available to address the needs identified, coordinate referrals and document plan.

• Utilize community resources to support patient's post hospital needs. Documents choice in available resources has been offered.

• Performs admission and continued stay reviews. Provides clinical information to payers upon request for certification and reimbursement of care. Discusses alternate level of care with physician. Refers cases not meeting acute care criteria to Physician Advisor as needed.

• Facilitates and or provides education of hospital staff, physicians, patients and caregivers for purposes of efficient resource utilization.

• Keeps current of requirements by JCAHO, HCFA and other state/federal agencies on provision of care, planning and documenting.

• Tracks resource statistics to identify improvement opportunities. Attends medical staff and other hospital committee meetings to report findings.

What qualifications you will need:

• Registered Nurse

• Registered Nurse Diploma

• Experience: Minimum of 3 years clinical experience in area in which Case Management will be performed

• Preferred: Prefer at least one year experience in utilization review, resource management, discharge planning or case management.

Methodist Hospital Northeast is a 232 bed, full service hospital. We are home to the Joint Replacement Academy. We offer the latest treatment options for knee and hip pain. We house an impressive neurosurgical program. This program offers services from elective spine surgeries to advanced and comprehensive brain and spine care.

We are recognized by the American Heart Association/American Stroke Association as a Certified Primary Stroke Center. We handle patients with urgency. We are acknowledged by the American College of Cardiology as an Accredited Chest Pain Center with Primary PCIa. All complaints are handled crucially. We are identified by the American Nurses Credentialing Center for having a Pathway to Excellence Program. We dedicate resources to our employees. We have received the Mission: Lifeline Bronze Receiving Quality Achievement Award. This is awarded for implementing specific quality improvements. These measures were outlined by the American Heart Association. The improvements impact the treatment of patients who suffer severe heart attacks. This was outlined by the Texas Award for Performance Excellence. We have been nationally recognized by Leapfrog's Hospital Safety Grade A.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If this opportunity is your next step in your career path, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today!

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.